Ukuhlawulwa kwentsebenzo kunye nokuthengwa kwexabiso-based usetyenziso ukuchaza iinkqubo zokunakekelwa kwempilo yezempilo ezivuza oogqirha, izibhedlele kunye nabanye ababoneleli ngezezempilo ngokusebenza kwabo. Ukusebenza ngokuqhelekileyo kuboniswa njengokuba kunika umgangatho ophezulu kwiindleko eziphantsi.
I-Pay-performance-performance (P4P) idla ngokuxutyushwa kwimeko yokuguqulwa kwezempilo. Urhulumente wephondo usuqalise iinzame zokuphumeza iP4P kwiprogram ye-Medicare, kodwa le migudu iphakathi kwezigaba zokuqala kwaye ayengakhange ivelise idatha eyaneleyo ukuqinisekisa ukuba i-P4P isebenzayo ekunciphiseni okanye ephethe iindleko zonyango.
Kutheni ufumana iNkqubo yeNtlawulo yokuSebenza?
Ngaphantsi kwenkqubo yethu yokunakekelwa kwempilo, ababoneleli bahlawulwa nganye kwinkonzo eyenziweyo. Oku kunika ababoneleli ngezempilo ukuba babe nefuthe elinamandla lemali ukwenza iinkonzo ezininzi kangangoko kunokwenzeka. Oku, ukudibanisa nabanikezeli abanokuzithengisa ukuzithengisa izigwebo, kunokukhokelela ekugqithiseni nasekugqithiseni ukongezwa kweenkonzo zonyango.
Ukongezelela, ezinye iingcali zezobugcisa zempilo zikholelwa ukuba inkqubo yethu yokuhlawula ikhoyo isweleka ngenxa yokuba iyayilahla indima yokuba ukunakekelwa kokukhusela kungadlala ekuphuculeni impilo kunye nokunciphisa iindleko zonyango. Namhlanje, ababoneleli bafumana imali ethe xaxa yokunyanga isigulane sesifo sikasifo sikasifo sikasifo sikasifo sesifo sikasifo sikasifo sikasifo sesifo sikashukela esinesifo sengqondo sokungaphumeleli kwezintso kunokuba sisebenze nesigulane ukuze sizame ukukhusela ukungaphumeleli kwezintso, ngokulawulwa kwegazi kwe-glucose, kwindawo yokuqala. Oku kubonakala kubuyiselwa kubaguquleli abaninzi bezempilo.
Inkqubo entsha yentlawulo evuza ababoneleli ngenjongo yokwandisa igalelo lokunyamekela ukukhusela inokukunceda ukukhupha iindleko zokunakekelwa kwezempilo.
Ukuhlawulwa kwentsebenzo kucetywayo njengolu hlobo lwenkqubo. Iya kubavuza oogqirha ngokubonelela ngononophelo oye waboniswa ukuphucula iziphumo zempilo kwaye uya kubakhuthaza ukuba bancitshise inkunkuma xa kunokwenzeka.
Mngeni
Umngeni omkhulu ekuphunyezweni kweP4P uvumela wonke umntu ukuba avumelane kumgangatho ophezulu.
Imigangatho yemigangatho yimiqathango ejoliswe ekujoliseni ukuba ngaba banikezeli banikezela ngononophelo oluphezulu. Ngokomzekelo, omnye umgangatho ophezulu ophezulu unokuba ngabagqirha ukuvavanya amanqanaba e-A1C kwizigulane ezineesifo seswekile kane ngonyaka. Kwinkqubo yeP4P, oogqirha abahlangabezana nale mgangatho baya kuvuzwa ngokufanelekileyo.
Ingxaki kukuba abaninzi ababonelela ngezempilo bayakholelwa ukuba ukusetyenziswa kweyeza kunokobugcisa obuninzi njengesayensi kunye nokubilisa yonke into phantsi kweenkcukacha zokujonga kunye neendlela zokulungisa izilungiso ziza kwenza ukuba izigulane zixhaswe. Kwakhona, ababoneleli ngamanye amaxesha bayavumelani kwindlela efanelekileyo yokonyango kwizigulane ezinezifo ezifanayo kunye neembali ezifanayo zonyango. Ezi zingqubuzana ziya kufuneka zixazululwe ngaphambi kokuba iP4P iphunyezwe ngokupheleleyo.
Uza kuthintela njani i-Pay-for-Performance?
Kunzima ukuthetha ukuba yintoni impembelelo yokuhlawula ukusebenza kuya kuba yinto emfutshane kumdlalo. Nangona kunjalo, kuba i-P4P ibandakanyeke ngokukodwa malunga nendlela abagqirha, izibhedlele kunye nabanye ababonelela ngezempilo abanokuhlawulwa ngomsebenzi wabo, akunakwenzeka ukuba kube nefuthe elikhulu kwizigulane ngamnye. Ngaphezulu kwexesha elide, ithemba lokuba ukuba iP4P iphunyezwe ngokugcwele, izigulane zinokuzonwabisa ngononophelo olungcono lwezempilo ngaphandle kokuhlawula ngaphezulu.