A cikin karuwar adadin ƙasashe a duk faɗin duniya hargitsi da rashin bege na karuwa. Mutane suna fama da rashin lafiya akai-akai kuma suna mutuwa a mafi girma fiye da shekaru 50 da suka gabata. A lokaci guda tsarin kiwon lafiya yana tabarbarewa. Muna buƙatar sake tunani game da tsarin lafiyar ɗan adam tare da hanyoyin fasaha masu sanyi.
Fiye da matsalar yanayi
Matakan cutar sun haɓaka tsarin kiwon lafiyar jama'a zuwa gaɓar rugujewa. A yawancin kasashen yammacin Turai waɗannan tsarin suna fuskantar matsaloli masu tsanani, matsanancin matsin lamba, da suka haɗa da ƙarancin ma'aikata daga ƙonawa na annoba, rashin biyan albashi, wariya da kuma matsalar tsadar rayuwa, tare da ƙwararrun masana kiwon lafiya da yawa suna barin ma'aikata yayin da buƙatar kulawa daga al'umma ke karuwa.
Bayanin da ake amfani da shi akai-akai don halin da ake ciki yanzu a cikin kiwon lafiya, mai sau uku bayan kulle-kulle guda biyu sakamakon hauhawar jini. ƙwayoyin cuta na hunturu (RSV, Flu da Covid-19), ba sa ɗauka. Bayanai na yanzu ba su wakiltar lokacin da ya wuce.
Akidun siyasa da jagoranci na bala'i yana haifar da lafiya na tsawon shekaru
Tsarin lafiya a Burtaniya yana durkushewa saboda shekaru goma ko fiye na rashin saka hannun jari a cikin Ma'aikatar Kiwon Lafiya ta Kasa da sauran ayyukan jama'a. Alamomin sabis na kiwon lafiya duk ja ne. Ƙara lokutan motar daukar marasa lafiya da mutanen da ke jiran gadon asibiti, waɗanda ke makale a wajen asibitocin da ke ambaliya, sun ƙaru tun daga lokacin. Disamba 2022. The overstretched tsarin, tare da jinkiri mafi tsawo kan rikodin don miliyoyin maganin ciwon daji da kuma aiki, ya bar marasa lafiya da ciwo, mutane suna jure wa wahala da ba dole ba, kuma ya haifar da 300-500 mutane mako guda yana mutuwa a gujewa saboda rikicin da ba a warware ba. Tushen kwance a ciki zabin siyasa yi, ba yanayin sanyi ko mura na yanayi.
On Janairu 5, 2023 Firayim Ministan Burtaniya Rishi Sunak ya tattara masu ba da shawara na yanzu game da matsin lamba na karuwar buƙatu. Duk da haka, da amsa na manya da manyan manajoji a ayyukan kiwon lafiya da 'yan siyasa ne shiru, ƙaryatawa, rabuwa, da jinkiri, yayin da ƙwararrun kiwon lafiya suke kuka akan kafofin watsa labarun, kafofin watsa labarai na yau da kullun da kuma British Medical Jna mu a ji.
Sauran kasashe kamar Faransa, Canada, kuma Amurka da Netherlands suna fuskantar matsaloli iri ɗaya a cikin rugujewar tsarin kiwon lafiya tare da ƙarancin ma'aikata da ƙarin buƙatu.
Faɗuwar tsawon rayuwa
Wucewar nakasa cikin wadancan shekaru 16-64, Da kuma yawan mace-mace a cikin duk kungiyoyin shekaru ana lura da su ta hanyar da ba a taɓa gani ba. A Amurka wuce kima mace-mace ne 40 kashi sama a tsakanin mutanen da ke aiki. Zuciya kiwon lafiya matsaloli da kuma mutuwar kwatsam ya karu mafi yawa. Tsofaffin da ba su da sanyi da kuma rashin abinci mai gina jiki suna cika gadajen asibiti suna ajiye su saboda ba su da wurin zuwa. Amma kuma, ƙari jarirai sabbin haihuwa kuma yara ƙanana suna buƙatar kulawar asibiti. Haihuwar haihuwa ta yi tashin gwauron zabi da ba a taba ganin irinta ba kuma yawan haihuwa a duniya ya ragu matuka. Damuwa game da karuwar buƙatu na dogon lokaci yana yaduwa da damuwa.
Faduwa a ciki rai rai An lura, tare da faɗuwar mafi girma a Spain, Italiya, Belgium, Amurka da Burtaniya. Wannan yana da girma da ba a gani ba tun yakin duniya na biyu. Tsawon rayuwa a cikin US ya fadi da shekaru 2.7 daga 2019 zuwa 2021 saboda karuwar mace-mace da mace-mace. An kiyasta mutuwar Covid-2020 a duk duniya daga 2022-XNUMX 6,653K, wanda shine kashi 3.86 na jimillar mace-mace. Adadin mutanen da suka tsira daga Covid shine Kashi 99.914, tare da mafi girman kaso a kasashe masu tasowa.
