Ukuqwalaselwa kweeKlinikhi zeeNkcukacha zeNgcaciso zeCandelo loLondolozo lweMpilo
Iirekhodi zezempilo ze-elektroniki (i-EHRs), ukubhaliswa kwezigulane kunye nezinye iinkqubo zeenkcukacha zempilo zixhobo ezixabisekileyo zokulawulwa kwempilo yabantu . Ingqiqo ebalulekileyo kukuhlola i-data yezempilo ye-elektroniki yeempawu zokumkisa ukuze zichonge izigulane ezinokufumana inqaku elongezelelweyo kwiqela lokunakekela impilo.
Olu pho nonongo luza kubonakalisa umzekelo wendlela yokunakekelwa kwempilo, uKaiser Permanente Southern California (KPSC), uqhuba ulwalathiso lwezobuchwephesha ngolwazi lwezempilo ukuchonga amathuba okuphucula umgangatho wonyango lwempilo ("ikhefu lokukhathalela") kwisigulana ukuseta.
Iimpawu ezibalulekileyo zeProgram ye-KPSC yokuPhepha okuKhuselekileyo eziPhezulu zichazwe nguKim Danforth kunye noogxa kwi-athikili ka-2014 kwi-GEMs (Ukuvelisa ubungqina kunye neendlela zokuphucula iziphumo zesigulane).
Izikhokelo
Imigaqo embalwa ekhokelwayo yeNkqubo ye-KPSC yokuPhepha okuPhezulu okuPhezulu kufuneka iphawule. Okokuqala, le nkqubo isekelwe kwisiseko sokuthi iindawo zokunyamekela zikhoyo nangona kunzima ukubonelela ngononophelo lwezempilo. Ukuba i-990 kwezigulane ezili-1 eziphumo eziqhelekileyo zebhu zifumene ukulandelelana okufanelekileyo, oku kushiya izigulane ezili-10 eziza kuwela kwiintlobo.
Okwesibini, indlela yokujonga i-elektroniki yenkcazelo yeklinikhi ngaphandle kokufumana umgcini-gulane. Kanye njengoko igama lithetha, le nkqubo isebenza njengomkhuseleko wokubamba "izibambane" ezinokuthi iingxaki zingaphawuleza zingabonakali ngexesha lekliniki exakekile. I-KPSC isebenzisa i-EHR e-Epic-based EHR ukujonga iziphumo zebhu kunye nemigqirha yemithi yeeflegi ebomvu.
Okwesithathu, injongo yenkqubo kukuchonga izigulane ezifuna ingqwalasela eyongezelelweyo okanye ukunyamekela ulwalathiso, kunokuba zihlolisise ukusebenza kwabagqirha ngabanye. Uhlobo "olungenasolwa-mthetho, olukhuselekileyo" lwaloo nkqubo luye lwavunywa ukwandiswa kwabaniki bempilo.
Criteria
Ubukhokeli basebenzise le migaqo elandelayo ukuchonga ukuba inkqubo yokhuseleko lomntu ngamnye iya kuphuhliswa.
Impembelelo yeeKlinikhi: Inkqubo yenkqubo yokukhusela ayibonakali ilungele ukuba ingazange idibanise umcimbi omkhulu wokukhusela isigulane.
Ukuchonga: I-gap yokunyamekela kufuneka ichongwe kalula ngeenkcukacha ezihleliweyo kwi-EHR, njengexabiso lebhu okanye iikhowudi zokuxilonga. Ukucoca idatha ehleliweyo kulula ngakumbi kunokuqhuba ukusetyenziswa kolwimi lwamaxwebhu amanqaku a mahala.
Ukulandelelana: Abasebenzi abaneleyo kunye nezibonelelo kufuneka balandele izigulane. Ukuba inani elikhulu lezigulane liza kuthinteka, izicombululo ezizenzekelayo zifunwa (umz
IiNkqubo zoKhuseleko zeNdawo eziNye
Iiprogram ezingama-24 zokukhusela iinkqubo zokhuseleko zichazwe kwinqaku, ngalinye lijoliswe kumgca othile wokukhathalela. Iinkqubo zaqulunqwa ukusiza ukuxilongwa komhlaza (umlomo wesibeleko, i-colorectal, iprotate), isifo esingasasigxina sesifo, kunye nesifo se-hepatitis C ngokuphucula ukufunyanwa kunye nokulandelelana ngexesha eliqhelekileyo lokuhlolwa kweemvavanyo ezingavamile.
Ezinye iiprogram ezibekwe iliso malunga nemiphumo emibi yonyango. Oku kufezekiswe ngokuchonga amaxabiso angabhaliweyo angabonakaliyo okuza kubonisa ukuba amanqanaba emichiza aphezulu kakhulu okanye awonakalisa izintso, isibindi okanye ezinye izitho. Iinkqubo zokongamela amayeza ziye zachonga izigulane ezibekiwe ukuba zingabangela ukulimala kwamachiza ngamnye okanye ukuhlanganiswa kwamachiza.
Kukho iinkqubo zokuphucula ukulandelwa kweminye imvavanyo engaqhelekanga okanye ukuchonga izigulane eziza kuxhamla kwizigulane kunye nokucebisa ngezempilo.
Olu pho nonongo luye lwahlaziya umzekelo wendlela i-elektroniki yezobuchwepheshe zenkcazelo yezempilo echonga ngayo amathuba okuphucula impilo yabantu. Nangona ingxelo yangaphambili ayizange ixubushe impembelelo yangempela kwimiphumo yempilo yezigulane, ichaza isakhelo esipheleleyo sokuphumeza inkqubo enjalo.
Imithombo:
UDanforth KN et al. Ukuqwalaselwa kweeKlinikhi zeeNkcukacha zoPhuculo lweeMpilo ukuPhucula ukunakekelwa kwabangaphandle: Izicelo ezahlukeneyo kwiNkqubo yokuThuthukiswa okuHlangeneyo. IGEMs (Ukuvelisa ubungqina kunye neendlela zokuphucula iziphumo zesigulane) 2014; 2 (1).
Kufumaneka ngoJulayi 1, 2014.