Ukuthelekisa iinkonzo ezinikezelwa kunye neendleko
Xa isigulane siva intlungu esifubeni , abanokungaqiniseki ngokuya kuhamba khona: ngaba bayabiza i-911 , baye kwisebe elingxamisekileyo , baye kwiziko lokunyamekela ngokukhawulezileyo, okanye benze i-aphoyintimenti kunye nogqirha lokunakekelwa ngokusisiseko ?
Ayisona isigqibo esilula kwaye akulula ukuchaza.
Ukuphuthuma okanye Ulungxamiseko?
Ezinye iziganeko ziqwalaselwa ngokukhawuleza: ukuhlaselwa kwentliziyo , ukubetha , i-sepsis, i- anaphylaxis kunye nezigulane zezibhamu zizinye zeemeko zonyango ezithathwa njengongxamisekileyo.
Kufuneka bahlolwe kwaye baphathwe kwisebe elingxamisekileyo. Ukuba isigulane siye kwiziko lokunakekelwa ngokukhawulezileyo kunye nexakeka lokwenyango lwezonyango, abasebenzi abanonophelo ngokukhawuleza kufuneka babathumele kwisebe eliphuthumayo nanini, ngokuqhelekileyo yi-ambulensi kwaye kaninzi ngeendleko ezinkulu.
Le yinto nje encinane isampula yintoni eyenza imeko engxamisekileyo . Uluhlu lude kakhulu kwaye luhlala lubandakanya ukuxilongwa. Ngamanye amagama, omnye uphantse kufuneka azi ukuba banesifo senhliziyo ukwenzela ukuba sibe yimeko yengxamiseko yangempela.
Ngaba akuyena uxanduva lweSebe lexakeka ukuxelela izigulane ukuba iimpawu abazifumanayo zibonakaliso zengxamiseko? Ndiyathetha kwaye i-American College of Emergency Physicians iyavuma nam, kodwa akusiyo yonke inshorensi yonyango. Oku ngakumbi ngezantsi.
IiNkonzo zoKhathalelo eziKhuselekileyo
Ngoko, nini kufuneka isigulane siye esikhungweni sokunakekelwa ngokukhawuleza? Lona umbuzo olula ukuphendula.
Omnye unokuva isigama esithi "isikhungo sokunakekelwa ngokukhawuleza" kwaye ucinga ukuba "okuphuthumayo" lithetha le ndawo apho imeko zonyango ezinzulu zingaphathwa ngendlela efanayo, ukuba ayifani, ngendlela efana nesebe elingxamisekileyo.
Inyaniso kukuba: wonke urhulumente uhlukile. Ezinye iinkalo ziqwalasela amaziko okunyamekela okukhawulezileyo ngaphandle kwamaziko ogqirha. Ezinye iindawo zibaphatha njengamasebe angxamisekileyo asemasimini (inketho yesithathu esiya kubhala apha ngezantsi) kungakhathaliseki ukuba amaziko aphuculweyo azimeleyo anakho ukhetho kwimeko.
Amaziko okunakekelwa ngokukhawuleza angabasebenzi kunye noogqirha okanye mhlawumbi bangabasebenzi ngabahlengikazi okanye abancedisi boogqirha, kuxhomekeke kwimeko. Njengamaphondo ombuso ngamnye akhetha izidingo zabantu babo, imithetho iyashintsha ngokukhawuleza.
Ngalo mgaqo ongavumelekanga, ukuya kwinqanaba lokukhathalela ngokukhawulezileyo lokwenyango lwezempilo oluphuthumayo yinto yokudlala ngaphandle kokuba isigulane sichaze ngokukhawuleza ukuba yintoni isikhungo esinonophelo esiphuthumayo esinokusingatha. Kwiimeko ezininzi, abantu bafanele baphathe iziko lokunakekelwa ngokukhawuleza elifana neofisi yegqirha. Kuphela iiyure eziguquguqukayo.
Ngaba ubuya kumtyelela ugqirha ngenxa yomqala wakho? Ngokuqinisekileyo, kwaye leyo yindlela efanelekileyo yokunyamekela isikhungo esiphuthumayo. Ingqumbo yoluma okanye isifo socalulo? Ukufezekisa ngokunyamekela ngononophelo lwe-doc, kwakhona.
