{"id":13244,"date":"2020-11-12T17:20:41","date_gmt":"2020-11-12T16:20:41","guid":{"rendered":"https:\/\/www.vardforetagarna.se\/?p=13244"},"modified":"2020-11-12T17:21:12","modified_gmt":"2020-11-12T16:21:12","slug":"vardforetagarna-pa-dn-debatt-vardskulden-kraver-samarbete","status":"publish","type":"post","link":"https:\/\/www.vardforetagarna.se\/2020\/11\/vardforetagarna-pa-dn-debatt-vardskulden-kraver-samarbete\/","title":{"rendered":"V\u00e5rd­f\u00f6retagarna p\u00e5 DN Debatt: V\u00e5rdskulden kr\u00e4ver samarbete"},"content":{"rendered":"\n

V\u00e5rdf\u00f6retagarna skriver idag (12\/11) f\u00f6ljande replik p\u00e5 DN Debatt<\/a>:<\/p>\n

\u201dSamarbete kr\u00e4vs f\u00f6r att v\u00e5rdskulden inte ska \u00f6ka mer\u201d<\/h2>\n

V\u00e5rdf\u00f6retagarna: Ett perspektiv som saknas i SKR:s analys \u00e4r att de eftersatta v\u00e5rdbehoven bland patienterna skiljer sig kraftigt \u00f6ver landet.<\/p>\n

Marie Morell, ordf\u00f6rande i SKR:s h\u00e4lso- och sjukv\u00e5rdsdelegation, bed\u00f6mer (10\/11) att v\u00e5rdskulden i pandemins sp\u00e5r \u00e4r mindre \u00e4n befarat<\/a>. Vi delar SKR:s uppfattning att det f\u00f6r patienternas skull \u00e4r bra att m\u00e5nga planerade operationer och \u00e5tg\u00e4rder \u00e4nd\u00e5 har kunnat genomf\u00f6ras, trots pandemins stora p\u00e5verkan p\u00e5 sjukv\u00e5rden.<\/p>\n

Ett perspektiv som saknas i SKR:s analys \u00e4r att de eftersatta v\u00e5rdbehoven bland patienterna skiljer sig kraftigt \u00f6ver landet. I G\u00e4vleborg, Norrbotten, S\u00f6rmland, Stockholm och V\u00e4sternorrland minskade antalet operationer och behandlingar med \u00f6ver 40 procent under v\u00e5ren och sommaren. I dessa och andra regioner riskerar patienter i h\u00f6gre utstr\u00e4ckning att f\u00e5 v\u00e4nta l\u00e4ngre \u00e4n tidigare p\u00e5 v\u00e5rd, \u00e4n i de regioner d\u00e4r operationskapaciteten kunde uppr\u00e4tth\u00e5llas hyggligt.<\/p>\n

SKR skriver att\u00a0operationsvolymerna var relativt n\u00e4ra niv\u00e5erna f\u00f6r 2019 i slutet av sommaren. Men under april och maj var minskningen av operationerna dramatisk j\u00e4mf\u00f6rt med f\u00f6rra \u00e5ret. V\u00e5rdf\u00f6retagarnas analyser visar att v\u00e5rdskulden p\u00e5 grund av pandemin efter sommaren var i storleksordningen 87.500 operationer, baserat p\u00e5 regionernas egna data fr\u00e5n mars till och med augusti. Om alla de operationer som skjutits p\u00e5 framtiden beh\u00f6ver bli av kr\u00e4vs en kapacitets\u00f6kning om 14 procent i hela riket, ut\u00f6ver den vanliga verksamheten, f\u00f6r att arbeta bort v\u00e5rdskulden p\u00e5 ett \u00e5r. Som Marie Morell p\u00e5pekar beh\u00f6ver kanske en del ingrepp inte vidtas l\u00e4ngre. Men det finns sannolikt allvarliga, ouppt\u00e4ckta sjukdomstillst\u00e5nd hos m\u00e5nga av de patienter som inte kunnat f\u00e5 diagnos och behandling under pandemin.<\/p>\n

