{"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\/tr_tr\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endoskopi ve tan\u0131sal bekleme listeleri: neler yap\u0131labilir"},"content":{"rendered":"

G\u00fcn\u00fcm\u00fcz\u00fcn NHS'si, h\u0131zla artan ya\u015flanan n\u00fcfus ve bunun beraberinde getirebilece\u011fi e\u015flik eden hastal\u0131klar, Birle\u015fik Krall\u0131k genelinde eri\u015filebilir bak\u0131m\u0131n e\u015fit olmayan bir \u015fekilde yay\u0131lmas\u0131 ve daha s\u00fcrd\u00fcr\u00fclebilir sa\u011fl\u0131k hizmetleri uygulamalar\u0131na y\u00f6nelik artan bask\u0131lar da dahil olmak \u00fczere bir dizi \u00f6nemli bask\u0131yla kar\u015f\u0131 kar\u015f\u0131yad\u0131r. Artan bekleme listeleri, Kovid-19 salg\u0131n\u0131ndan \u00e7ok \u00f6nce de bir sorundu; planl\u0131 bir\u00e7ok bak\u0131m prosed\u00fcr\u00fc, yorgunluk ve yorgunluk nedeniyle iptal ediliyordu.da\u011f\u0131lan'<\/a> hastane altyap\u0131s\u0131. Te\u015fhis hizmetleri i\u00e7in bekleme listeleri ula\u015f\u0131yor 435,000<\/a> Ocak 2022'de \u0130ngiltere'de, \u00f6zellikle bu uzmanl\u0131\u011f\u0131n, eski altyap\u0131n\u0131n getirdi\u011fi k\u0131s\u0131tlamalardan ve Kovid-19 salg\u0131n\u0131 boyunca endoskopi hizmetlerinin durdurulmas\u0131ndan b\u00fcy\u00fck \u00f6l\u00e7\u00fcde etkilendi\u011fi a\u00e7\u0131kt\u0131r.<\/p>\n

Sa\u011fl\u0131k Hizmetinin 1948'deki kurulu\u015fundan bu yana, y\u0131llar ge\u00e7tik\u00e7e NHS binalar\u0131 artan talepleri kar\u015f\u0131layacak \u015fekilde uyarland\u0131 ve geli\u015ftirildi, ancak eski altyap\u0131, sa\u011fl\u0131k uygulamalar\u0131ndaki ilerlemelere uyum sa\u011flamak i\u00e7in s\u0131n\u0131rl\u0131 uyarlama kapasitesine sahip. Ger\u00e7ekten de, NHS'in bak\u0131m birikimiyle u\u011fra\u015fman\u0131n maliyeti \u015fu \u015fekildeydi: 9,2 milyar \u00a3<\/a> 2020\/21'in sonunda, ancak son zamanlarda artan enfeksiyon kontrol \u00f6nlemleri nedeniyle y\u00fckleniciler bu t\u00fcr i\u015fleri canl\u0131 NHS ortamlar\u0131nda y\u00fcr\u00fctmenin giderek zorla\u015ft\u0131\u011f\u0131n\u0131 fark etti. G\u00fcncel olmayan altyap\u0131 nedeniyle meydana gelen klinik olaylar\u0131n say\u0131s\u0131 \u00fc\u00e7 kat\u0131na \u00e7\u0131kt\u0131<\/a> Son 5 y\u0131lda yeni bir rapor<\/a> bulundu.<\/p>\n

