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zoom RSS 病院は崩壊の危機/英国医療事情 NHS

<<   作成日時 : 2012/09/13 20:31   >>

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病院は崩壊の危機
画像 イングランドの病院では需要の増加と病態の複雑化により崩壊の危機に瀕していると医師たちは警告している。
 The Royal College of Physicians王立内科医協会のレポートによれば、病床数は過去25年間で1/3に削減された。
 一方で救急入院が増加し、様々な症状の高齢者が入院している。
 ミッドフォードシャーNHSでは、貧弱な治療レベルで無駄な死亡を招いていると規制当局が指摘している。
 複雑多岐にわたる疾患を持つ高齢者の課題に対処することに苦労している現実がますますはっきりしてきた。
 この医療制度が危機の瀬戸際に立っていることは明白であるという。

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http://kurie.at.webry.info/201112/article_3.html
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http://kurie.at.webry.info/201110/article_13.html
NHSの終焉/英国医療事情
http://kurie.at.webry.info/201101/article_23.html
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http://kurie.at.webry.info/200801/article_6.html
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http://kurie.at.webry.info/200710/article_19.html
外国人医師に依存する英国医療
http://kurie.at.webry.info/200707/article_8.html
英国のガン5年生存率/英国医療事情
http://kurie.at.webry.info/200708/article_34.html
英国ではケネディ上院議員の脳腫瘍治療はできない?/米国医療事情 医療制度改革
http://kurie.at.webry.info/200908/article_17.html


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13 September 2012 Last updated at 00:23 GMT
Hospitals 'on brink of collapse'
By Nick Triggle
Health correspondent, BBC News
http://www.bbc.co.uk/news/health-19577489

Hospitals in England could be on the brink of collapse because of rising demand and the increasing complexity of patients' conditions, doctors warn.

The Royal College of Physicians' report said the number of beds had been cut by a third over the past 25 years.

It said at the same time emergency admissions had started rising and hospitals were seeing older patients with a wider variety of conditions

The college said this process now meant urgent care was being compromised.

And it warned the problems could lead to another scandal like that surrounding the Mid Staffordshire NHS Trust, which became the subject of a public inquiry after regulators said poor standards had led to needless deaths.

The Royal College of Physicians (RCP) said standards were slipping in hospitals throughout England.

It cited the way older patients were repeatedly moved around wards, the lack of continuity of care while in hospital and tests being done during the night as some of the examples of how care was suffering.

The college also highlighted the results of feedback from its members, which showed concern about discharge arrangements and workload.

The report said in some ways the NHS had been a victim of its own success. Advancements in medicine had led to people living longer, but this meant they were increasingly developing complex long-term conditions such as dementia as a result.

Continue reading the main story

Start Quote

It is painfully evident that the healthcare system stands on the brink of crisis”

Jeremy Hughes
Alzheimer's Society
Prof Tim Evans, of the RCP, said: "This evidence is very distressing. All hospital patients deserve to receive safe, high-quality sustainable care centred around their needs.

"Yet it is increasingly clear that our hospitals are struggling to cope with the challenge of an ageing population who increasingly present to our hospitals with multiple, complex diseases.

"We must act now to make the drastic changes required to provide the care they deserve."

The report said the solution lay in concentrating hospital services in fewer, larger sites that were able to provide excellent care round-the-clock, seven days a week.

But it also said this would require improvements in community services as there were many patients who ended up in hospital because of a lack of help close to home.

Jeremy Hughes, chief executive of the Alzheimer's Society, said: "These latest findings are alarming but, unfortunately, not surprising.

"It is painfully evident that the healthcare system stands on the brink of crisis.

"People with dementia are going into hospital unnecessarily, staying in too long and coming out worse."

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