{"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\/sv_se\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endoskopi och diagnostiska v\u00e4ntelistor: vad kan g\u00f6ras"},"content":{"rendered":"

Dagens NHS st\u00e5r inf\u00f6r ett antal betydande p\u00e5tryckningar, inklusive den snabbt \u00f6kande \u00e5ldrande befolkningen och de samsjukligheter som kan medf\u00f6ra, en oj\u00e4mlik spridning av tillg\u00e4nglig v\u00e5rd \u00f6ver hela Storbritannien och \u00f6kande tryck f\u00f6r mer h\u00e5llbara h\u00e4lsov\u00e5rdsmetoder. V\u00e4xande v\u00e4ntelistor var ett problem l\u00e5ngt f\u00f6re covid-19-pandemin, med m\u00e5nga planerade v\u00e5rdprocedurer som st\u00e4lldes in p\u00e5 grund av tr\u00f6tta och "faller s\u00f6nder'<\/a> sjukhusets infrastruktur. Med v\u00e4ntelistor f\u00f6r diagnostiska tj\u00e4nster som n\u00e5r 435,000<\/a> i England i januari 2022 \u00e4r det tydligt att i synnerhet denna specialitet har p\u00e5verkats kraftigt av de restriktioner som inf\u00f6rts av f\u00f6r\u00e5ldrad infrastruktur och upph\u00f6randet av endoskopitj\u00e4nster under Covid-19-pandemin.<\/p>\n

Under \u00e5rens lopp har NHS-byggnader anpassats och utvecklats f\u00f6r att m\u00f6ta v\u00e4xande krav sedan grundandet av h\u00e4lsov\u00e5rden 1948, men den f\u00f6r\u00e5ldrade infrastrukturen har begr\u00e4nsade anpassningsm\u00f6jligheter f\u00f6r att passa tillsammans med framsteg inom h\u00e4lsov\u00e5rdspraxis. Faktum \u00e4r att kostnaderna f\u00f6r att ta itu med NHS-underh\u00e5llseftersl\u00e4pningen l\u00e5g p\u00e5 9,2 miljarder pund<\/a> i slutet av 2020\/21, men p\u00e5 grund av nyligen \u00f6kade infektionskontroll\u00e5tg\u00e4rder, har entrepren\u00f6rer haft allt sv\u00e5rare att utf\u00f6ra s\u00e5dant arbete i levande NHS-milj\u00f6er. Antalet kliniska incidenter som har intr\u00e4ffat p\u00e5 grund av f\u00f6r\u00e5ldrad infrastruktur har tredubblats<\/a> under de senaste 5 \u00e5ren, en nyligen Rapportera<\/a> har funnit.<\/p>\n

Sjukhusens v\u00e4ntelistor har faktiskt \u00f6kat sedan dess 2009<\/a>, 11 \u00e5r innan pandemin inducerade st\u00f6rningar i v\u00e5rden. I april 2022 n\u00e5dde sjukhusens v\u00e4ntelistor en rekordniv\u00e5 p\u00e5 6,2 miljoner, med f\u00f6ruts\u00e4gelser som kommer att forts\u00e4tta att stiga till 10,7 miljoner i mars 2024<\/a>. F\u00f6r att l\u00e4gga till detta, var antalet individer som v\u00e4ntade p\u00e5 viktiga diagnostiska tester i England 369,100<\/a> i augusti 2021, och detta steg sedan till de ovan n\u00e4mnda 435 000 \u00e5r 2022, vilket visar den verkliga eftersl\u00e4pningen som denna specialitet st\u00e5r inf\u00f6r. Dessutom belyste en f\u00e4rsk FOI-rapport l\u00e4get f\u00f6r NHS Englands endoskopitj\u00e4nster, med 41% av 105 respondenter som uppgav att deras dekontamineringssviter antingen n\u00e4rmade sig eller \u00f6verskred tillverkarens rekommenderade 10-\u00e5riga livsl\u00e4ngd. Av dessa stiftelser lyckades 87% inte uppfylla 6 veckors v\u00e4ntem\u00e5l mellan april 2018 och mars 2019. Detta illustrerar att ja, \u00e4ven om Covid-19-pandemin och pausandet av elektiv v\u00e5rd i hela Storbritannien hindrade sjukhusens v\u00e4ntelistor, kan detta inte vara helt att skylla p\u00e5 eftersom fr\u00e5gan str\u00e4cker sig l\u00e4ngre tillbaka.<\/p>\n

