Indlela Yokugcina Ulwalamano Oluhle Phakathi Kwezibhedlele Nabasebenzi Bogqirha
Ugqirha osebenzayo uye wancipha ngokuthe gqolo kwiminyaka elishumi edluleyo ekubeni ngokuqeshwe ngokuzimeleyo ukuba aqeshwe zizibhedlele okanye iinkqubo zempilo. Lo mkhuba mhlawumbi awubonakali njengabagqirha abatsha, mhlawumbi baqala imisebenzi yabo njengabasebenzi. Nangona kunjalo, oogqirha abanamava abanokuba namava banokuba bajamelene nokutshintshwa kwimizi yomsebenzi okanye umlingani kumsebenzi.
Abanye oogqirha abaye bachitha iminyaka bebenayo kwaye benza imisebenzi yabo njengomnikazi wedwa okanye njengelungu lobambiswano ngoku bafumana besebenza njengabasebenzi , kwaye banike ingxelo kumphathi okanye kumphathi wesibini ngenye indlela.
Ukongezelela, amaninzi amaninzi agqirha ukutshintshwa kobunikazi boshishini ukuba basebenze njengabasebenzi, abaninzi abaphathi bezibhedlele mhlawumbi banelisekile ngokumalunga nokunyulwa komsebenzi wabasebenzi bamaziko ogqirha.
Oku kuye kwabangela ukuba ubuhlungu obukhulayo kumacala omabini etafile. Ngoko ke ngaba ngabaphathi bezibhedlele kunye nabaphathi bezakhono abajongene nale setsha esandul 'ukudibanisa imisebenzi kunye neembopheleleko ezinxulumene nokulawula abasebenzi begqirha labo, ngelixa begcina isimo sengqondo kunye nomsebenzi osebenzayo oogqirha babo? Oku kunokuba ngumceli ngakumbi kwiinkqubo ezincinci ezinezinto ezincinci, okanye kwezo ndawo zasemaphandleni.
Amacandelo okuPhathwa koGqirha ukuba benze kunye nokugcina iiNgcali
Ukufumana iimpendulo malunga nendlela yokuqhuba ngempumelelo kunye nokuxhasa amalungu oogqirha, abaphathi abaneemfuno zengcebiso banokujonga kwezinye izibhedlele kunye neenkqubo zezempilo eziye zaphumelela ngogqirha wengqesho kunye nokugcinwa kwelo xesha.
Ngokomzekelo, iNkqubo yezeMpilo yeSithili sase-Southern Tennessee e-Lawrenceburg, TN inika imali kwiinkqubo ezahlukeneyo kunye neeprogram ukwenzela inzuzo yamagqirha ayo.
Ukuzama ukugcina umgangatho ophezulu ogqirha, ulawulo "lubabandakanya kwisigqibo, ukucwangciswa kwezicwangciso, kunye nemibhiyozo yamancinci amancinci kwi-HCAHPS kunye neenjongo ezibekelwe ukuba inkampani iphumelele," kusho uTina Holt, umlawuli uphuhliso lwezoqoqosho kwi-STRHS.
Xa ebuzwa ukuba zeziphi izixhobo kunye nezicwangciso ezisetyenziswayo ukugcina indawo engumsebenzi kubasebenzi, uHolt wabelana ngokuthi i-STRHS "ineqela elilawulayo lolawulo lwezonyango oluchaphazelekayo kunye noogqirha njalo. kakuhle. "
Ngaphandle kwenkxaso ebalulekileyo kwiprogram yesibhedlele kunye noluntu, imigaqo-nkqubo ethile kunye neenkqubo zingaphinde zithengiswe ngokugqithisela kumayeza, ingakumbi abo oogqirha abasebenzisa ukuba nokuzimela okuninzi njengomnini wangaphambili ongumnikazi. Abaqeshi bezibhedlele bangafumana njani oogqirha ukuba bathenge emigqeni yamasevisi amatsha, amanyathelo, okanye iinkqubo kunye neenkqubo?
"Sinezinto esizibiza ngokuba yi-PEG (I-Physician Engagement Group) ukuba iqela elikhethiweyo lababoneleli lisebenza ngonyaka ngamnye," uHolt wachaza. "Isebenza njengebhodi lokulila kwi-CEO. Iintlanganiso zenziwa kanye ngekota kwikota ngexesha lokutya.
