Zowonjezera Zowonjezera Zimamasulidwa ku Ndalama Zambiri kwa Achipatala Ambiri
Monga ngati akatswiri a zaumoyo sadali ofunikira kwambiri, magwero ambiri akuwonetsa zochitika zomwe zikusonyeza kuti Affordable Care Act (ACA) ikuwonjezeranso kufunikira kwa ogwira ntchito zaumoyo ochuluka. ACA, yomwe imatchedwanso Obamacare kapena kukonzanso zaumoyo, ndi nkhani zambiri zomwe zimafunikanso makamaka madokotala ndi anamwino, ndipo mwinamwake zimachititsa kuti zofooka ziwonjezeke m'madera ena a dziko, makamaka pa ntchito zoyamwitsa.
Zifukwa Zomwe ACA Akufunira Zowonjezera Ogwira Ntchito zaumoyo
Njira imodzi yomwe ACA ikufunira kuwonjezera ndi kuchepetsa chiwerengero cha anthu m'dzikoli omwe sagwiritsidwe ntchito ndi ndondomeko ya chithandizo cha zaumoyo. Powonjezera chiwerengero cha inshuwalansi, izi, zowonjezera, zimapanga zofuna zina zowonjezera zaumoyo. Zina mwazinthu, kuphatikizapo Yunivesite ya Bradley, zimalongosola mlingo wosatetezedwe wokwana 9.2 peresenti, umene uli wotsika kwambiri muzaka 50. Lipoti lawo lofotokoza za zotsatira za ACA pa okalamba ndi olemba sukulu a sukulu ya anamwino akuti "kukhazikitsa kwa ACA kuli mwayi wapadera kwa apolisi a APRNs (Advanced Practice Nursed Nurses) kuti athandizire maudindo awo popereka chithandizo choyamba ndi kulimbikitsa ntchito zoteteza anthu . "
Kukula ndi kutchuka ndi madokotala azinesi mapulogalamu (DNP), malinga ndi University of Bradley infographic. "Dokotala wa a Nursing Practice (DNP) anamwino apititsa patsogolo luso la chidziwitso ndi kulengeza," lipotilo likunena, poona kuti ophunzira 18,352 analembetsa maphunziro a DNP mu 2013-2014.
Kukula mu Umoyo Wathanzi
Kuphatikiza pa kusowa kofunikira pa chisamaliro chapamwamba, chisamaliro cha umoyo ndikumverera kuti akufalikira kuntchito, potsirizira kwa ACA. Pofuna kuthana ndi zofuna zowonjezereka, masukulu ambiri ndi mapulogalamu ochulukitsa ku uphungu ndi khalidwe labwino. Malinga ndi yunivesite ya Bradley, pafupifupi theka (47.4 peresenti) ya ku America adzakhala ndi vuto linalake m'moyo wawo.
Chiwerengero cha matenda a m'maganizo ku United States ndi chimodzi chapamwamba kwambiri padziko lapansi, malinga ndi World Health Organization (WHO).
Ophunzira Ophunzira Zipatala
Olemba ntchito ambiri ndi malo othandizira zaumoyo akuyang'ana kwa opititsa patsogolo, monga a NPs (a nurse practitioners) ndi a PAs (othandizira madokotala) kuti athandize kukwaniritsa zofunika pa chisamaliro chapadera ndi thanzi labwino. Maphunziro apamwamba a zachipatala amapezeka kale ndi zofuna zawo ndikulemba ntchito, makampani angapo akulembera akupoti. Mwachitsanzo, The Medicus Firm, yemwe ndi dokotala wa chipatala komanso woyang'anira chipatala chapamwamba chofufuza kafukufuku, akuwonetsa kuchuluka kwakukulu kwa ntchito yosungira anthu omwe si achipatala mu 2014 ndi 2015, malinga ndi kafukufuku wawo wapachaka pa ntchito yolemba ntchito. Mu 2015, operekera chithandizo cha opititsa patsogolo anawonjezeka kukhala 8.3 peresenti ya malo onse ogulitsa makasitomala kudziko lonse, kuyambira pa 6,34 peresenti chaka chatha, ndi 1,32 peresenti mu 2012. Mu 2015, Physician Assistants anali gawo lachinayi loperekedwa kwambiri ndi makasitomala a The Medicus Firm .
