Iikliniki ze-STD zibonelela ngabanikezeli be-net. Banikezela ngononophelo oluyimfuneko, kaninzi bekhululekile, kwiindawo ezininzi kwi-United States. (Ukuba ufuna uncedo lokufumana enye ... ) Banikezela ngononophelo lwengcali kwindawo yonyango apho oogqirha abaninzi bengenakulungeleka. Kungenxa yoko abanye abantu bakubona kukukhathaza ukuba indima yekliniki ye-STD ingatshintsha ngexesha lokuguqulwa kwezempilo.
Umthetho ononophelo loNonophelo, owaziwa ngokuba yi-ObamaCare okanye i-ACA, uye watshintsha indima yekliniki ye-STD. Nangona kunjalo, indima edlalwa iiklinikhi ze-STD ayitshintshi kangangoko abantu banokulindela. Kuyi nyaniso ukuba, phantsi kwe-ACA, abaninzi abantu banomshuwalense wezempilo. Kwakhona kunjalo ukuba uvavanyo lwe-STD lwamahhala kunye nokukhutshwa kwonyango luyagunyazwa kubantu abathile . Ngelishwa, i-coverage ayigunyaziwe kuwo wonke umntu. Ngaphezu koko, kukho abantu abangayi kusebenzisa i-inshurensi yabo kwiinkonzo ze-STD nangona banako. Yingakho kukho ngokungathandabuzekiyo inendima yeeklinikhi ze-STD kwiinkonzo zezempilo zesondo.
Kutheni izigulane ziqhubeka nokukhetha iiklinikhi ze-STD emva koMthetho wokuNakekelwa ongenakuncedo
Inani labaphandi liphandile ukuba kutheni izigulane ziqhubeka nokutyelela iikliniki ze-STD, nokuba zikhona ezinye iindlela zokunyamekela. Olunye uphando olukhulu lufumene ukuba kukho izizathu ezininzi zokuba abantu bathanda ukutyelela ikliniki ye-STD. Nangona malunga nama-60 ekhulwini abantu abaye bafumana ukunyamekela kwezinye iinkathalo, basakhetha ukliniki we-STD kwiinkonzo zabo zezempilo zesondo.
Izizathu zabo zibandakanya ukufikeleleka kweso-day-day appointment, ukukwazi ukuhamba-ukunyamekela, ubuchule bokugqirha, kunye neendleko eziphantsi. Ngamanye amazwi, iikliniki ze-STD ziziva ngathi ziindawo ezikhuselekileyo, ezifanelekileyo kwaye zithengekayo ukuze zinakekelwe.
Uninzi lwabantu abaya kwiiklinikhi ze-STD ziba selula, zindoda, kwaye zingeziNgcali.
Phantse isiqingatha asinakuqinisekiswa. Abaninzi abantu abalala ngesondo kunye namadoda . Mhlawumbi kungenakuqhaqhaqhayisa, lawa onke amaqela ahlala esenenkathazo, okanye ayanqikazi ukufikelela, ukunakekelwa kwemveli yokuthintela. Kwabaninzi kubo, iklinikhi ye-STD yindawo apho ukunakekelwa kwezempilo ngokwesondo kuza nomngcipheko ophantsi wokugweba. Iiklinikhi ze-STD nazo ziindawo apho banokufumana uncedo ngokukhawuleza kwaye kulula ukufumana uncedo oluphuthumayo.
Umshuwalense, Ubumfihlo, kunye ne-STD Clinic Access
Esinye sezizathu ezibalulekileyo ukuba abantu bakhethe ukuya kwiklinikhi ye-STD kunokuba babone ugqirha wabo kukuba bayazibona ezi klinikhi njengendawo eyimfihlo yokunyamekela. Akudingeki bakhathazeke malunga nogqirha wabo abagweba ngenxa yokuziphatha kwabo ngokwesondo okanye amaqabane abo esondo. Bayazi ukuba wonke umntu kwigumbi lokulinda likhona ngenxa yezizathu ezifanayo. Bakwazi ukuhlala bengabonakali okanye bengaziwa, ukuba bafuna. Kukho umphumo ochaphazelekayo wecala lobumfihlo xa uthetha ngempilo yesondo. Abantu abaninzi banqwenela ukusebenzisa inshorensi yempilo kwiiklinikhi ze-STD.
Iziphumo eziliqela ziye zafumanisa ukuba kuphela isiqingatha sabantu abane-inshurensi bazimisele ukusebenzisa i-inshurensi kwikliniki ye-STD. Kuyinyaniso ukuba ingafuneka bahlawule umrhumo wokunyamekela .
Nangona isizathu esingaqhelekanga sokungafuni ukusebenzisa i-inshurensi ngokuqhelekileyo sikhathazeke ngokuzimela, izizathu ezithile ziyahlukahluka. Basenokukhathazeka ngamarekhodi athunyelwa kumakhaya abo. Bengafuni ukuba inkampani yabo yomshuwalense ukwazi ukuba bavavanywa. Ukuba ngaba unomshuwalense wezempilo osekelwe kumqeshi, unokuba (ngokungafanelekanga) ukuba abaqeshi babo baya kufumana iirekhodi zabo. Abo bafumana ukuxhaswa ngumzali okanye iqabane okanye umntu oqabane naye unokukhathazeka ukuba lowo mntu unokubona iibhokhwe zabo.
