{"id":599,"date":"2022-07-05T14:43:00","date_gmt":"2022-07-05T14:43:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=599"},"modified":"2023-10-20T11:38:10","modified_gmt":"2023-10-20T11:38:10","slug":"endoscopy-and-diagnostic-waiting-lists-what-can-be-done","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/pt_pt\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endoscopia e listas de espera para diagn\u00f3stico: o que pode ser feito"},"content":{"rendered":"

O NHS de hoje enfrenta uma s\u00e9rie de press\u00f5es significativas, incluindo o r\u00e1pido aumento do envelhecimento da popula\u00e7\u00e3o e as comorbidades que podem trazer, uma distribui\u00e7\u00e3o desigual de cuidados acess\u00edveis em todo o Reino Unido e press\u00f5es crescentes para pr\u00e1ticas de sa\u00fade mais sustent\u00e1veis. As crescentes listas de espera j\u00e1 eram um problema muito antes da pandemia de Covid-19, com muitos procedimentos de cuidados planeados a serem cancelados devido ao cansa\u00e7o e \u00e0 fadiga.desmoronando'<\/a> infraestrutura hospitalar. Com listas de espera para servi\u00e7os de diagn\u00f3stico atingindo 435,000<\/a> na Inglaterra, em janeiro de 2022, fica claro que esta especialidade em particular foi muito impactada pelas restri\u00e7\u00f5es impostas por infraestruturas desatualizadas e pela cessa\u00e7\u00e3o dos servi\u00e7os de endoscopia durante a pandemia de Covid-19.<\/p>\n

Ao longo dos anos, os edif\u00edcios do NHS foram adaptados e desenvolvidos para acomodar as crescentes exig\u00eancias desde a funda\u00e7\u00e3o do Servi\u00e7o de Sa\u00fade em 1948, no entanto, a infra-estrutura desatualizada tem capacidades de adapta\u00e7\u00e3o limitadas para se adaptarem aos avan\u00e7os nas pr\u00e1ticas de sa\u00fade. Na verdade, os custos para resolver o atraso na manuten\u00e7\u00e3o do NHS situaram-se em \u00a3 9,2 bilh\u00f5es<\/a> no final de 2020\/21, no entanto, devido ao recente aumento das medidas de controlo de infec\u00e7\u00f5es, os empreiteiros tiveram cada vez mais dificuldade em realizar esse tipo de trabalho em ambientes activos do NHS. O n\u00famero de incidentes cl\u00ednicos que ocorreram devido a infraestruturas desatualizadas aumentou triplicado<\/a> nos \u00faltimos 5 anos, um recente relat\u00f3rio<\/a> encontrou.<\/p>\n

Na verdade, as listas de espera nos hospitais t\u00eam aumentado desde 2009<\/a>, 11 anos antes de a pandemia induzir a interrup\u00e7\u00e3o dos cuidados. Em abril de 2022, as listas de espera hospitalar atingiram o m\u00e1ximo hist\u00f3rico de 6,2 milh\u00f5es, com previs\u00f5es de que continuar\u00e3o a subir para 10,7 milh\u00f5es at\u00e9 mar\u00e7o. 2024<\/a>. Al\u00e9m disso, o n\u00famero de indiv\u00edduos \u00e0 espera de testes de diagn\u00f3stico importantes em Inglaterra era de 369,100<\/a> em agosto de 2021, aumentando posteriormente para os j\u00e1 mencionados 435.000 at\u00e9 2022, demonstrando o verdadeiro atraso que esta especialidade enfrenta. Al\u00e9m disso, um relat\u00f3rio recente da FOI destacou a situa\u00e7\u00e3o dos servi\u00e7os de endoscopia do NHS England, com 41% de 105 entrevistados afirmando que os seus conjuntos de descontamina\u00e7\u00e3o estavam se aproximando ou excedendo a vida \u00fatil recomendada de 10 anos pelo fabricante. Destes Trusts, 87% n\u00e3o conseguiu cumprir as metas de espera de 6 semanas entre abril de 2018 e mar\u00e7o de 2019. Isto ilustra que sim, embora a pandemia de Covid-19 e a pausa dos cuidados eletivos em todo o Reino Unido tenham dificultado as listas de espera hospitalar, a culpa n\u00e3o pode ser totalmente culpada. j\u00e1 que a quest\u00e3o remonta ainda mais atr\u00e1s.<\/p>\n

