{"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\/sq_al\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endoskopia dhe listat e pritjes diagnostikuese: \u00e7far\u00eb mund t\u00eb b\u00ebhet"},"content":{"rendered":"

NHS-ja e sotme p\u00ebrballet me nj\u00eb s\u00ebr\u00eb presionesh t\u00eb r\u00ebnd\u00ebsishme, duke p\u00ebrfshir\u00eb plakjen e shpejt\u00eb t\u00eb popullsis\u00eb dhe s\u00ebmundjet shoq\u00ebruese q\u00eb mund t\u00eb sjellin, nj\u00eb p\u00ebrhapje t\u00eb pabarabart\u00eb t\u00eb kujdesit t\u00eb aksesuesh\u00ebm n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar dhe presione n\u00eb rritje p\u00ebr praktika m\u00eb t\u00eb q\u00ebndrueshme t\u00eb kujdesit sh\u00ebndet\u00ebsor. Rritja e listave t\u00eb pritjes ishte nj\u00eb problem shum\u00eb koh\u00eb p\u00ebrpara pandemis\u00eb Covid-19, me shum\u00eb procedura t\u00eb planifikuara t\u00eb kujdesit q\u00eb u anuluan si rezultat i lodhjes dhe 'duke u shembur'<\/a> infrastruktur\u00ebs spitalore. Me listat e pritjes p\u00ebr sh\u00ebrbimet e diagnostikimit 435,000<\/a> n\u00eb Angli n\u00eb janar 2022, \u00ebsht\u00eb e qart\u00eb se n\u00eb ve\u00e7anti ky specialitet \u00ebsht\u00eb ndikuar shum\u00eb nga kufizimet e vendosura nga infrastruktura e vjet\u00ebruar dhe nd\u00ebrprerja e sh\u00ebrbimeve t\u00eb endoskopis\u00eb gjat\u00eb gjith\u00eb pandemis\u00eb Covid-19.<\/p>\n

Me kalimin e viteve, nd\u00ebrtesat e NHS jan\u00eb p\u00ebrshtatur dhe zhvilluar p\u00ebr t\u00eb p\u00ebrmbushur k\u00ebrkesat n\u00eb rritje q\u00eb nga themelimi i Sh\u00ebrbimit Sh\u00ebndet\u00ebsor n\u00eb 1948, megjithat\u00eb infrastruktura e vjet\u00ebruar ka aft\u00ebsi t\u00eb kufizuara p\u00ebrshtatjeje p\u00ebr t'u p\u00ebrshtatur s\u00eb bashku me p\u00ebrparimet n\u00eb praktikat e kujdesit sh\u00ebndet\u00ebsor. N\u00eb t\u00eb v\u00ebrtet\u00eb, kostot e trajtimit t\u00eb ngarkes\u00ebs s\u00eb mbetur t\u00eb mir\u00ebmbajtjes s\u00eb NHS-s\u00eb q\u00ebndruan 9.2 miliard\u00eb paund<\/a> n\u00eb fund t\u00eb 2020\/21, megjithat\u00eb, p\u00ebr shkak t\u00eb masave t\u00eb shtuara t\u00eb kontrollit t\u00eb infeksionit koh\u00ebt e fundit, kontraktor\u00ebt e kan\u00eb pasur gjithnj\u00eb e m\u00eb t\u00eb v\u00ebshtir\u00eb kryerjen e nj\u00eb pune t\u00eb till\u00eb n\u00eb mjediset e drejtp\u00ebrdrejta t\u00eb NHS. Numri i incidenteve klinike q\u00eb kan\u00eb ndodhur p\u00ebr shkak t\u00eb infrastruktur\u00ebs s\u00eb vjet\u00ebruar ka trefishuar<\/a> n\u00eb 5 vitet e fundit, nj\u00eb koh\u00ebve t\u00eb fundit raporti<\/a> ka gjetur.<\/p>\n

