Emva kokuba iirekhodi zempilo kunye nezokwelapha zigcinwe, zifikeleleke, zatshintshiwe kwaye zahlaziywa ngamanani, zisebenzisa iikhomputha okanye iipilisi okanye ezinye izixhobo, zibizwa ngokuba yi-EHRs (i-Electronic Health Records) okanye i-EMRs (i-Electronic Medical Records).
Njengaye nayiphi na enye ingxelo yokugcinwa kwerekhodi, ukuhambisa iirekhodi zezigulane kwiifayile kunye neendlela zokufakela izinto kwiikhompyutha kunye nokukwazi ukugcina izinto eziphezulu kukudala ubuchule obukhulu kwizigulane kunye nababoneleli babo, kwakunye neenkqubo zokuhlawula impilo.
Kodwa ukusebenza kakuhle akusiyo kuphela inzuzo. Kwiigulane ngabanye, ukufikelela ekunyamekelweni kakuhle kuya kuba lula kwaye kukhuselekileyo xa iirekhodi zinokwabelana ngokulula. Ulwazi olubalulekileyo - olufana nohlobo lwegazi, iziyobisi ezimiselweyo, izimo zonyango kunye nezinye iinkalo zembali yethu yezonyango - zingabalwa ngokukhawuleza ngokukhawuleza. Okona kuncinci, irekhodi lempilo yekhompyutha (EHR) iyakwazi ukugcina ixesha kwiofisi yegqirha. Ngeyona ndlela, ukungena ngokukhawuleza kwiirekhodi zethu kunokusindisa ubomi xa kwenzeka unxakeko kwaye iimpendulo zale mibuzo zifuneka ngexesha lwenkqubo yokwenza izigqibo eziphuthumayo.
Nangona urhulumente wesigqeba ucinga ukuba ukugcinwa kwerekhodi ekhompyutheni kubalulekile, kwaye ibeke imali nemizamo apho iziphakamiso zayo zikhona. Izibhedlele zezilwanyana zelizwe lonke zibandakanya inkqubo yecomputer, ebizwa ngeVistA, evumela ukuba ukwabelana ngamarekhodi kwabadala bezilwanyana kwinkqubo yezempilo. Ukuba isigulane sifumana kwisibhedlele se-VA, nangona sisuka ekhaya, isibhedlele siya kuba nokufikelela okufanayo kwiirekhodi zakhe ukuba isibhedlele sasekhaya senza, ngokusebenzisa inkqubo ebizwa ngokuba yiBlue Button.
Ukongezelela, urhulumente wamisela inkqubo yokukhuthaza abantu ukuba banikeze iirekhodi zezempilo zekhompyutha kwaye bahambelane uluhlu lweendlela zokunyamekela nokunyamezela. Lezo zithethe zibizwa ngokuba yiNtsebenzo enenjongo.
Iziganeko ezibuhlungu ezinjenge-9/11, isiqhwithi uKatrina, kunye nomlilo waseCalifornia ziye zabonisa izibonelelo zokugcinwa kwerekhodi yedijithali.
Abo balimala okanye abagulayo nayiphi na lezo ziganeko babephathwa ngokulula kwaye banokufumana iziphumo ezingcono kunezo ezingekho iirekhodi zonyango. Iifom ze-EMR ezinkulu ziphinda ziphendule iirekhodi zazo ezigcinwe kwiindawo ezininzi kulo lonke ilizwe ukwenzela ukuba esinye isiganeko esibuhlungu asiyi kubatshabalalisa.
Enye inzuzo kukukhuseleko. Kwixesha elidlulileyo, indlela ugqirha eyafumana ngayo imbali yakho yempilo yayikubuza. Njalo xa uvakatye iofisi entsha yodokotela, uzalise iifomu malunga nomlando wakho, kubandakanya ukuhlinzwa kwangaphambili, okanye iziyobisi ozenzayo rhoqo. Ukuba ukhohliwe ingcezu yolwazi, okanye ukuba awuzange uyibhale phantsi ngenxa yokuba kubonakala kungabalulekanga kuwe, ugqirha wakho wayenayo le nqaku yepilesi yezokwelapha ukuze usebenze nayo.
Nangona kunjalo, xa oogqirha babelana ngerekhodi ngekhompyutha, ugqirha wakho omtsha ufuna kuphela ukucela igama lakho, ixesha lokuzalwa, kwaye mhlawumbi esinye isiqendu sokuchonga ulwazi. Unako ukukhupha iirekodi zakho kwiindawo zazo zokugcina iikhompyutha. Yonke ingcaciso afuna ukuyibona iya kuba khona ngokupheleleyo. Xa kufika ixesha lokukuxilonga, kunokubaluleka kuye ukuba ufunde uhlobo oluthile lwamachiza, okanye nokuba uncedo lwezityalo - nayiphi na ulwazi ekwabelwana nodokotela odlulileyo.
Iingxaki zokuxilonga kunye nezo kunyango zingatshintshwa ngokusekelwe kulolu lwazi, olugqityileyo kunokuba ungabhala phantsi kwiphepha.
Kwixesha elidlulileyo, xa ugqirha wavala umgudu wakhe, washiya umhlalaphantsi, wafuduka, okanye wafa, iirekhodi ezigulane ziza kulahleka okanye zifuduke, zenze kube nzima ukuba izigulane zifumane iirekhodi ezifunekayo ukuba zithathe udokotela omtsha. Ukugcina ezi ngxelo ngekhompyutha, ngokukodwa kwiimeko apho izigulane zikwazi ukufikelela kuzo , kuthetha isigulane asiyi kushiywa ngaphandle kweirekhodi angayidinga.
Imali igcinwa ngokusebenzisa iirekhodi zezobugcisa zonyango; kungekhona nje iindleko zamaphepha kunye neefayili zefayili, kodwa iindleko zabasebenzi kunye neendawo, nazo.
Nasiphi na ishishini, ixesha lilingana nemali. Ubuchule obudalwe ngokubhala nje ezimbalwa ukuchonga iifayile zokufumana irekhodi yesigulane - ngokuchasene nokukhangela amawaka eefolda zefayili, ukuyifaka kunye nokuyihlaziya - kusindisa umgulana okanye isibhedlele iwaka lamawaka eedola. Oko kwathatha iindleko ze-elektronike kwinkqubo.
Ukuphumelela ekusebenziseni ngugqirha kunye neenkampani zomshuwalense ukugcina imali ekugqibeleni zikhokelela kwizigulana zokugcina imali, nazo.
Isigulane esinamandla sisazi ukulinganisela ezi ntlawulo malunga nokunciphisa iirekhodi zezobugcisa kunye neirekhodi zempilo zabantu ezibandakanya inani leempazamo ezinokuthi zenziwe , ukungabikho kwemigangatho, kunye nemicimbi yobumfihlo kunye nokhuseleko .