Ngubani obala i Tab?
Iingcamango zonke zokunakekelwa kweenkonzo eziphuthumayo zizalwe ngaphandle kweendleko zokunakekelwa kwezempilo. Iifolda ziya rhoqo kwi-ER xa ziye zaza kugqirha lwabucala ngenxa yendleko ephantsi. Thelekisa iibill zesebe elixakekileyo kunye neziko lokukhathalela ngokukhawuleza, kwaye uya kubona ukuba amaziko okunyamekela ngokukhawuleza ahlala ebiza kakhulu xa iimeko zonyango ziyakuthatha.
Oku akuthethi ukuba kusoloko kungabizi ukuba isiguli sifumane isikhungo sokunakekelwa ngokukhawuleza.
Nokuba ususe ingxaki enkulu yezoxinzelelo zonyango-efuna ukuthuthwa kwee-ambulance kwiziko lokunyamekela ngokukhawuleza ukuya kwi-ER-comparing cost is really apples to aples.
Iinkampani ze-inshurensi (ezikwaziwa ngokuba ngabahlawuli ) zivame ukuthenga isivumelwano kunye namaziko kunye namayeza (nakwiminye iinkampani iinkampani ze-ambulance) ukufumana amaxabiso angcono. Kukho amanxibelelwano amaziko kunye noogqirha ezinokuthi zibe ziinqwelo ezingabizi kubahlawuli. Inxalenye yesigulana yowilwayo (iintlawulo zentsebenziswano, ama-deductibles, okanye i-inshurensi ye-co-s) ziyahluka kakhulu kuxhomekeke kwinkampani yabo yomshuwalense, isicwangciso sabo sokubhengezwa, nokuba ingaba isibonelelo okanye ugqirha usetyenzisweni.
Enye yeenkqubo ezinzima kakhulu zezemali abaninzi abaza kujamelana nazo.
Ukuba unonophelo olukhawulezileyo alukho kwinethwekhi, kodwa isebe elingxamisekileyo, liyakwazi ukuphelisa indleko yesigulane esingaphantsi ukutyelela ukhetho olubi kakhulu.
Masiyiphule phantsi: Ukuba zombini iSebe lezongxamisekileyo kunye neziko lokunakekelwa ngokukhawuleza lilapha (okanye ngaphandle) kwintanethi, abahlawuli bebusuku abafuni ukuhlawula i-ER ukuba ayilona ngozi. Abathengi bavame ukuziva ukuba yindleko engadingekanga ukuhlawula ugqirha wexakeka ngokukhawuleza ukuba ahlolisise kwaye ahlolisise isikhalazo, ngaphandle kokuba kuvela ukuba isikhalazo sifaneleke ukuba isebe eliphuthumayo.
Ngaba izigulane ziyazi ukuba imeko yabo yonyango iyimfuneko engxamisekileyo? Umhlawuli-mvuzo unquma ukuba isigwebo sesigulane sisilungile usebenzisa ukuxilongwa kwegqirha, into engayaziyo ade ifike apho.
Amaxesha amaninzi, abahlawuli baya kusebenzisa ukungeniswa kwesibhedlele njengesivivinyulu sokuhlola ukuba isigulane siyagula ngokwenene ukuya kwi-ER. Ukuba isigulane singeniswe esibhedlele, umhlawuli unokunciphisa okanye akhiphe nayiphi na imali ehlawulwayo okanye i-deductibles. Ngakolunye uhlangothi, ukuba isigulane singavunyelwanga, basesikhwameni salo lonke i-deductible okanye i-co-pay. Kuyinzuzo yokujonga ingqalelo kwaye inceda kuphela abo baso-inshurensi.