Kodi Kuwonjezereka Kwambiri Kumakhudza Bwanji Mphamvu ya Zaumoyo kwa Odwala
Chifukwa chosowa chochuluka ndi kusowa kwaumphawi kumabwera mkhalidwe wa malipiro owonjezereka.
Kufunira ndi malipiro kwa madokotala ndi opaleshoni apamwamba akuchipatala akhala akukwera mmwamba kwa zaka zingapo. Kuonjezera apo, kuchuluka kwa kusayina mabhonasi kwachititsa kuti madokotala ayambe kuyembekezera pamene akulembedwanso, ndi makumi asanu ndi limodzi mwa magawo makumi asanu ndi limodzi (70%) omwe amaphatikizidwapo ndi bonasi yosayina. Malinga ndi lipoti la Medicus Firm's placement, chiwerengero cha bonasi cholemba dokotala chakula pafupifupi $ 23,663, ndipo akatswiri ena akulamulira mabhonasi a masabata asanu ndi limodzi a $ 100,000 mpaka $ 250,000.
Posachedwapa, kusindikiza mabonasi a NPs ndi PAs sikudamveka, koma posachedwapa kugwiritsa ntchito ma bonasi kusindikiza anthu ogwira ntchito akuchipatala akulandira ntchito akukhala malo wamba.
Bonasi yachinsinsi yolembetsa ya PAs inali $ 6,250 mu 2015, oposa theka la $ 3,000 pafupifupi zaka ziwiri zisanachitike.
Kuwonjezera pa kusaina ma bonasi, amapitsidwanso kuti athandizidwe ndi ndalama zokasamukira kumalo atsopano, ndipo kubwezeredwa kwa ngongole kwa ophunzira amakhalanso otchuka kwa madokotala, omwe nthawi zambiri amayamba ntchito yawo ndi $ 150,000 - $ 250,000 pa ngongole ya ngongole ya ophunzira.
Sikuti zonsezi zimachitika chifukwa cha kusintha kwa thanzi. Chifukwa cha ukalamba ndi chitukuko cha mankhwala, kufunika kwa chithandizo chaumoyo kunali kale kwambiri, ndipo kukhazikitsa kwa Affordable Care Act mwinamwake kuonjezera zofunikira pochititsa Ambiri ambiri kupeza inshuwalansi ya umoyo. Komabe, kumadera ena akumidzi, makamaka m'madera omwe amafunidwa kwambiri, omwe atchulidwa pamwambapa, monga chisamaliro chapamwamba, ndi thanzi labwino, kukhala ndi chithandizo sikutanthauza kupeza mwayi kwa dokotala , chifukwa cha kusoĊµa kwa madera ambiri ndi zina. Choncho, kuwonjezera kuchulukitsa kwa opititsa patsogolo ntchito zachipatala komanso kupeza njira zina zowonjezeretsera ogwira ntchito (telemedicine, ndi zina zotero) ndizofunikira kwambiri pokwaniritsa zofuna za chithandizo chamankhwala.
Dokotala Wopereka Misonkho Amakwera Kumwamba
Misonkho ya odwala inasonyeza kuwonjezeka kwazipadera zambiri za 2015, malinga ndi malipoti a 2016. Bungwe la Medical Group Management Association (MGMA), komanso makampani angapo olemba ntchito, adalengeza kuti kulipira kwa madokotala ambiri muzipadera zambiri kuyambira 2014 mpaka 2015.
Zotsatira za malipiro a Medicus Firm zinasonyeza kuwonjezeka kudutsa gululo kwa nthawi yoyamba nthawizonse, malingana ndi Jim Stone, pulezidenti. "Zonse zapadera zinanena zawonjezeka kuchokera ku 2014 mpaka 2015, zomwe ndizo zoyamba kufufuza kwathu pachaka," adatero. "Ngakhale kuti malipiro ambiri awonjezeka m'zaka zingapo zapitazi za kafukufuku wathu wa pachaka, panali zaka zingapo zomwe zinawonetsa kuti pang'onopang'ono zikukula, ndipo nthawi zina zimakhala zochepa pazinthu zina zapadera. Ichi ndi chaka choyamba ndikukumbukira Zonse zapadera zomwe zimawonjezera kuwonjezeka kolipiridwa, "Stone anamaliza.