N\u00eb t\u00eb v\u00ebrtet\u00eb, listat e pritjes s\u00eb spitaleve kan\u00eb qen\u00eb n\u00eb rritje q\u00eb at\u00ebher\u00eb 2009<\/a>, 11 vjet p\u00ebrpara se pandemia t\u00eb shkaktonte nd\u00ebrprerje n\u00eb kujdes. N\u00eb prill 2022, listat e pritjes s\u00eb spitaleve arrit\u00ebn n\u00eb 6.2 milion\u00eb, me parashikime q\u00eb do t\u00eb vazhdojn\u00eb t\u00eb rriten n\u00eb 10.7 milion\u00eb deri n\u00eb mars. 2024<\/a>. P\u00ebr t'i shtuar k\u00ebsaj, numri i individ\u00ebve q\u00eb prisnin testet kryesore diagnostike n\u00eb Angli ishte n\u00eb nivelin e tij 369,100<\/a> n\u00eb gusht 2021, me k\u00ebt\u00eb rritje m\u00eb pas n\u00eb 435,000 t\u00eb lartp\u00ebrmendura deri n\u00eb vitin 2022, duke demonstruar ngarkes\u00ebn e v\u00ebrtet\u00eb me t\u00eb cil\u00ebn po p\u00ebrballet ky specialitet. P\u00ebr m\u00eb tep\u00ebr, nj\u00eb raport i fundit FOI theksoi gjendjen e sh\u00ebrbimeve t\u00eb endoskopis\u00eb t\u00eb NHS Anglia, me 41% nga 105 t\u00eb anketuar q\u00eb deklaruan se kompletet e tyre t\u00eb dekontaminimit ose po i afroheshin ose e kalonin jet\u00ebgjat\u00ebsin\u00eb e rekomanduar 10-vje\u00e7are t\u00eb prodhuesit. Nga k\u00ebto Trust, 87% nuk arriti t\u00eb p\u00ebrmbushte objektivat e pritjes 6 javore midis prillit 2018 dhe marsit 2019. Kjo ilustron se po, nd\u00ebrsa pandemia Covid-19 dhe ndalimi i kujdesit zgjedhor n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar penguan listat e pritjes s\u00eb spitaleve, kjo nuk mund t\u00eb faj\u00ebsohet plot\u00ebsisht pasi \u00e7\u00ebshtja shtrihet m\u00eb tej.<\/p>\n

T\u00eb\u00a0Regjistrimi Komb\u00ebtar i Mbret\u00ebris\u00eb s\u00eb Bashkuar p\u00ebr Endoskopin\u00eb 2021<\/a>\u00a0shikoi sh\u00ebrbimet e endoskopis\u00eb dhe dekontaminimit n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar, duke zbuluar se 42,71 TP3T e ofruesve t\u00eb kujdesit sh\u00ebndet\u00ebsor t\u00eb anketuar k\u00ebrkonin punime shtes\u00eb nd\u00ebrtimi p\u00ebr t\u00eb rritur efikasitetin e dekontaminimit deri n\u00eb 20%. P\u00ebrve\u00e7 k\u00ebsaj, 59% e t\u00eb anketuarve deklaruan se nevojiteshin rip\u00ebrpunues shtes\u00eb endoskopi dhe kabinete tharjeje p\u00ebr t\u00eb rritur kapacitetin e dekontaminimit. Objektet e dekontaminimit ndodhen rregullisht brenda sh\u00ebrbimeve t\u00eb endoskopis\u00eb spitalore, megjithat\u00eb, objektet e pavarura mund t\u00eb instalohen dhe t\u00eb lidhen pa probleme me spitalin kryesor p\u00ebr t\u00eb rritur kapacitetin dhe p\u00ebr t\u00eb siguruar efikasitet m\u00eb t\u00eb madh t\u00eb sh\u00ebrbimeve t\u00eb endoskopis\u00eb, duke ulur k\u00ebshtu listat e pritjes. Kjo \u00ebsht\u00eb ve\u00e7an\u00ebrisht e dobishme gjat\u00eb periudhave t\u00eb rinovimit, me futjen e pajisjeve mobile dhe modulare t\u00eb dekontaminimit p\u00ebr t\u00eb ruajtur kapacitetin. Hetimi zbuloi gjithashtu se hezitimi p\u00ebr t\u00eb marr\u00eb pjes\u00eb dhe m\u00eb pas "nuk mori pjes\u00eb ose ADN" p\u00ebr procedurat ishte n\u00eb nivelin e dyt\u00eb m\u00eb t\u00eb lart\u00eb q\u00eb nga viti 2019, me nj\u00eb arsye t\u00eb mundshme p\u00ebr k\u00ebt\u00eb t\u00eb jet\u00eb frika e kontraktimit t\u00eb Covid-19 gjat\u00eb vizit\u00ebs n\u00eb spital. Prandaj, kjo rrit nevoj\u00ebn p\u00ebr t\u00eb pavarur\u00a0sh\u00ebrbimet e endoskopis\u00eb<\/a>, t\u00eb ndara nga qendra kryesore e spitalit, q\u00eb rrisin besimin e pacientit dhe p\u00ebr k\u00ebt\u00eb arsye ndihmojn\u00eb n\u00eb trajtimin e listave t\u00eb pritjes.<\/p>\n

