Ukulinganisa Umgangatho Wononophelo Owufumene Ngezibhedlele
Umthetho ononophelo wokuNakekelwa koNyaka ka-2010 wadala inkqubo yokuvuza esibhedlele egxile kumgangatho wokunyamekela nokugcinwa kwamanqanaba aphezulu okwaneliseka kwesigulane. Njengengxenye yesicwangciso esiphezulu esibizwa ngokuba yi-Partnership for Patients, oku kugxininiswa kumgangatho wokunyamekela kuthintela ukuba izibhedlele zihlawulwa njani kwizigulane ze- Medicare . Izibhedlele zinyanzeliswa ukuba ziphucule inkonzo yazo kwizigulane okanye ingozi yokulahlekelwa yimali ye-Medicare.
Ekubeni ama-insurers abucala awalandela ukukhokelwa kwe-Medicare, kulindeleke ukuba nabo, ekugqibeleni, baya kugqiba ukubuyiswa kwembuyekezo kunye nokwanelisa isigulane. Oko kuthetha ukuba kwiminyaka embalwa, zonke izigulane ziza kuxhamla kule gxininiso olutsha kwiyaneliseka ngesigulane.
Isibhedlele Silandela Imigangatho Yokhathalelo
Nantsi oku kusebenza ngayo: Xa izigulane zibhedlele, kukho imisebenzi ethile elinganiswayo yokuvavanya umgangatho wokunyamekelwa owenzelwe kubo. Uninzi lwemisebenzi luhambelana ngokuthe ngqo kumgangatho wokunyamekela. Ngokomzekelo, isigulane esifike esibhedlele phakathi kwesifo senhliziyo kufuneka sithole "imithi ye-fibrinolytic" (amayeza aphelisa ama-blood clots) engakapheli imizuzu engama-30, okanye i-antibiotics kufuneka inikezwe isigulane kwisithuba seyure yokuchonga ukunciphisa ingozi yeso sigulane ekufumaneni usulelo olususongela ukuhlinzwa.
Nasi umzekelo wolu vavanyo olubonakala ngathi kunye nemibuzo eceliwe.
Imigangatho yonyameko ikwabizwa ngokuba yinto efanelekileyo yeklinikhi, yinto ebalulekileyo kakhulu emgangathweni. Nangona kunjalo, izigulane zezibhedlele azikwazi ukuba ngaba zilandelwa kwaye azifanekanga nokuba wazibuza malunga nabo. Ngenxa yoko, ukwanelisa isigulane ngokuqhelekileyo akuxhomekeke kubo, kwaye ngaphandle kokuba isiguli okanye intsapho ifumanisa kamva ukuba umgangatho awuzange ulandelwe kwaye ukubuyiswa kwesigulane kunciphisa okanye isigulane sife, ngenxa yoko, izigulana azinakukwazi ukuba ngaba loo migangatho za landelwa.
Inkopheleleko epheleleyo yokulinganisa nokuba ngaba le migangatho iya kulandelwa iya kusibhedlele.
Uphononongo olwanelisayo
Ziziphi izigulane eziziwayo, yimiba enokulinganisa esiyifumanayo. Ukunxibelelana nabasebenzi basebhedlele, ingqwalasela kumanqanaba entlungu, iinkcazo malunga namachiza, ukukhupha imiyalelo .... Leyo yonke into yokunyamekela esibhedlele ukuba izigulane zifumaneke-okanye zingaboni-ukuba sinokuzilinganisela.