Ger\u00e7ekten de hastane bekleme listeleri o zamandan beri art\u0131yor 2009<\/a>Pandemiden 11 y\u0131l \u00f6nce bak\u0131mda aksamalar ya\u015fanm\u0131\u015ft\u0131. Nisan 2022'de hastane bekleme listeleri t\u00fcm zamanlar\u0131n en y\u00fcksek seviyesi olan 6,2 milyona ula\u015ft\u0131 ve tahminlerin Mart ay\u0131na kadar 10,7 milyona y\u00fckselmeye devam edece\u011fi tahmin ediliyor. 2024<\/a>. Buna ek olarak, \u0130ngiltere'de \u00f6nemli te\u015fhis testlerini bekleyen ki\u015filerin say\u0131s\u0131 da 2017'ye ula\u015ft\u0131. 369,100<\/a> A\u011fustos 2021'de bu rakam\u0131n daha sonra 2022'de yukar\u0131da bahsedilen 435.000'e y\u00fckselmesi, bu uzmanl\u0131\u011f\u0131n kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fu ger\u00e7ek birikmi\u015f i\u015f y\u00fck\u00fcn\u00fc g\u00f6steriyor. Dahas\u0131, yak\u0131n tarihli bir FOI raporu, NHS \u0130ngiltere'nin endoskopi hizmetlerinin durumunu vurgulad\u0131; 105 kat\u0131l\u0131mc\u0131n\u0131n 41%'si, dekontaminasyon odalar\u0131n\u0131n \u00fcreticinin tavsiye etti\u011fi 10 y\u0131ll\u0131k kullan\u0131m \u00f6mr\u00fcne yakla\u015ft\u0131\u011f\u0131n\u0131 veya bu \u00f6mr\u00fc a\u015ft\u0131\u011f\u0131n\u0131 belirtti. Bu Tr\u00f6stlerden 87%, Nisan 2018 ile Mart 2019 aras\u0131ndaki 6 haftal\u0131k bekleme hedeflerini kar\u015f\u0131layamad\u0131. Bu, evet, her ne kadar Birle\u015fik Krall\u0131k genelinde Kovid-19 salg\u0131n\u0131 ve se\u00e7meli bak\u0131m\u0131n duraklat\u0131lmas\u0131 hastane bekleme listelerini engellese de, bunun tamamen su\u00e7lanamayaca\u011f\u0131n\u0131 g\u00f6steriyor. mesele daha da geriye uzan\u0131yor.<\/p>\n

The\u00a02021 Birle\u015fik Krall\u0131k Ulusal Endoskopi Say\u0131m\u0131<\/a>\u00a0Birle\u015fik Krall\u0131k genelindeki endoskopi ve dekontaminasyon hizmetlerini inceledi ve ankete kat\u0131lan 42,7% sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131s\u0131n\u0131n, dekontaminasyon etkinli\u011fini 20%'ye kadar art\u0131rmak i\u00e7in ek bina \u00e7al\u0131\u015fmalar\u0131 gerektirdi\u011fini ortaya \u00e7\u0131kard\u0131. Ayr\u0131ca ankete kat\u0131lanlar\u0131n 59%'si, dekontaminasyon kapasitesini art\u0131rmak i\u00e7in ek endoskop yeniden i\u015flemcilerinin ve kurutma kabinlerinin gerekli oldu\u011funu belirtti. Dekontaminasyon tesisleri d\u00fczenli olarak hastane endoskopi hizmetleri i\u00e7inde yer al\u0131r, ancak kapasiteyi art\u0131rmak ve endoskopi hizmetlerinin daha verimli olmas\u0131n\u0131 sa\u011flamak ve dolay\u0131s\u0131yla bekleme listelerini azaltmak i\u00e7in ba\u011f\u0131ms\u0131z tesisler kurulabilir ve ana hastaneye sorunsuz bir \u015fekilde ba\u011flanabilir. Bu, kapasiteyi korumak i\u00e7in mobil ve mod\u00fcler dekontaminasyon tesislerinin kullan\u0131ma sunuldu\u011fu yenileme d\u00f6nemlerinde \u00f6zellikle faydal\u0131d\u0131r. Soru\u015fturma ayr\u0131ca, kat\u0131lma konusundaki isteksizli\u011fin ve ard\u0131ndan prosed\u00fcrlere "kat\u0131lmaman\u0131n veya DNA testi yap\u0131lmamas\u0131n\u0131n" 2019'dan bu yana ikinci en y\u00fcksek seviyede oldu\u011funu ortaya \u00e7\u0131kard\u0131; bunun olas\u0131 nedeni, hastaneyi ziyaret ederken Kovid-19'a yakalanma korkusuydu. Bu nedenle ba\u011f\u0131ms\u0131z \u00e7al\u0131\u015fma ihtiyac\u0131n\u0131 art\u0131r\u0131yor\u00a0endoskopi hizmetleri<\/a>, hastan\u0131n g\u00fcvenini art\u0131ran ve dolay\u0131s\u0131yla bekleme listeleriyle ba\u015fa \u00e7\u0131kmaya yard\u0131mc\u0131 olan, ana hastane alan\u0131ndan ayr\u0131.<\/p>\n