Zininzi iinkqubo zongezele kumaqela abo oogqirha nobudlelwane bezobugqirha ukuze bancede ukugcina imigca yonxibelelwano evulekileyo phakathi kwamagqirha kunye nokuphathwa kwezibhedlele.
Ingqesho ingahle ibe yiMpendulo engcono kwiNkqubo zonke zeeMpilo okanye zonke iiDokotela
Xa izibhedlele ziqeshisa oogqirha, akusoloko kuhamba njengoko kucetywayo okanye njengethemba. Kuxhomekeke kumanani amaninzi, kubandakanywa nodokotela kunye noluntu lwabantu. Unxibelelwano omnye ugqirha esibhedlele saseburhulumenteni, owathetha ngesimo sokungaziwa, wathi enye indlela yokwenza ukuba oogqirha basekuhlaleni bajabule kakhulu "ukubuyela emva koo-1970."
Uluntu oluthile lugqirha lugxininiswe ngamagqirha amaninzi asekudala, kwindawo yasemaphandleni asezantsi-mpuma.
Ngokuqondakalayo, ngenxa yezinga loogqirha beendawo kunye nobudala bamava njengabanikazi abasebenzayo, zonke iinguqu ezongeziweyo kwishishini, ngaphezulu kweenguqu eziza kunye nokuguqulwa ekubeni ngumsebenzi wesibhedlele, zininzi kakhulu abanye oogqirha ukuba bathathe ixesha elizayo kwimisebenzi yabo yonyango.
Wongezelela ukuba ukusebenzisa oogqirha kuye kwaba nzima umngeni kwisibhedlele sakhe, kangangokuthi ulawulo lokubhedlele lwashiya umzekelo wokuqeshwa emva nje kokuqeshwa kweengcali ezimbalwa ezahlukeneyo. Baye batyekela kubaphathi be-outside kunye neenkampani zabasebenzi ukugcina iingcali zesibhedlele ezinjengezonyango eziphuthumayo kunye ne-anesthesiologists, kunye nabo bonke abanye oogqirha kwindawo yokuloba esibhedlele baziqhelise ngokuzimeleyo.
"Abalawuli bezibhedlele babecinga ukuba kuninzi ukujonga kunye nezixhobo ezongezelelweyo ezifunekayo ukuze ziqeshe oogqirha, ngoko bahlula amaqela amaninzi kwaye ngoku baqeshe kuphela inani elincinci lamagqirha," watsho, wongezelela ukuba uninzi lwamagqirha kuye uluntu luye lwachasa ukuphunyezwa kwe-EMR kunye nezinye izibuyekezo kwizenzo zabo, kodwa zihlala zixakekile kwaye zivelisa. Isibhedlele asikwazi ukunyanzelisa oogqirha ukuba benze olu hlaziyo okanye batshintshe izenzo zabo, njengoko oogqirha abaqeshwanga esibhedlele.
Ekubeni abalawuli bezibhedlele kule meko abakwazi ukubuyela emva kwesoxesha ukwenzela ukuba lula ugqirha lonyango lwabagqirha babo, kunoko bazama "ukuzama ukunika inkxaso engangoko kunokwenzeka, ngokwemali yokuthengisa, abasebenzi, izibonelelo, imigca yesevisi kunye nezixhobo zokusebenza , njl njl, kunye nokwenza konke esinako ukunciphisa ubuninzi bokulawula umthwalo njengokuba kunokwenzeka, njengoko kubonakala kube ngumngeni omkhulu kumagqirha ethu amaninzi. "
Nangona kukho iingxaki kwiimeko ezithile, ugqirha wengqesho lubonakala luyindlela ehlala kuyo. Ngokomzekelo, iipesenti ezingama-92 zamagqirha abekwe yi-Medicus Firm, ugqirha welizwe ekuqeshweni oluqinileyo, babesetyenziswe izibhedlele njengabasebenzi, abangafakwa kwindawo yokuzimela. UJim Stone, umongameli weThe Medicus Firm uthi, "namhlanje, malunga namaphesenti angama-80 ukuya kuma-90 kwabagqirha bethu bayeza kufakwa kwisetyenziselwe ukuzimela ngasese."