Alkaluman Burtaniya da aka buga a wannan makon sun nuna cewa an yi rajistar mutuwar sama da 650,000 a cikin 2022 - kashi 9 fiye da na 2020. Kusan mutuwar 38,000 ya shafi Covid idan aka kwatanta da fiye da 95,000 a cikin 2020. Covid yana daya daga cikin abubuwan maimakon babban bayani. Yawan mace-mace a 2022 shine daga cikin mafi muni a cikin shekaru 50. Kira ga bincike mai zaman kansa yana karuwa a duk duniya ko da yake ana kiyaye su a riƙe ta ministocin kiwon lafiyar jama'a.
Manufofin annoba na ainihi
Kara kuma mafi likitoci da kuma masana kimiyya ne magana don dakatar da rigakafin mRNA nan da nan har sai an tabbatar da in ba haka ba. Jamus Masana ilimin cututtuka sun binciki mutanen da suka mutu a cikin kwanaki 14 bayan rigakafin kuma sun lura cewa a cikin kashi 30 cikin dari na lokuta amma mai yiwuwa kashi 70-93 akwai dangantaka. The Kara kana yin allurar da mafi munin tsarin garkuwar jiki.
Kwanan nan, umarni kan allurar Covid-19 ga ma'aikata a ciki kamfanoni masu zaman kansu NYC, ma'aikatan kiwon lafiya a NYCity, da kuma Sojan Amurka an daga.
Yayin da batun gaskiyar manufofin cutar ta Covid ya kusa, akwai mutane da yawa a ciki da wajen majalisa da kuma kiwon lafiya waɗanda tambayoyi game da yanayin tilasta doka, kulle-kulle da yanayin bala'i yanzu suna ƙara jin daɗi. Gwamna Ron DeSantis na Florida kwanan nan ya yi kira ga jihar baki daya babban juri don bincika laifukan da ake zargi da aikata laifuka da suka shafi Pfizer-BioNTech da Moderna Covid-19 mRNA da CDC.
Manufar rikicin annoba ta lalata rayuka. The rigakafi da tsarin a cikin dukan shekaru kungiyoyin yana kasance ya raunana in mahara hanyoyi, Yayin da yawan mace-macen kamuwa da cuta na matakin rigakafin riga-kafi na ƙwayar cuta ta SARS-CoV-2 shine kashi 0.007 na mutanen shekaru 0-69, kashi 0.003 na masu shekaru 0-59, da kashi 0.0003 na yara masu shekaru 0-19.
An yarda da manufofin cutar ta hanyar yanke shawara da ba daidai ba da saka hannun jari ba daidai ba dangane da ƙarancin karatu, bayanan da aka yi amfani da su, zato, sadarwar da ba ta cika ko ta ƙarya ba kuma galibi, tantancewa muryoyin likitocin likita da masana kimiyya suna tambayar manufar. A cikin shekarun da suka gabata an nuna ainihin damuwar manyan 'yan siyasa, kwararrun masana kiwon lafiyar jama'a, da 'yan jarida game da lafiyar jama'a da jin dadin jama'a sun yi kadan ko kuma a wasu lokuta ma ba a nan.
Adalci,
An mayar da tsarin kiwon lafiya zuwa wani kudi Haɗin kai na Jama'a masu zaman kansu, sayar da rashin lafiya, tare da ƙarancin sha'awar inganta kiwon lafiya da jin dadi, balle yin la'akari da shawarar Hippocrates 'Na farko kada ku cutar da shi.'
A cikin shekaru goma da suka gabata an yi jigilar manyan jarin kuɗin haraji fasaha ƙirƙira a cikin kiwon lafiya har ma ya karu a cikin shekaru uku da suka gabata tare da nufin ba da gudummawa ga Majalisar Dinkin Duniya Dalilai na Ci Gaban Dama na Majalisar Dinkin Duniya da Shirye-shiryen Balaguro na gaba, yarjejeniyar da WHO ta gabatar. Duk da haka, hauhawar kudaden da ake kashewa ga 'yan ƙasa kan harkokin kiwon lafiya bai ƙara shekaru na rayuwa mai koshin lafiya ba ko inganta tsawon rayuwa. Tun kafin barkewar cutar, Amurka, galibi ana kiranta da mafi kyawun tsarin kiwon lafiya, ta riga ta sami mafi ƙarancin tsammanin rayuwa a tsakanin manyan ƙasashe masu arziki yayin da ta yi nisa. kashewa takwarorinsa akan kiwon lafiya.