\"\"<\/figure>\n

Birle\u015fik Krall\u0131k'ta ortalama ya\u015fam beklentisi y\u0131ldan y\u0131la art\u0131yor 0.15%<\/a> 2021 ile 2022 aras\u0131nda ve bu kutlanacak bir \u015fey olsa da, demans ve diyabet gibi daha uzun s\u00fcreli bak\u0131ma ihtiya\u00e7 duyan kronik rahats\u0131zl\u0131klarla ya\u015fayan daha fazla say\u0131da bireyin oldu\u011fu anlam\u0131na geliyor. Bu durum, \u00f6zellikle ortalama 90 y\u0131ll\u0131k maliyetlerin yakla\u015f\u0131k 90 y\u0131l civar\u0131nda oldu\u011fu kabul edildi\u011finden, NHS hizmetleri \u00fczerinde daha b\u00fcy\u00fck bir bask\u0131 yaratt\u0131. 7 kere<\/a> 30 ya\u015f\u0131ndaki ortalama bir ki\u015fiden daha fazla ilgilenmesi gereken bir \u015fey. Sonu\u00e7 olarak, insanlar\u0131n daha uzun s\u00fcre sa\u011fl\u0131kl\u0131 kalmalar\u0131n\u0131 sa\u011flamak ve dolay\u0131s\u0131yla NHS hizmetleri \u00fczerindeki bask\u0131y\u0131 ortadan kald\u0131rmak i\u00e7in Birle\u015fik Krall\u0131k genelinde te\u015fhis hizmetlerinin iyile\u015ftirilmesi ve uygulanmas\u0131 y\u00f6n\u00fcnde \u00e7a\u011fr\u0131lar yap\u0131ld\u0131. Ek olarak, geli\u015ftirilmesi topluluk te\u015fhis merkezleri<\/a> \u00dclke \u00e7ap\u0131ndaki bu d\u00fczenleme, hizmetleri hastalara daha yak\u0131n hale getirecek, akut hastane merkezleri \u00fczerindeki bask\u0131y\u0131 azaltacak ve te\u015fhis tesislerinin daha eri\u015filebilir olmas\u0131n\u0131 sa\u011flayarak b\u00f6lgesel sa\u011fl\u0131k e\u015fitsizlikleri \u00fczerinde olumlu bir etki yaratacakt\u0131r.<\/p>\n

Ayr\u0131ca, Birle\u015fik Krall\u0131k'ta endoskopi hizmetlerine y\u00f6nelik ulusal n\u00fcfus say\u0131m\u0131, prosed\u00fcrler i\u00e7in bekleme s\u00fcrelerinin hala artt\u0131\u011f\u0131n\u0131 ancak burada belirgin b\u00f6lgesel e\u015fitsizliklerin oldu\u011funu ortaya koydu:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, ve di\u011ferleri, Birle\u015fik Krall\u0131k endoskopi hizmetleri 2021 ulusal say\u0131m\u0131, Frontline Gastroenterology \u0130lk \u00c7evrimi\u00e7i Yay\u0131n tarihi: 09 May\u0131s 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