\"\"<\/figure>\n

Jet\u00ebgjat\u00ebsia mesatare n\u00eb MB po rritet nga viti n\u00eb vit, duke u rritur 0.15%<\/a> nd\u00ebrmjet 2021 dhe 2022, dhe, megjith\u00ebse kjo \u00ebsht\u00eb di\u00e7ka p\u00ebr t'u festuar, kjo do t\u00eb thot\u00eb se ka nj\u00eb num\u00ebr m\u00eb t\u00eb madh individ\u00ebsh q\u00eb jetojn\u00eb me kushte kronike, si \u00e7menduria dhe diabeti, q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb kujdes afatgjat\u00eb. Kjo ka krijuar nj\u00eb presion t\u00eb p\u00ebrkeq\u00ebsuar mbi sh\u00ebrbimet e NHS, ve\u00e7an\u00ebrisht pasi \u00ebsht\u00eb pranuar se mesatarja e 90-vje\u00e7ar\u00ebve kushton rreth 7 her\u00eb<\/a> aq shum\u00eb p\u00ebr t'u kujdesur se mesatarja e 30-vje\u00e7arit. Si rezultat, ka pasur thirrje p\u00ebr p\u00ebrmir\u00ebsimin dhe zbatimin e sh\u00ebrbimeve diagnostikuese n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar p\u00ebr t'u mund\u00ebsuar njer\u00ebzve t\u00eb q\u00ebndrojn\u00eb m\u00eb t\u00eb sh\u00ebndetsh\u00ebm p\u00ebr m\u00eb gjat\u00eb dhe p\u00ebr k\u00ebt\u00eb arsye t\u00eb heqin tendosjen mbi sh\u00ebrbimet e NHS. P\u00ebr m\u00eb tep\u00ebr, zhvillimi i qendrat diagnostike komunitare<\/a> n\u00eb t\u00eb gjith\u00eb vendin do t\u00eb sjell\u00eb sh\u00ebrbimet m\u00eb af\u00ebr pacient\u00ebve, duke ulur presionin n\u00eb zonat akute t\u00eb spitaleve dhe do t\u00eb ket\u00eb nj\u00eb ndikim pozitiv n\u00eb pabarazit\u00eb sh\u00ebndet\u00ebsore rajonale, duke siguruar q\u00eb objektet diagnostike t\u00eb jen\u00eb m\u00eb t\u00eb aksesueshme.<\/p>\n

P\u00ebr m\u00eb tep\u00ebr, regjistrimi komb\u00ebtar i MB p\u00ebr sh\u00ebrbimet e endoskopis\u00eb zbuloi gjithashtu se nd\u00ebrsa koha e pritjes p\u00ebr procedurat \u00ebsht\u00eb ende n\u00eb rritje, ka pabarazi t\u00eb qarta rajonale k\u00ebtu:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, et al, Regjistrimi komb\u00ebtar i sh\u00ebrbimeve t\u00eb endoskopis\u00eb n\u00eb MB 2021, Frontline Gastroenterology Publikuar n\u00eb internet S\u00eb pari: 09 maj 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Pabarazit\u00eb rajonale t\u00eb kujdesit sh\u00ebndet\u00ebsor kan\u00eb qen\u00eb prej koh\u00ebsh nj\u00eb problem, megjithat\u00eb, pandemia Covid-19 dhe grumbullimi i kujdesit i planifikuar pasues e p\u00ebrkeq\u00ebsuan k\u00ebt\u00eb m\u00eb tej. Pabarazit\u00eb n\u00eb kujdesin sh\u00ebndet\u00ebsor \u00ebsht\u00eb nj\u00eb term i shum\u00ebllojsh\u00ebm q\u00eb mbulon m\u00ebnyr\u00ebn se si aksesueshm\u00ebria e kujdesit sh\u00ebndet\u00ebsor shp\u00ebrndahet n\u00eb m\u00ebnyr\u00eb t\u00eb pabarabart\u00eb midis grupeve t\u00eb ndryshme t\u00eb njer\u00ebzve. N\u00eb fund t\u00eb fundit, pabarazit\u00eb sh\u00ebndet\u00ebsore kan\u00eb t\u00eb b\u00ebjn\u00eb me ndikimin e statusit t\u00eb nj\u00eb individi n\u00eb sh\u00ebndetin e tyre. Kjo mund t\u00eb p\u00ebrfshij\u00eb gjendjen sh\u00ebndet\u00ebsore, aksesin e sh\u00ebrbimeve t\u00eb kujdesit, cil\u00ebsin\u00eb e kujdesit dhe d\u00ebmtime m\u00eb t\u00eb gjera p\u00ebr sh\u00ebndetin, p\u00ebr shembull strehimin. Sigurimi q\u00eb kujdesi dhe sh\u00ebrbimet diagnostikuese jan\u00eb m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr pacientin, do t\u00eb ndikoj\u00eb pozitivisht n\u00eb rezultatet e pacientit n\u00ebp\u00ebrmjet diagnoz\u00ebs s\u00eb hershme dhe, si\u00e7 u p\u00ebrmend m\u00eb lart, do t\u00eb leht\u00ebsoj\u00eb presionin n\u00eb vendet kryesore t\u00eb spitalit, duke ndikuar k\u00ebshtu pozitivisht n\u00eb rezultatet e pacient\u00ebve n\u00eb listat e pritjes p\u00ebr specialitete t\u00eb tjera.<\/p>\n