O\u00a0Censo Nacional de Endoscopia do Reino Unido de 2021<\/a>\u00a0analisaram os servi\u00e7os de endoscopia e descontamina\u00e7\u00e3o em todo o Reino Unido, descobrindo que 42,7% dos prestadores de cuidados de sa\u00fade pesquisados necessitavam de obras de constru\u00e7\u00e3o adicionais para aumentar a efic\u00e1cia da descontamina\u00e7\u00e3o em at\u00e9 20%. Al\u00e9m disso, 59% dos entrevistados afirmaram que eram necess\u00e1rios reprocessadores de endosc\u00f3pios e cabines de secagem adicionais para aumentar a capacidade de descontamina\u00e7\u00e3o. As instala\u00e7\u00f5es de descontamina\u00e7\u00e3o est\u00e3o normalmente localizadas nos servi\u00e7os de endoscopia hospitalar; no entanto, instala\u00e7\u00f5es independentes podem ser instaladas e interligadas ao hospital principal para aumentar a capacidade e garantir maior efici\u00eancia dos servi\u00e7os de endoscopia, reduzindo assim as listas de espera. Isto \u00e9 especialmente \u00fatil durante per\u00edodos de remodela\u00e7\u00e3o, com a introdu\u00e7\u00e3o de instala\u00e7\u00f5es de descontamina\u00e7\u00e3o m\u00f3veis e modulares para manter a capacidade. A investiga\u00e7\u00e3o revelou tamb\u00e9m que a relut\u00e2ncia em comparecer e subsequente \u201cn\u00e3o comparecimento ou DNA\u201d para procedimentos estava no seu segundo n\u00edvel mais alto desde 2019, sendo uma poss\u00edvel raz\u00e3o para isso o medo de contrair Covid-19 ao visitar o hospital. Isto, portanto, amplifica a necessidade de\u00a0servi\u00e7os de endoscopia<\/a>, separados do hospital principal, que aumentam a confian\u00e7a dos pacientes e, portanto, auxiliam no combate \u00e0s listas de espera.<\/p>\n

\"\"<\/figure>\n

A esperan\u00e7a m\u00e9dia de vida no Reino Unido est\u00e1 a aumentar ano ap\u00f3s ano, aumentando 0.15%<\/a> entre 2021 e 2022 e, embora isto seja algo a celebrar, significa que h\u00e1 um maior n\u00famero de indiv\u00edduos que vivem com doen\u00e7as cr\u00f3nicas, como a dem\u00eancia e a diabetes, que requerem mais cuidados a longo prazo. Isto criou uma press\u00e3o exacerbada sobre os servi\u00e7os do NHS, especialmente porque se reconheceu que uma pessoa m\u00e9dia de 90 anos custa cerca de 7 vezes<\/a> tanto para cuidar do que uma pessoa m\u00e9dia de 30 anos. Como resultado, tem havido apelos \u00e0 melhoria e implementa\u00e7\u00e3o de servi\u00e7os de diagn\u00f3stico em todo o Reino Unido para permitir que as pessoas permane\u00e7am mais saud\u00e1veis durante mais tempo e, portanto, eliminando a press\u00e3o sobre os servi\u00e7os do NHS. Al\u00e9m disso, o desenvolvimento de centros de diagn\u00f3stico comunit\u00e1rios<\/a> em todo o pa\u00eds aproximar\u00e1 os servi\u00e7os dos pacientes, reduzindo a press\u00e3o sobre os hospitais de casos agudos e ter\u00e1 um impacto positivo nas desigualdades regionais de sa\u00fade, garantindo que as instala\u00e7\u00f5es de diagn\u00f3stico sejam mais acess\u00edveis.<\/p>\n