De\u00a02021 Storbritanniens nationella folkr\u00e4kning f\u00f6r endoskopi<\/a>\u00a0tittade p\u00e5 endoskopi- och dekontamineringstj\u00e4nster \u00f6ver hela Storbritannien, och avsl\u00f6jade att 42,7% av unders\u00f6kta v\u00e5rdgivare kr\u00e4vde ytterligare byggnadsarbeten f\u00f6r att \u00f6ka dekontamineringseffektiviteten med upp till 20%. Dessutom uppgav 59% av de tillfr\u00e5gade att ytterligare endoskopbehandlare och torksk\u00e5p kr\u00e4vdes f\u00f6r att \u00f6ka dekontamineringskapaciteten. Dekontamineringsanl\u00e4ggningar finns regelbundet inom sjukhusens endoskopitj\u00e4nster, men frist\u00e5ende anl\u00e4ggningar kan installeras och s\u00f6ml\u00f6st kopplas till huvudsjukhuset f\u00f6r att \u00f6ka kapaciteten och s\u00e4kerst\u00e4lla st\u00f6rre effektivitet hos endoskopitj\u00e4nsterna, vilket leder till att v\u00e4ntelistorna minskar. Detta \u00e4r s\u00e4rskilt anv\u00e4ndbart under renoveringsperioder, med inf\u00f6randet av mobila och modul\u00e4ra dekontamineringsanl\u00e4ggningar f\u00f6r att uppr\u00e4tth\u00e5lla kapaciteten. Utredningen avsl\u00f6jade ocks\u00e5 att ovilja att n\u00e4rvara och efterf\u00f6ljande "inte n\u00e4rvarade eller DNAs" f\u00f6r procedurer var p\u00e5 sin n\u00e4st h\u00f6gsta niv\u00e5 sedan 2019, med en m\u00f6jlig orsak till detta var r\u00e4dslan f\u00f6r att f\u00e5 Covid-19 n\u00e4r man bes\u00f6ker sjukhuset. Detta f\u00f6rst\u00e4rker d\u00e4rf\u00f6r behovet av frist\u00e5ende\u00a0endoskopitj\u00e4nster<\/a>, separat fr\u00e5n huvudsjukhuset, som \u00f6kar patienternas f\u00f6rtroende och d\u00e4rf\u00f6r hj\u00e4lper till att hantera v\u00e4ntelistor.<\/p>\n

\"\"<\/figure>\n

Medellivsl\u00e4ngden i Storbritannien stiger fr\u00e5n \u00e5r till \u00e5r och stiger 0.15%<\/a> mellan 2021 och 2022, och \u00e4ven om detta \u00e4r n\u00e5got att fira, betyder det att det finns ett st\u00f6rre antal individer som lever med kroniska tillst\u00e5nd, s\u00e5som demens och diabetes, som kr\u00e4ver mer l\u00e5ngtidsv\u00e5rd. Detta har skapat ett f\u00f6rv\u00e4rrat tryck p\u00e5 NHS-tj\u00e4nster, s\u00e4rskilt som det har erk\u00e4nts att den genomsnittliga 90-\u00e5ringen kostar ca. 7 g\u00e5nger<\/a> lika mycket att ta hand om \u00e4n en genomsnittlig 30-\u00e5ring. Som ett resultat har det funnits krav p\u00e5 f\u00f6rb\u00e4ttring och implementering av diagnostiska tj\u00e4nster \u00f6ver hela Storbritannien f\u00f6r att g\u00f6ra det m\u00f6jligt f\u00f6r m\u00e4nniskor att f\u00f6rbli friskare under l\u00e4ngre tid och d\u00e4rf\u00f6r ta bort belastningen p\u00e5 NHS-tj\u00e4nster. Dessutom utvecklingen av kommunala diagnostiska centra<\/a> \u00f6ver hela landet kommer att f\u00f6ra tj\u00e4nster n\u00e4rmare patienterna, minska trycket p\u00e5 akuta sjukhusplatser och ha en positiv inverkan p\u00e5 regionala oj\u00e4mlikheter i h\u00e4lsa genom att s\u00e4kerst\u00e4lla att diagnostiska faciliteter \u00e4r mer tillg\u00e4ngliga.<\/p>\n

