EMTALA, uMthetho wezoNyango oluPhezulu noLwabiwo

Amagumbi angxamisekileyo kufuneka afumane isikrini kunye nokuzinzisa kungakhathaliseki ukuba namandla okuhlawula

Ngomnyaka we-1986, urhulumente waseburhulumenteni wase-US wadlulisela uMthetho wezoNyango oPhezulu kunye noBasebenzi (EMTALA). Lo msebenzi udinga nasiphi isibhedlele esamkela iintlawulo ezivela kwi- Medicare ukubonelela nasiphi na isigulane esifike kwisebe layo eliphuthumayo kunyango, kungakhathaliseki ukuba ngummi wabantu, isimo somthetho e-United States okanye ukukwazi ukuhlawula iinkonzo.

I-EMTALA isebenza kwi-ambulensi nokunakekelwa esibhedlele.

I-EMTALA yaphuhliswa ukulwa "nokulahlwa kwegulane," umkhwa wokwala abantu abangenawo amandla okuhlawula iinkonzo zonyango. Iqinisekisa ukuba abo abanakhoyo ngokwaneleyo abayi kuguqulwa kwinkathalo yonyango. Kulinganiselwa ukuba i-98% yezibhedlele zonke zase-US zibandakanyeka kwi-Medicare ukwenzela ukuba ngokuqinisekileyo umthetho uhlanganisa zonke izibhedlele.

I-EMTALA iqulethwe kuMthetho wokuQiniswa koHlahlo lwabiwo-mali lwe-Omnibus (COBRA) kunye nowa phantsi kwe-CMS, iZiko leenkonzo zeMedare.

Imisebenzi yezomthetho yezibhedlele phantsi koMthetho we-EMTALA

1. Iingxelo zokuCoca ngeZonyango : Nabani na ofika kwisibhedlele esiphuthuma esibhedlele kufuneka bafumane iimviwo zokuhlola izifo zonyango ukuze bachonge ukuba ngaba bexakeka kwizonyango. Umthetho uphinde uthi oku kufuneka kwenziwe nantoni na yemali okanye yomshuwalense yesigulane, ukwenzela ukuba kubekwe phambili ngokusekelwe kwiimfuno zonyango. I-EMTALA ineenkcazo zomthetho "zengxaki zezoxinzelelo zonyango" kunye negama elithi "lizinzile." Ukongezelela, i-CMS ithi le mfuneko iyasebenza kunoma iyiphi indawo ebonelela ngeenkonzo ezixakeka ngokukhawuleza, kungekhona nje kumagumbi okuxakeka ngokukhawuleza. Ukuba uvavanyo lokuhlola ngonyango lufumanisa ukuba ayikho imeko yezoxinzelelo zonyango, akufuneki ukuba banikele unyango olongezelelweyo.

1. Ukuzinzisa okanye Ukutshintshela : Ukuba kukho imeko yonyango engxamisekileyo, imeko yesigulane kufuneka iphathwe ukuzinzisa okanye ukuhambisa kwisibonelelo esifanelekileyo. Igumbi loxinzelelo lingaze lithumele ikhaya lesigulane ngesimo esilindeleke ukuba siphume ngakumbi. Isigulane kufuneka sixelelwe nayiphi na idluliselo kwaye inike imvume . Isigulana esithunyelwe ekhaya kwiimeko ezingaqinisekanga okanye esithunyelwe kwisibhedlele esingenazo izibonelelo zokunyanga iimeko zazo zingasetyenziswa ngokusemthethweni phantsi kwe-EMTALA.

1. Izibhedlele zifuneka ukuba ziTshintshe kwiiNkonzo eziZodwa: Le nto ibhekisela kwisenzo sokulahla, apho izibhedlele ezineeyunithi ezizodwa, ezifana neyunithi yokutshisa, ziyamkela kuphela izigulane ezinokukwazi ukuhlawula. Ngaphantsi kwe-EMTALA, kufuneka bathathe nayiphi na idluliselo. Nangona kunjalo, umthetho ubanika isigatya sokuphepha. Bamele bamkele ukutshintshwa ukuba banakho amandla. Ukuba azinayo imibhede evulekileyo okanye sele sele ihamba nge-ambulance diversion, akufuneki ukuba idluliselwe. Nangona kunjalo, ukuba bathetha esibhedlele becela ukudluliselwa ukuba bazele kodwa isigulane sithunyelwa kubo (nkunkuma) kufuneka baphathe isiguli xa efika. Banokubika ingxelo yesibhedlele sokuthumela ukuphulwa kwe-EMTALA kamva.

I-EMTALA ayinakunikezela ngononophelo

Ngelixa izibhedlele zifuneka ukuba zihlolwe kwaye ziphathwe izigulana phantsi kwe-EMTALA, iinkonzo zabo azikho nto. Baya kutyalwa isigulane baze baxoxe ngeebhilikhwe ezingabhatalwa. Akufuneki ukubonelela ngononophelo lwangaphandle emva kokukhutshwa, kodwa kufuneka bawadlulisele kwiikliniki kunye neenkqubo ezingabanikezela ngeendleko ezincitshisiwe okanye ezikhululekile. Izibhedlele azikwazi ukwenzela ukunyanga izigulana ezinikezela phantsi kwe-EMTALA esele ibole imali.