Al\u00e9m disso, o censo nacional do Reino Unido para servi\u00e7os de endoscopia tamb\u00e9m revelou que, embora os tempos de espera para procedimentos ainda estejam a aumentar, existem claras disparidades regionais aqui:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, et al, Censo nacional de servi\u00e7os de endoscopia do Reino Unido 2021, Frontline Gastroenterology publicado online primeiro: 09 de maio de 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

As desigualdades regionais nos cuidados de sa\u00fade t\u00eam sido um problema h\u00e1 muito tempo, no entanto, a pandemia de Covid-19 e o subsequente atraso nos cuidados planeados exacerbaram ainda mais esta situa\u00e7\u00e3o. As desigualdades nos cuidados de sa\u00fade s\u00e3o um termo multifacetado que abrange a forma como a acessibilidade aos cuidados de sa\u00fade \u00e9 distribu\u00edda de forma desigual entre diferentes grupos de pessoas. Em \u00faltima an\u00e1lise, as desigualdades na sa\u00fade t\u00eam a ver com o impacto do estado de um indiv\u00edduo na sua sa\u00fade. Isto pode incluir o estado de sa\u00fade, a acessibilidade dos servi\u00e7os de cuidados, a qualidade dos cuidados e preju\u00edzos mais amplos para a sa\u00fade, por exemplo, a habita\u00e7\u00e3o. Garantir que os servi\u00e7os de cuidados e diagn\u00f3stico sejam mais convenientemente acess\u00edveis ao paciente afetar\u00e1 positivamente os resultados dos pacientes atrav\u00e9s de um diagn\u00f3stico precoce e, como mencionado anteriormente, aliviar\u00e1 a press\u00e3o nos principais hospitais, impactando positivamente os resultados dos pacientes em listas de espera para outras especialidades.<\/p>\n

O compromisso do NHS em fornecer infra-estruturas mais sustent\u00e1veis reflecte-se em O manual de constru\u00e7\u00e3o de 2020<\/a> onde detalha o uso mais amplo de M\u00e9todos Modernos de Constru\u00e7\u00e3o (MMC) para auxiliar no alcance de metas de carbono zero l\u00edquido. No outono de 2020, o governo se comprometeu a construir 40 novos hospitais na Inglaterra at\u00e9 2030, todos usando pr\u00e1ticas de infraestrutura sustent\u00e1veis que ajudar\u00e3o no movimento para atingir emiss\u00f5es l\u00edquidas zero at\u00e9 2040. Al\u00e9m disso, mais 70 hospitais receber\u00e3o melhorias, com \u00a3 850 milh\u00f5es prometidos para melhorar os espa\u00e7os de enfermaria, instala\u00e7\u00f5es de sa\u00fade mental e salas de cirurgia. \u00c9 claro que um grande n\u00famero de servi\u00e7os de endoscopia da Inglaterra precisa de reforma significativa para aumentar a efici\u00eancia e a introdu\u00e7\u00e3o de Espa\u00e7os de Sa\u00fade m\u00f3veis, modulares e de modalidade mista, sejam eles localizados no local do hospital ou dentro da comunidade, serve como uma solu\u00e7\u00e3o eficiente em termos de tempo e custo para manter e aumentar a capacidade.<\/p>","protected":false},"excerpt":{"rendered":"

Com as listas de espera para servi\u00e7os de diagn\u00f3stico a atingir 435.000 em Inglaterra em Janeiro de 2022, \u00e9 claro que esta especialidade em particular foi grandemente impactada pelas restri\u00e7\u00f5es impostas por infra-estruturas desatualizadas e pela cessa\u00e7\u00e3o dos servi\u00e7os de endoscopia durante a pandemia de Covid-19.<\/p>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nEndoscopy and diagnostic waiting lists: what can be done - Q-bital Healthcare Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/pt_pt\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy and diagnostic waiting lists: what can be done - 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