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Cuidado (in) oportuno: resultados del proyecto "Tiempos de espera"
Lisa Baraitser1, Kelechi Anucha2, Jocelyn Catty3
1School of Social Sciences, Birkbeck University of London, London, England, UK.
Wellcome open research
|September 5, 2025
Resumen
El Servicio Nacional de Salud (NHS) del Reino Unido se enfrenta a una crisis de tiempo de espera. Este estudio sostiene que la atención médica implica inherentemente esperar, no siempre un signo de fracaso, y explora su complejo papel en la atención al paciente.
Área de la Ciencia:
- Gestión de la asistencia sanitaria
- Sociología de la salud
- La ética médica
Sus antecedentes:
- El Servicio Nacional de Salud (NHS) del Reino Unido está experimentando una crisis significativa en los tiempos de espera de los pacientes.
- Esta crisis exige una gestión mejorada, mayores recursos y estrategias para abordar el agotamiento del personal.
Objetivo del estudio:
- Desafiar la noción de que toda espera en el cuidado de la salud significa ineficiencia o fracaso.
- Explorar el concepto de "espera" como un componente integral y a veces necesario de la atención de calidad al paciente.
- Examinar ejemplos específicos de prácticas de cuidado en las que la espera es esencial.
Principales métodos:
- Análisis cualitativo de las prácticas sanitarias relacionadas con la espera.
- Estudios de caso centrados en el manejo de enfermedades crónicas en la práctica general, las crisis de salud mental en los jóvenes y la atención a los jóvenes trans y de género.
- Exploración teórica del tiempo, la relacionalidad y la atención dentro del NHS.
Principales resultados:
- Identificó tres áreas clave donde la espera es un elemento crucial de la atención: enfermedades crónicas, salud mental juvenil y atención médica transgénero.
- Demostró que la espera puede ser un aspecto deliberado, paciente y éticamente sólido de la práctica médica, no solo un indicador de fallas en el sistema.
- Destacó la necesidad de ir más allá de los modelos basados en la eficiencia para apreciar la "atemporalidad" inherente a la atención compasiva.
Conclusiones:
- Repensar la percepción de la espera en la atención médica es esencial para comprender y mejorar las experiencias de los pacientes.
- La atención sanitaria eficaz requiere reconocer y apoyar la "espera" inherente a la atención compleja, en lugar de centrarse únicamente en la velocidad y la eficiencia.
- Los recursos adecuados y una comprensión matizada del tiempo son vitales para el florecimiento tanto del NHS como de sus usuarios.
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