Iimveliso eziPhezulu kwiiNdawo zeeNdawo eziPhezulu
Izifolothi eziqhelekileyo zizigulane ezibonisa ngokuphindaphindiweyo kwigumbi lexakeka ngokunyamekela unyango. Bakhetha ukukhwela kuma-ambulensi, okanye bahambe kwiSebe eliphuthumayo, ngokuphindaphindiweyo, kunokuba babone ugqirha wabo. Ba tyelela rhoqo ukuba abasebenzi bayabazi ngegama. Ucwaningo olwenziwa ngo-2009 lwaseTexas lufumene ukuba kwisithuba seminyaka emithandathu, izigulane ezithoba zazi-2,678 ii-ER ezivakatyeweyo, zibiza i-$ 3 yezigidi-ezininzi zihamba ngokuphindaphindiweyo.
- Iimpawu ezihambelanayo: Umsebenzisi ophezulu, umsebenzisi omkhulu (SU), GOMER kunye neGOMOMER (phumani kwigumbi lam eliphuthumayo)
- Eminye i-Spellings: iiflaya eziqhelekileyo
Ngoobani abaThengisa iiNtsholongwane zezeMpilo - abaSebenzi abaPhezulu?
Kukho izizathu ezininzi zokusetyenziswa kakubi kwamasebe angxamisekileyo. Isigulana asinakho i-inshurensi kwaye ngoko ayikwazi ukufumana ugqirha oqhelekileyo. Esi sigulane siyazi ukuba i-ER kufuneka ubuncinane inikeze unyango lokusindisa. (bona i- EMTALA ). Kwakukho ithemba ngegama kunye nokuphunyezwa kwe- Care Affordable Act ka-2010 ukuba ukusetyenziswa kwegumbi lokuxakeka kwexesha eliphuculayo kuya kuncipha kuba abantu abaninzi babeya kuba ne-inshorensi yempilo. Kodwa ingaba oku kuya kutshintsha ngokwenani inani leeflaya ezihamba rhoqo.
Isizathu sesibini sinokusilela kwengqondo. Kwama-flyers aphindaphindileyo aseTexas, ezisixhenxe zineengxaki zokuxilonga ngempilo yengqondo kunye nabasibhozo zibaxhaphaza iziyobisi.
Ewe, abanye banomdla nje. Isikhumbuzo segama elithi GOMER (phuma kwindawo yam esiphuthumayo) kusetyenziswe ngokubanzi kwi-slang yezokwelapha kwizigulane ezenza rhoqo kwiindawo eziphuthumayo kodwa azidingi unyango lwangxamisekileyo.
Ivela kwincwadi ethi House of God nguSamuel Shem.
Uphando lwafumanisa ukuba ii-flyers eziqhelekileyo zazinokwenzeka ukuba zibafazi, eCaucasia, zihluphekile kwaye ziphakathi kweminyaka eyi-25-44. Basenokwenzeka ukuba bafike kwigumbi lesiganeko ngokuhlwa kunye neempawu ezincinane. Okuthakazelisayo, ngokuqhelekileyo baxhaswa nge- Medicaid kunokuba bangaqinisekanga okanye babe ne-inshorensi yonyango.
Iinzame zokujongana nokuSebenza okuPhezulu / iiFlyer Syndrome
Iiprogram ezisetyenziswayo eziphezulu zikhangele iiflaya kunye nezinye izigulane eziphindaphindiweyo zokutyelela kunye nokusebenzisana nabo ukuba zibaqondise ekunyamekelweni kangcono ukuze babe nokusetyenziswa okungaphantsi. Nazi izibonelo zeenkqubo eziphezulu zokusebenzisa:
I-Camden Coalition yabanikezeli bezeMpilo: Le nkqubo inomthombo wayo ekudwebeni imephu ebushushu apho izigulana ezithe zafika kwizibhedlele zaseCamden, eNew Jersey zivela. Bafumanisa ipesenti enye yabantu abasebenzisa izibhedlele zeCamden ngeepesenti ezingama-30 zeendleko zayo. Baye benza uludwe lweeflaya eziqhelekileyo ngokuthetha nabasebenzi bezentlalo kunye noogqirha. Bhalisa izigulane kwaye baqhuba ukutyelela ekhaya kunye neefowuni zeefowuni ukubonelela ngononophelo lwezempilo kunye nokukhusela iindwendwe zamagumbi eziphulo. Izigulane ezibhalisiweyo zisebenza kunye neqela elisekelwe kuluntu malunga neentsuku ezingama-90, ukujongana nemithintelo yokuziphatha neyentlalo kunye nemiba yonyango.
Urhulumente waseOregon waqalisa inkqubo ngoJulayi 2012 ukubonelela ngononophelo kwizigulana ezihamba phambili ezigulanayo. Ii-CCO zijolise ekukhuseleni nasekuncediseni abantu ukulawula imeko engapheliyo. Zijolise ekunciphiseni ukutyelela kwamagumbi okuphuthumayo njengemiphumo esisodwa.
Imithombo:
U-Hunt, K., Weber, E., Showstack, J., Colby, D., & Callaham, M. (2006). "Iziganeko zabasebenzisa rhoqo iiSebe lezongxamisekileyo.
Jacobs, BJ, et al. (2012). Ukuphunyezwa kweModeli yokuSebenzisana ephezulu yeBrenner (i-PowerPoint slides]. IQumrhu leNtsapho ye-14 yeNkomfa yonyaka, ngo-Oktobha 4-6, 2012.