Ukulinganisela ukuba izigulane zethu ziyaneliseke njani nangendlela esiye sabona ngayo ukunakekelwa kwethu, izigulane zihlolisiswa ngokungaqhelekanga. Imibuzo yolu vavanyo ibuza izigulane ukuba zineliseke kangakanani na okanye zonke iinkalo ezilandelayo zenkathalo yabo:
- Ngaba ngabahlengikazi banxibelelwano nabagulane
- Oogqirha badlulisela njani oogqirha
- Abasebenzi basezibhedlele abaziphendulelayo babezifuna izigulane
- Ngaba abantu abanonophelo (ngokubhekiselele kubasebenzi bezibhedlele) iintlungu zezigulane ezilawulwe zizigulane
- Ngaba abantu abanonophelo (ngokubhekiselele kubasebenzi bezibhedlele) bachaze imithi yezigulane kubo
- Ukucoceka nokuthulisa isibhedlele
- Ngaba abantu abanonophelo bawachazela njani amanyathelo nezigulane kufuneka zizithathele ngaphandle kwebhedlele (oko kukuthi, imiyalelo yokukhutshwa)
Ukuba uhlala esibhedlele, unokufumana enye yale mibuzo.
Nantsi enye ingcebiso malunga nendlela yokuzalisa enye yeengxelo zeengxaki zesigulane.
Ngo-Oktobha 2012, i-Medicare yaqala ukuvuza izibhedlele ezona zihamba phambili ngeebhonasi-imali eyayisindiswa ngokungabuyiselwa oogqirha kunye nezibhedlele ngenxa yeephosiso ezenzileyo okanye zigcinwe ngamanye okunciphisa ukubuyisela.
Olu Lwaphulo luphucula njani ukwaneliseka kwezigulane?
Ngaphandle kwezinto ezibonakalayo kunye nezigulane eziphuculweyo kwizigulane, kwaye i-focus focus onxibelelwano, izigulane ziya kuqala ukufumana intlonipho evuselelwe ngabasebenzi basebhedlele.
Oko thina izigulane asinakukuchaphazela yinkqubo yekliniki efunekayo yindlela yokuhlawula entsha kuba asiyiqondi iyeza emva kwabo.
Ingaba okanye ayenziwanga ngokufanelekileyo, nokuba ngaba ayibhalisiwe ngokufanelekileyo, ishiywe ngokupheleleyo kubasebenzi basebhedlele. Ukuba isibhedlele sifuna ukudlala umdlalo, kuya kuba, kwaye kuncinci kakhulu izigulane esinokuzenza ukulwa naloo nto. Ukuhlawula, ukubhalwa kweenkcukacha, ukurekhoda kunye neentlawulo zezokwelapha zenzeka rhoqo imihla kwiibhedlele. Eli phulo alisoze lenze ukuba lichaneke ngakumbi okanye linyanisekile kunokuba liyilo namhlanje kwaye linokubangela abanye ukuba bangathembeki.
Naziphi na iimpazamo zokubhala kunye nokurekhoda ziya kuthintela iirekhodi zethu, ngoko ke ngoko, wena, isigulane, unokufumana iirekhodi zakho zonyango kwaye ulungise ukuba kukho imfuneko , eya kuba luncedo xa ufuna unyango emva koko.
Inxalenye enye yale nyathelo yezibhedlele ayinakukwazi ukwenza umdlalo iza kuba iimpendulo izigulane zinika imibuzo yabo yocwaningo malunga namava abo (njengoko kuboniswe ngasentla). Uninzi lwolu vavanyo luya kuba luhlobo oluthile olubizwa ngokuba yi-HCAHPS (IsiThengi soThengi lwaBathengi bezeMpilo kunye neeNkqubo - ezibizwa ngokuba yi-H-caps).
Iingxelo zokuqala ze-HCAHPS zalawulwa ukususela ngo-2006. Iziphumo zokuqala zezibhedlele zabikwa kwiSebe lezeMpilo kunye neSibhedlele seNkonzo yabasebenzi ziqhathanisa i-website ngo-2008. Enyanisweni, iSibhedlele sithelekisa iwebhusayithi, kubandakanywa nezibhedlele ezifunyenwe ngokusekelwe kuloluphando, esinye isixhobo sokukhetha isibhedlele esihle kunazo zonke .