\u00c4ven om m\u00e5nga planerade operationer och \u00e5tg\u00e4rder har kunnat genomf\u00f6ras b\u00f6r och kan vi inte tona ner vilken utmaning de eftersatta v\u00e5rdbehoven \u00e4r. I synnerhet som pandemin \u00e5ter frestar starkt p\u00e5 sjukv\u00e5rdens personal och sjukv\u00e5rdens kapacitet, genom snabbt eskalerande v\u00e5rdbehov med sv\u00e5rt sjuka patienter i covid-19. P\u00e5 flera h\u00e5ll i landet g\u00e5r akutsjukhus nu upp i stabsl\u00e4ge igen och det blir viktigt att snabbt st\u00e4lla om till en s\u00e4ker och robust covid-19-milj\u00f6. Fokusera akutsjukhusens resurser p\u00e5 de patienter som verkligen beh\u00f6ver akutsjukhusens hela kompetens och arsenal.<\/p>\n

Samtidigt b\u00f6r regionerna\u00a0f\u00f6rs\u00f6ka s\u00e4kerst\u00e4lla att den planerade sjukv\u00e5rden p\u00e5verkas s\u00e5 lite som m\u00f6jligt. Detta dels f\u00f6r att inte \u00f6ka v\u00e5rdskulden \u00e4nnu mer, dels f\u00f6r att m\u00e5nga av de patienter som i v\u00e5ras fick sin v\u00e5rd uppskjuten av patients\u00e4kerhetssk\u00e4l beh\u00f6ver f\u00e5 sina v\u00e5rdbehov tillgodosedda. Sjukdomstillst\u00e5nd, operationer och andra ingrepp som g\u00e5r att ta hand om utanf\u00f6r akutsjukhusens v\u00e4ggar b\u00f6r snabbt och i st\u00f6rsta m\u00f6jliga m\u00e5n slussas \u00f6ver till andra v\u00e5rdgivare. Det handlar b\u00e5de om planerade ingrepp och operationer som inte kan v\u00e4nta. P\u00e5 s\u00e5 vis kan vi anv\u00e4nda hela sjukv\u00e5rdssystemets kapacitet optimalt. Goda erfarenheter finns av samarbetet mellan akutsjukhusen i Stockholm och de privata v\u00e5rdgivare som tog \u00f6ver frakturer, br\u00f6stcanceroperationer och andra ingrepp under v\u00e5ren och sommaren. Privata och id\u00e9burna v\u00e5rdgivare kan och vill bidra till att p\u00e5 b\u00e4sta s\u00e4tt m\u00f6ta patienternas behov, ocks\u00e5 i en pr\u00f6vande tid.<\/p>\n

Sabina Joyau<\/strong>, n\u00e4ringspolitisk chef, V\u00e5rdf\u00f6retagarna
\nKarin Liljeblad<\/strong>, n\u00e4ringspolitisk expert sjukv\u00e5rd, V\u00e5rdf\u00f6retagarna\n","protected":false},"excerpt":{"rendered":"

V\u00e5rdf\u00f6retagarna skriver idag (12\/11) f\u00f6ljande replik p\u00e5 DN Debatt: \u201dSamarbete kr\u00e4vs f\u00f6r att v\u00e5rdskulden inte ska \u00f6ka mer\u201d V\u00e5rdf\u00f6retagarna: Ett perspektiv som saknas i SKR:s analys \u00e4r att de eftersatta v\u00e5rdbehoven bland patienterna skiljer sig …<\/p>\n","protected":false},"author":1,"featured_media":11396,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15,44],"tags":[],"article_type":[26],"agreement":[],"for-members":[],"class_list":["post-13244","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sjukvard","category-tillganglighet","type-branschnyheter"],"acf":[],"yoast_head":"\nV\u00e5rdf\u00f6retagarna p\u00e5 DN Debatt: V\u00e5rdskulden kr\u00e4ver samarbete - V\u00e5rdf\u00f6retagarna<\/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.vardforetagarna.se\/2020\/11\/vardforetagarna-pa-dn-debatt-vardskulden-kraver-samarbete\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u00e5rdf\u00f6retagarna p\u00e5 DN Debatt: V\u00e5rdskulden kr\u00e4ver samarbete - 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