Endoscopy in 2017: a national survey of practice in the UK
Endoscopy in 2017: a national survey of practice in the UK
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DOI：
10.1136/flgastro-2018-100970
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发表时间：
2019-01-01
影响因子：
2.6
通讯作者：
Green, John T.
中科院分区：
文献类型：
--
作者：
Shenbagaraj, Lavanya;Thomas-Gibson, Siwan;Green, John T.
胃肠内窥镜联合咨询小组（JAG）由伦敦皇家医师学院主办，负责监督全英国内窥镜服务的质量保证。2017年年度全球评级量表（GRS）报告中增加了关于内窥镜检查单位达到目标所面临的压力的额外问题。这为涉及急性和非急性国家卫生服务部门以及独立部门的英国所有国家的内窥镜检查服务提供了独特的见解。方法所有在JAG注册的508家服务机构都被要求在线完成调查的每个领域，以提交他们完成的2017年4月GRS报表。结果许多服务报告难以达到国家等待时间目标，全国平均只有55%的单位达到紧急癌症等待时间目标。许多服务将病人内包或外包给外部供应商，以缩短等待时间。服务部门正在努力通过回填名单和周末工作来增加运力。大多数单位的数据收集是为了反映生产率，而不是考虑需求和产能。一些单位没有商定的产能计划。与标准名单相比，未参加肠癌筛查计划的患者比例要低得多。结论本综述强调了内窥镜服务面临的压力增加和“勉强应付”的情况。这是首次发表的关于英国内窥镜检查服务和未来挑战的不同方面的概述。
Introduction The Joint Advisory Group on Gastrointestinal Endoscopy (JAG), hosted by the Royal College of Physicians, London, oversees the quality assurance of endoscopy services across the UK. Additional questions focusing on the pressures faced by endoscopy units to meet targets were added to the 2017 annual Global Rating Scale (GRS) return. This provides a unique insight into endoscopy services across all nations of the UK involving the acute and non-acute Nation Health Service sector as well as the independent sector.Methods All 508 services who are registered with JAG were asked to complete every field of the survey online in order to submit their completed April 2017 GRS return.Results A number of services reported difficulty in meeting national waiting time targets with a national average of only 55% of units meeting urgent cancer wait targets. Many services were insourcing or outsourcing patients to external providers to improve waiting times. Services are striving hard to increase capacity by backfilling lists and working weekends. Data collection was done in most units to reflect productivity but not to look at demand and capacity. Some of the units did not have an agreed capacity plan. The Did Not Attend rates for patients in the bowel cancer screening programme were much lower compared with standard lists.Conclusion This review highlights the increased pressure endoscopy services are under and the 'just about coping' situation. This is the first published overview of different aspects of UK-wide endoscopy services and the future challenges.