Ilitye iyaqhubeka yokongeza ukuba uphando oludlulileyo lwangonyango oluye lwaqhuba ngaphambili luye lwabonisa ukuba oogqirha banqwenela umsebenzi ngaphandle kokufuneka, kungekhona ngenxa yokuba abanqwenela ukuba nokuzimela. Ngakolunye uhlangothi, oogqirha abatsha abaye bangena kwizithuba zeminyaka emithathu ukuya kwiminyaka emihlanu edlulileyo, abazi into eyahlukileyo. Baqala umsebenzi wabo ogqirha kunye ne-ACA, EMRs, kunye noogqirha-njengabasebenzi abaye bahamba ngokugqithiseleyo , ngoko oku kusemthethweni. " Ngako oko, iinguqu zoshishino kunye nezobasebenzi ezibangela uxinzelelo kumayeza anamava akangabangeli oogqirha abatsha, iTystone yagqitywa.
Ngaba oogqirha abaSebenzileyo bangcono kunonophelo lwezonyango?
Azikho izifundo ezininzi ezikhoyo kwiindlela zokuqeshwa ngonyango ezichaphazela umgangatho wokunyamekela isigulane. Nangona kunjalo, njengawo nawuphi na umashishini, abahlali abonwabileyo ngabasebenzi abakhiqizayo, kwaye kuyafana nokwenene kwabagqirha. Ukuba ugqirha ugxininiswe malunga nomsebenzi wakhe, unokungenakukwazi ukwenza kakuhle okanye ngaphezulu kwekhono lakhe.
Ingxelo ye-CNN ye-2017 ibonise ukuba ukusebenzisa oogqirha, ukudibanisa neenguqu ezenziwe nguMthetho woNonophelo ongenakuncedo (ACA, owaziwa ngokuba yi-Obamacare), uye wavumela izibhedlele ukuba zihlawulise imali eninzi kwinkqubo efanayo, eqhutyelwa ngunyango ofanayo, ngokufanayo Igumbi lokusebenza njengoko bahlawuliswa xa ugqirha ogqirha wayesecaleni. Akucaci kakuhle into enokuyenza ukwenzela ukunciphisa impembelelo yemali yengqesho yengcali kumntu wesigulane.
Isitshixo sibonakala sithola ibhalansi efanelekileyo phakathi kwabasebenzi abavuyayo, abavelisayo, abajongene nezigulane kunye nezibhedlele ezizodwa zemali.
Ngaba izibhedlele zijolise kwiiDokotela kuqala?
Izibhedlele ezininzi zijwayele ukugxila kwizigulane zokuqala nokuphambili. Kakade, isithunywa esibalulekileyo esibhedlele kufuneka sihlale sisinyamekela izigulane zayo ngaphezu kwayo yonke into. Nangona kunjalo, inxalenye yaloo mlinganiso inika umgangatho ophezulu wokunyamekela, kwaye oogqirha kufuneka ukuba benze njalo. Ngoku ukuba izibhedlele ziqeshi zamagqirha, ezininzi izibhedlele zingadinga ukulungelelanisa amandla azo kwaye zijolise kumancinci angaphezulu kwala magqirha. URichard Branson, umntu woluntu kunye nomnini-shishini owaziwayo, uye wacaciswa ngokubanzi ukuba abathengi akhathazeki-abasebenzi bayakwenza. "Siyabanyamekela abasebenzi, kwaye banakekelwa ngabathengi," utshilo uBranson.
Ingaba kunjalo na ukuba izibhedlele, amagqirha kunye nezigulane? Abantu abaninzi abakhathalele ukuthelekisa izibhedlele kwiinkampani okanye ukuthelekisa izigulane kubathengi. Nangona kunjalo, kukho ukufana, kwaye ngokuqinisekileyo izibhedlele azikwazi ukubonelela ngononophelo lwengqondo kwisigulane sabantu ngaphandle koogqirha.
> Imithombo:
> I-Medicus eqinile, ngo-2017 Ingxelo yeShwankathelo seNgcaciso yeNgcaciso, ngoFebruwari 2017.
> LaMott, S, "Ziziphi iidorha zicinga ngoMthetho wokuNakekelwa ongenakunceda," CNN.com, ngoJanuwari 17, 2017.