An kalubalanci Shugaba, manyan manajoji da ’yan siyasa don magance gazawa da kuma ba da lissafi ga bala’o’i na yanzu waɗanda aka yi hasashe kuma za a iya hana su.
Babban murabus
A kwanan nan Deloitte labarin rahotanni a kusa Kashi 70 na manyan jami'an gudanarwa suna tunanin barin ayyukansu sosai; 1 daga cikin 3 masu gudanarwa suna kokawa da gajiya da rashin lafiyar kwakwalwa, wanda ke rinjayar aiki mai ƙarfi. Shugabannin mata suna barin kamfanoni a wurin mafi girma kudi har abada. Kungiyar lafiya ta karkara ta kasa Takardar Siyasa ya ba da rahoton yawan canjin sheka na shugabannin 18-20 bisa dari a kowace shekara. Sama da shugabanni 650 a Amurka sun bar ayyukansu a shekarar 2022, karuwar kashi 13 cikin dari idan aka kwatanta da 2021.
The rikitarwa na rashin kwanciyar hankali jagoranci na iya yin tasiri mai mahimmanci na gajere da na dogon lokaci akan asibitoci, ingancin kulawa da sauran al'umma. Jagoranci abu ne mai mahimmanci don magance ƙonawa daga rugujewar ƙungiya. Bukatar jagoranci mai ƙarfi da tsayayye ba ta taɓa yin girma ba don hana rufe asibiti da ci gaba da kulawa, wanda ake buƙata musamman ga asibitoci a ciki. lafiyar karkara.
Likitoci da ma'aikatan jinya da yawa suna zabar yin ritaya da wuri ko barin sashen don wasu sana'o'i. Abin takaici, ga mutanen da ke aiki a cikin frontline da masu tallafawa ma'aikata, an kuma lura da karuwar matsalolin ƙonawa. Abubuwan tipping na sadaukar da kai ko kuma rashin yarda don magance rikici na ɗabi'a ya wuce. Adadin murabus na wata-wata a Amurka yayin 2021 sun kasance mafi girma a cikin 20-shekara Tarihin Buɗe Ayyuka da Binciken Ma'aikata.
Binciken farko na Majalisar Ma'aikatan Jiya ta Duniya ya nuna cewa tasirin Covid-19 na iya yin tasiri na dogon lokaci yayin da yake ba da gudummawa ga guguwar ruwa. bayan-traumatic stress cuta, damuwa, da damuwa. Ko da kashi 10-15 cikin 19 na yawan masu jinya na yanzu sun daina aiki saboda Covid-14, tasirin zai iya samun raguwar miliyan 2030 nan da 19. wanda yayi daidai da rabin ma'aikatan jinya na yanzu. Kafin barkewar cutar ta Covid-20 ana samun tsananin ƙonawa a cikin kashi 40-XNUMX na ma'aikatan kiwon lafiya.
Ƙananan Likitocin Turai (tare da ƙananan likitoci 300,000) sun ce a cikin wani latsa release: "Kiwon lafiya a Turai yana cikin tsaka mai wuya. Al'amarin ba sabon abu bane, an iya tsinkaya kuma an hana shi." Yawan tashin hankali na ƙonawa da sauran matsalolin tunani sun haifar da ƙananan likitoci da yawa suna barin aiki.
Burnout, damuwa da damuwa suna cutarwa don tsarin kiwon lafiya, ma'aikatan kiwon lafiya, da marasa lafiya kuma ana nuna su da gajiyawar motsin rai, ɓata mutum da kuma rage cin nasara na sirri. Abubuwan haɗari sun ta'azzara yayin bala'in.
Hakanan alamomin Dogon Raba an gano cewa an karu a tsakanin ma'aikatan kiwon lafiya idan aka kwatanta da mutanen da ke aiki a wasu sassa, wanda ya haifar da buƙatar gaggawa. Har yanzu ba a san tasirin matakan dogon lokaci na matakan Covid akan mutanen da ke aiki a sashin kiwon lafiya ba. Alamomin da ke ba da gudummawa ga Long Covid da ƙonawa, baƙin ciki da damuwa na iya zama sakamakon matakan annoba da masking musamman.
Rikici don saurin canzawa zuwa asibitocin 'masu hankali'
Tsarin kiwon lafiya da ke rugujewa yana baiwa 'yan siyasa da shugabannin kiwon lafiya damar ba da shawarar iri-iri masu zaman kansu kasuwa mafita ga rikicin kiwon lafiya ta hanyar fasaha da kuma ba da gudummawa ga Manufofin Ci gaba mai dorewa da za a cimma a cikin 2030, saboda saurin gyara ga ma'aikatan kiwon lafiya da ƙarancin gadaje ba za su kasance da gaske ba.