Amanye amasebe angxamisekileyo afumana iinkqubo zonyango eziphuthumayo, kwaye isigulane sithinteka lula ukusuka kwenye indawo ukuya kwesinye esekelwe kwimeko yonyango. Oku ndiyithandayo. Isigulane (okanye i-inshurensi) sihlawulwa ngokusekelwe kwindlela efunekayo isiguli. Ngaloo ndlela, izigulane ezithatha ixabiso elincinci lokutyelela i-ER kuphela ukuba ukuxilongwa kwimeko engxamisekileyo ayiyi kuhlawulwa imali engaphezulu xa iphosakele. Baya kuthi bahlawuliswe kuphela ibhajethi yeSebe elijongene nexabiso elibizayo xa lifanelekileyo, kwaye xa i-inshurensi iyakuthabatha i-chunk enkulu kwithebhu.
Abathengi benza i-deductibles e-sliding-scale as a disincentive ngokukhetha isebe elingxamisekileyo njengonyango lokuqala. Uninzi lwezigulane, nangona kunjalo, abanalo ukhetho. Ukutyelelwa koogqirha kungenako ukufumaneka ngosuku olufanayo. Izigulane aziceba ukugula, kwaye ii-ER zivame ukuvula iiyure ezingama-24 ngosuku. Amaziko okunyamekela angxamisekileyo ayebhekiselelwe ukuvala loo mpa. Iofisi yegqirha efuna ukutyunjwa kwemizuzu yokugqibela kunye nokuhamba-ins. Ngelishwa, akuzona zonke izinto ezibukeka njengeeklinikhi ezifanayo.
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I-erestanding okanye i-stand yedwa ER yinto esandul 'ukutshayela yonke indawo kwilizwe. Ibali le-NBC News 2017 lixele ukuba ama-35 awaye avumele amaziko aphuculweyo angamaziko angxamisekileyo. La awona masebe angxamisekileyo, ngenxa yokuba ahlala ehlangene nezibhedlele zangempela. Kwimihlaba emininzi, amaziko angxamisekileyo avunyelwe ukuba abe ngamagqirha.
Amaziko ophulo-zodwa angabonakala afana kakhulu neziko lokunakekelwa ngokukhawuleza. Bavame ukuvula kwiindawo ezifanayo: izithili kunye nezithili zokuthengisa. Abayi kuba kufuphi nesibhedlele-ubuncinci kungekho kwisakhiwo esifanayo-kwaye banokungena okanye bangenayo i-ambulensi yokungena.
Uninzi lwalezi zibonelelo lithengisa uluhlu olupheleleyo lweenkonzo, kodwa inyaniso kukuba nasiphi isigulane esifuna ukufakwa esibhedlele kuya kufuneka sithathwe apho nge-ambulensi. Bonisa nge-stroke okanye ukuhlaselwa kwentliziyo kunye nokunyaniseka okwenyaniso kunokufuneka ulinde de i-ambulensi iphendule kwaye idlulisele kwisebe elixakekileyo lezongxamisekileyo.
Ngaphantsi
I-ER, eyaziwa njengesebe elingxamisekileyo , yinkqubo yokunakekelwa kwezempilo ngokukhawuleza. Le yindawo apho izigulane zikwazi ukuya kuyo nayiphi na inqanaba lempilo yonyango, kungakhathaliseki ukuba libi okanye libi. Amasebe angxamisekileyo yindlela ekhethileyo.
I-bill ye-ER yokutyelela i-ER iya kuhlala ihlala ngasentla kumkhulu. Uhambo oluya kwiziko lokunyamekela ngokukhawuleza okanye kwiofisi yegqirha, ngakolunye uhlangothi, kunokwenzeka ukuba libe ngamabini amabini okanye ama-bucks angamakhulu amathathu. Kubalulekile ukuqonda ukungafani-nokufundisa izigulane ngokwahlukileyo-ukuze bakwazi ukwenza isigqibo esiphezulu.
> Imithombo:
> Iifayile zeeNkcukacha . (2017). Ikholeji yaseMerika yeeNtsholongwane eziPhezulu Igumbi leendaba . http://newsroom.acep.org/fact_sheets?item=30033
> Wacinga ukuba yindawo yokukhathalela ngokukhawulezileyo, de ube ufumana ibhilikhi . (2017). NBC News . https://www.nbcnews.com/health/health-care/you-thought-it-urgent-care-care-center-un-got-n750906