Dessutom avsl\u00f6jade den brittiska nationella folkr\u00e4kningen f\u00f6r endoskopitj\u00e4nster att \u00e4ven om v\u00e4ntetiderna f\u00f6r ingrepp fortfarande \u00f6kar, finns det tydliga regionala skillnader h\u00e4r:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, et al, National census of UK endoscopy services 2021, Frontline Gastroenterology Publicerad online F\u00f6rst: 9 maj 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Regionala oj\u00e4mlikheter i sjukv\u00e5rden har l\u00e4nge varit ett problem, men covid-19-pandemin och den efterf\u00f6ljande planerade eftersl\u00e4pningen i v\u00e5rden f\u00f6rv\u00e4rrade detta ytterligare. Sjukv\u00e5rdsskillnader \u00e4r ett m\u00e5ngsidigt begrepp som t\u00e4cker hur tillg\u00e4ngligheten till v\u00e5rd \u00e4r oj\u00e4mnt f\u00f6rdelad mellan olika grupper av m\u00e4nniskor. I slut\u00e4ndan handlar oj\u00e4mlikhet i h\u00e4lsa om inverkan av en individs status p\u00e5 deras h\u00e4lsa. Det kan inkludera h\u00e4lsotillst\u00e5nd, tillg\u00e4nglighet till v\u00e5rdtj\u00e4nster, v\u00e5rdkvalitet och mer omfattande h\u00e4lsoskador, till exempel bost\u00e4der. Att se till att v\u00e5rd och diagnostiska tj\u00e4nster \u00e4r mer l\u00e4ttillg\u00e4ngliga f\u00f6r patienten kommer att p\u00e5verka patienternas resultat positivt genom tidigare diagnos och, som tidigare n\u00e4mnts, kommer det att l\u00e4tta p\u00e5 trycket p\u00e5 huvudsjukhusplatserna, vilket har en positiv inverkan p\u00e5 resultaten f\u00f6r patienter p\u00e5 v\u00e4ntelistor f\u00f6r andra specialiteter.<\/p>\n

NHS \u00e5tagande att leverera mer h\u00e5llbar infrastruktur \u00e5terspeglas i The 2020 Construction Playbook<\/a> d\u00e4r den beskriver den utbredda anv\u00e4ndningen av moderna byggmetoder (MMC) f\u00f6r att bidra till att uppn\u00e5 nettonollutsl\u00e4ppsm\u00e5l. H\u00f6sten 2020 lovade regeringen att bygga 40 nya sjukhus i England senast 2030, alla med h\u00e5llbara infrastrukturmetoder som kommer att bidra till r\u00f6relsen mot att n\u00e5 nettonollutsl\u00e4pp senast 2040. Ut\u00f6ver detta kommer ytterligare 70 sjukhus att beviljas uppgraderingar, med 850 miljoner pund utlovade f\u00f6r att f\u00f6rb\u00e4ttra avdelningsutrymmen, psykiatriska anl\u00e4ggningar och operationssalar. Det \u00e4r tydligt att ett stort antal av Englands endoskopitj\u00e4nster beh\u00f6ver betydande renoveringar f\u00f6r att \u00f6ka effektiviteten och inf\u00f6randet av mobila, modul\u00e4ra och blandade h\u00e4lsov\u00e5rdsutrymmen, oavsett om de \u00e4r bel\u00e4gna p\u00e5 sjukhusomr\u00e5det eller i samh\u00e4llet, fungerar som en tids- och kostnadseffektiv l\u00f6sning f\u00f6r att bibeh\u00e5lla och \u00f6ka kapaciteten.<\/p>","protected":false},"excerpt":{"rendered":"

Med v\u00e4ntelistor f\u00f6r diagnostiska tj\u00e4nster som n\u00e5dde 435 000 i England i januari 2022, \u00e4r det tydligt att i synnerhet denna specialitet har p\u00e5verkats kraftigt av de restriktioner som inf\u00f6rts av f\u00f6r\u00e5ldrad infrastruktur och upph\u00f6randet av endoskopitj\u00e4nster under Covid-19-pandemin.<\/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\/sv_se\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\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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