Angazhimi i NHS p\u00ebr t\u00eb ofruar infrastruktur\u00eb m\u00eb t\u00eb q\u00ebndrueshme reflektohet n\u00eb Libri i loj\u00ebrave t\u00eb nd\u00ebrtimit 2020<\/a> ku detajon p\u00ebrdorimin m\u00eb t\u00eb gjer\u00eb t\u00eb Metodave Moderne t\u00eb Nd\u00ebrtimit (MMC) p\u00ebr t\u00eb ndihmuar n\u00eb arritjen e objektivave t\u00eb karbonit zero neto. N\u00eb vjesht\u00ebn e vitit 2020, qeveria mori nj\u00eb premtim p\u00ebr t\u00eb nd\u00ebrtuar 40 spitale t\u00eb reja n\u00eb Angli deri n\u00eb vitin 2030, t\u00eb gjitha duke p\u00ebrdorur praktika t\u00eb q\u00ebndrueshme t\u00eb infrastruktur\u00ebs q\u00eb do t\u00eb ndihmojn\u00eb l\u00ebvizjen drejt arritjes s\u00eb emetimeve zero neto deri n\u00eb vitin 2040. P\u00ebrve\u00e7 k\u00ebsaj, 70 spitaleve t\u00eb tjera do t'u jepen p\u00ebrmir\u00ebsime, me 850 milion\u00eb \u00a3 t\u00eb premtuara p\u00ebr p\u00ebrmir\u00ebsimin e hap\u00ebsirave t\u00eb reparteve, institucioneve t\u00eb sh\u00ebndetit mendor dhe sallave t\u00eb operacionit. \u00cbsht\u00eb e qart\u00eb se nj\u00eb num\u00ebr i madh i sh\u00ebrbimeve endoskopike t\u00eb Anglis\u00eb kan\u00eb nevoj\u00eb p\u00ebr rinovim t\u00eb konsideruesh\u00ebm p\u00ebr t\u00eb rritur efikasitetin dhe futja e Hap\u00ebsirave t\u00eb Kujdesit Sh\u00ebndet\u00ebsor mobil, modular dhe me modalitet t\u00eb p\u00ebrzier, qofshin ato t\u00eb vendosura n\u00eb vendin e spitalit apo brenda komunitetit, sh\u00ebrben si nj\u00eb zgjidhje efikase n\u00eb koh\u00eb dhe me kosto efektive p\u00ebr ruajtjen dhe rritjen e kapacitetit.<\/p>","protected":false},"excerpt":{"rendered":"

Me listat e pritjes p\u00ebr sh\u00ebrbimet diagnostikuese q\u00eb arrijn\u00eb n\u00eb 435,000 n\u00eb Angli n\u00eb janar 2022, \u00ebsht\u00eb e qart\u00eb se ky specialitet n\u00eb ve\u00e7anti \u00ebsht\u00eb ndikuar shum\u00eb nga kufizimet e vendosura nga infrastruktura e vjet\u00ebruar dhe nd\u00ebrprerja e sh\u00ebrbimeve t\u00eb endoskopis\u00eb gjat\u00eb gjith\u00eb pandemis\u00eb 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\/sq_al\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\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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