Ana maye gurbin likitoci da ma'aikatan jinya da aka kona ta hanyar fitar da kayayyaki a tsada mai yawa. Wannan zai hanzarta sauye-sauye zuwa asibitocin 'masu wayo' da shawarwari kamar su McKinsey, KPMG da kuma Philips N.V. girma, ta amfani da AI, robotics, 3D bugu, genomics, telemedicine, da ainihin magani. An gabatar da fasahar 5G don ganewa Asibiti masu hankali tagwaye don duk tsarin kula da lafiya na leken asiri wanda tuni yake aiki a Guangdong, China.
Waɗannan manufofin sun fi mayar da hankali kan ƙarin kuɗi, fasaha, ƙididdigewa da sarrafa mutum-mutumi, shirya wani juyin juya halin da to transhumanism kuma a fasfo na lafiya na dijital tare da duk bayanan kowane ɗan ƙasa da ke cikin tsarin tsakiya. Kwarewar cutar ta Covid ya nuna transhumanism shine 'utopia' wanda zai iya zama kawai a cikin dystopia wanda ya rungumi iyakokin duniya da na yanayin ɗan adam. Hanyar fita za ta zama dalilin mutum, ba Big Data.
Dan Adam ya dawo a tsakiyar cibiyar kiwon lafiya
Rashin amincewa da tsarin gwamnati da na kiwon lafiya ya kasance ƙashi ne ga waɗanda suka rasa ƴan uwansu, sun zama naƙasassu, kuma suka rasa kuɗin shiga. A ranar Asabar 7 ga Janairuth An lullube gine-ginen BBC guda 6 da alluna, lambobi da kuma hotunan mutanen da aka yi imanin sun ji rauni ko kuma suka mutu da allurar: "BBC ita ce cutar."
Al'amura masu tada hankali gaggawar bukatar tallafi da kulawa. Ana buƙatar shiga tsakani don hana irin wannan yanayi. Abin takaici, yawancin sassan galibi suna nuna rashin ƙima ko shaidar da za ta goyi bayansu.
Ana buƙatar ƙwararrun shugabanni a cikin canji cikin gaggawa don dawo da buɗe ido da bayyana gaskiya, juriya, da tallafawa warkar da mutane a cikin ganyen rashin lafiya da hana ƙarin mutane barin kiwon lafiya. Kamar kwanan nan samarwa ta DeSantis, abin rufe fuska da umarnin allurar ya kamata a dakatar da su har abada rigima Ka'idar rigakafi ta Asibitin Covid-19.
Babban fifiko shine mayar da hankali kan jin daɗin duk ma'aikata, da amintaccen jiyya masu inganci gami da abinci mai gina jiki da tsarin rayuwa ƙarfafa tsarin rigakafi don tallafawa duk mutane a cikin zaɓi don rayuwa mai kyau. Ma'aikata tare da rigakafi na halitta ya kamata a kori a lokacin annoba hayar baya. Ana buƙatar sauƙaƙa matakai kuma a mai da hankali kan kulawar ɗan adam.
Shugabannin canji a cikin kiwon lafiya suna rayuwa da ka'idojin kiwon lafiyar jama'a na duniya ɗaukar hoto da aka ba da kuɗin haraji, kasancewa mai alhakin da jajircewa, kuma ba sa tsoron yin magana, jagorantar ƙungiyoyi zuwa wuraren ƙarfafawa da ke haɗa alaƙar amana ga alaƙar likita da haƙuri a jigon magani. Za a ba marasa lafiya mafi kyawun bayani na abin da ma'aikatan kiwon lafiya suka sani, don haka za su iya yi zabin da aka sani. Wannan zai haifar da ingantaccen canji mai buɗe hanyar zuwa ingantaccen tattalin arziƙin samar da aminci da inganci, daidaito, da araha ga lafiyar ɗan adam ga duk gaskiya.
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Carla Peeters ita ce ta kafa kuma darektan gudanarwa na COBALA Kyakkyawan Kulawa yana jin daɗi. Ita ce Shugaba na wucin gadi kuma mai ba da shawara kan dabarun don ƙarin lafiya da iya aiki a wurin aiki. Gudunmawarta ta mayar da hankali kan ƙirƙirar ƙungiyoyi masu lafiya, jagora zuwa ingantacciyar kulawa da jiyya masu tsada waɗanda ke haɗa abinci mai gina jiki da salon rayuwa a cikin magani. Ta samu digirin digirgir a fannin ilmin rigakafi daga sashen likitanci na Utrecht, ta karanci Kimiyyar Halittu a Jami’ar Wageningen da Bincike, sannan ta yi kwas na tsawon shekaru hudu a fannin Ilimin Kimiyyar Kimiyyar Halittu tare da kware a kan binciken dakin gwaje-gwaje na likitanci da bincike. Ta bi shirye-shiryen zartarwa a Makarantar Kasuwancin London, INSEAD da Makarantar Kasuwancin Nyenrode.
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