B\u00f6lgesel sa\u011fl\u0131k hizmetlerinde e\u015fitsizlikler uzun s\u00fcredir bir sorundu, ancak Kovid-19 salg\u0131n\u0131 ve sonras\u0131nda planlanan bak\u0131m birikimi bu durumu daha da k\u00f6t\u00fcle\u015ftirdi. Sa\u011fl\u0131k hizmetlerinde e\u015fitsizlikler, sa\u011fl\u0131k hizmetlerine eri\u015filebilirli\u011fin farkl\u0131 insan gruplar\u0131 aras\u0131nda nas\u0131l e\u015fitsiz bir \u015fekilde da\u011f\u0131ld\u0131\u011f\u0131n\u0131 kapsayan \u00e7ok \u00e7e\u015fitli bir terimdir. Sonu\u00e7ta sa\u011fl\u0131k e\u015fitsizlikleri, bireyin stat\u00fcs\u00fcn\u00fcn sa\u011fl\u0131\u011f\u0131 \u00fczerindeki etkisiyle ilgilidir. Bu, sa\u011fl\u0131k durumunu, bak\u0131m hizmetlerine eri\u015filebilirli\u011fi, bak\u0131m\u0131n kalitesini ve \u00f6rne\u011fin bar\u0131nma gibi sa\u011fl\u0131\u011fa y\u00f6nelik daha geni\u015f zararlar\u0131 i\u00e7erebilir. Bak\u0131m ve te\u015fhis hizmetlerine hastan\u0131n daha kolay eri\u015febilmesinin sa\u011flanmas\u0131, erken te\u015fhis yoluyla hasta sonu\u00e7lar\u0131n\u0131 olumlu y\u00f6nde etkileyecek ve daha \u00f6nce de belirtildi\u011fi gibi ana hastanelerdeki bask\u0131y\u0131 hafifleterek di\u011fer uzmanl\u0131klar i\u00e7in bekleme listelerindeki hastalar\u0131n sonu\u00e7lar\u0131n\u0131 olumlu y\u00f6nde etkileyecektir.<\/p>\n

NHS'nin daha s\u00fcrd\u00fcr\u00fclebilir altyap\u0131 sunma taahh\u00fcd\u00fc, 2020 \u0130n\u015faat Ba\u015fucu Kitab\u0131<\/a> Burada net s\u0131f\u0131r karbon hedeflerine ula\u015fmada Modern \u0130n\u015faat Y\u00f6ntemleri'nin (MMC) daha geni\u015f kullan\u0131m\u0131n\u0131 ayr\u0131nt\u0131lar\u0131yla anlat\u0131yor. H\u00fck\u00fcmet 2020 Sonbahar\u0131nda, 2030 y\u0131l\u0131na kadar \u0130ngiltere'de 40 yeni hastane in\u015fa etme s\u00f6z\u00fc verdi; hepsi 2040 y\u0131l\u0131na kadar net s\u0131f\u0131r emisyona ula\u015fma hareketine yard\u0131mc\u0131 olacak s\u00fcrd\u00fcr\u00fclebilir altyap\u0131 uygulamalar\u0131 kullan\u0131yor. Buna ek olarak, ko\u011fu\u015f alanlar\u0131n\u0131, ruh sa\u011fl\u0131\u011f\u0131 tesislerini ve ameliyathaneleri iyile\u015ftirmek i\u00e7in 850 milyon \u00a3 taahh\u00fct edilerek 70 hastaneye daha iyile\u015ftirme sa\u011flanacak. \u0130ngiltere'deki endoskopi hizmetlerinin \u00e7o\u011funun verimlili\u011fi art\u0131rmak i\u00e7in \u00f6nemli bir yenilemeye ihtiya\u00e7 duydu\u011fu a\u00e7\u0131kt\u0131r ve ister hastane sahas\u0131nda ister toplum i\u00e7inde bulunsunlar, mobil, mod\u00fcler ve karma modaliteli Sa\u011fl\u0131k Alanlar\u0131n\u0131n tan\u0131t\u0131m\u0131, kapasiteyi korumak ve art\u0131rmak i\u00e7in zaman a\u00e7\u0131s\u0131ndan verimli ve uygun maliyetli bir \u00e7\u00f6z\u00fcm g\u00f6revi g\u00f6rmektedir.<\/p>","protected":false},"excerpt":{"rendered":"

Ocak 2022'de \u0130ngiltere'de te\u015fhis hizmetleri i\u00e7in bekleme listelerinin 435.000'e ula\u015fmas\u0131yla, \u00f6zellikle bu uzmanl\u0131\u011f\u0131n, eski altyap\u0131n\u0131n getirdi\u011fi k\u0131s\u0131tlamalardan ve Kovid-19 salg\u0131n\u0131 boyunca endoskopi hizmetlerinin durdurulmas\u0131ndan b\u00fcy\u00fck \u00f6l\u00e7\u00fcde etkilendi\u011fi a\u00e7\u0131kt\u0131r.<\/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\/tr_tr\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\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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