Sekunjalo, ukukhathazeka kwangasese akuyena kuphela isizathu sokuthi abantu abafuni ukusebenzisa i-inshurensi kwiikliniki ze-STD.
Esinye isizathu sokuba abantu banokukhetha ukungasebenzisi i-inshurensi yabo kukukhathazeka malunga neendleko zesikhwama. Abantu banokukhathazeka ukuba ukuba inkampani yabo yomshuwalense iyayazi nge-STD ukuba inokuchaphazela ama-premium okanye ukufikelela ekunyamekelweni. Nangona isenzo sokunyamekela esinokuthintela sithintela ukungafuni ukukhutshwa ngenxa yeso simo, ukubeka ingozi kwiminyaka emininzi. Ngelishwa, ukususa ukukhuselwa kweemeko ezingaphambukiyo kubuyele kwitafile kwimibhikano yokuguqula impilo yonyaka ka-2017. Nangona kuphakanyisiwe ukuvunywa ngokubanzi, akukho siqinisekiso sokuthi siya kuhlala siyingxenye yomthetho wezempilo wase-US.
Indlela yokuThuthukiswa kwezeMpilo ezitshintshile ngayo ikliniki ye-STD Inkxaso-mali
Iindlela iindlela zokubuyiselwa kwempilo eziye zagunyaza ukukhutshwa kwe-inshorensi ziye zachaphazela indlela zonke iinkathalo zempilo, eziquka ezo zifunyenwe kwikliniki ye-STD, zixhaswa ngemali. Imali esetyenziselwe ukwandisa iMedicaid kwaye kwandiswe ukhetho lwe-inshorensi kwakufuneka ivela kwindawo ethile. Ezinye zazo zatshintshwa kwiimali ezazisetyenziselwa ukuhlawula ezinye iinkathalo zonyango-ezifana nakwiikliniki ze-STD zomphakathi. Ezinye iikliniki zivale okanye zinciphisa iiyure. Abanye baye baqalisa umrhumo wendleko yokunyamekela.
UMassachusetts ube ngumbuso wokuqala wokugunyaza i-inshurensi yezempilo. Oku kunikwe abaphandi ithuba elikhethekileyo lokujonga indlela echaphazela ngayo iiklinikhi ze-STD kwilizwe. Oko bakufumeneyo bathetha ekusebenzisaneni phakathi kwemfihlo kunye nemali echaphazela unonophelo oluninzi lwe-STD.
Ngakolunye uhlangothi, xa abantu abaninzi bebenomshuwalense, abaninzi babo basebenzise. Kwakukho utshintsho apho iqhekeza elibalulekileyo lezigulane liqale ukuya kwigqirha labo lokunyango lokuqala. Ngakolunye uhlangothi, abaninzi abantu baqhubeka beya kwikliniki ye-STD. Ukongezelela, kwanokuba kukho imali engama-dollar engama-75, isiqingatha sazo zonke izigulane zeklinikhi zakhetha ukuyihlawula kunokusebenzisa inshuwalense. Ukunikezelwa kwamanani aphakamileyo ekuhlaleni kweso sikhundla, mhlawumbi baninzi babo babe ne-inshorensi njengendlela yokukhetha. Bakhetha nje ukuba bangayisebenzisi.
Iimfuno zeeklinikhi ze-STD azihambi
Ukwandiswa kwengxowa-mali ngokuqhelekileyo kucingelwa ukuba kuphuculwe ukufikelela kwinkathalo. Sekunjalo, iinkxalabo ezizimeleyo ezizimeleyo ezinxulumene nokunakekelwa kwempilo yezesondo zingenza into engafanelekanga kumgaqo. Kukho ngokungaqinisekanga kubekho ukwanda kwindlela yokusebenzisa i-inshorensi yokuhlola i- STD, unyango kunye nokukhusela . Nangona kunjalo, kubonakala ngathi ukwesaba malunga nesifo se-STD kunye nolwangasese lunga kuthetha ukuba kuya kubakho ikhefu apho abantu befuna ukunakekelwa okuyimfihlo.
Uninzi lwazo zikhefu zizaliswe ngokugqithiseleyo kwiiklinikhi ze-STD ezixhaswa ngemali. Abantu abanakho ukufuna ukusebenzisa i-inshurensi yabo ukuvavanywa. Basenokungafuni ukutyelela oogqirha babo ukuthetha ngesifo. Kodwa basesidinga indawo yokuya kwiinkonzo zabo zezempilo zesondo.
> Imithombo:
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> Pearson WS, i-Cramer R, i-Tao G, i-Leichliter JS, i-Gift TL, i-Hoover KW. Ukuzimisela ukusebenzisa iMshuwalense yeMpilo kwiKliniki yokuThatsha ngesifo soThathaka: Uphando lwezonyango kwiiSiklinikhi ezingama-21 zase-US. Ngaba J Zempilo Yoluntu. 2016 Aug; 106 (8): 1511-3. i-doi: 10.2105 / AJPH.2016.303263.