Zipinda Zowopsa Ziyenera Kusindikiza ndi Kukhazikika Ngakhale Zilibe Mphamvu Zopereka
Mu 1986, boma la United States linapereka Chithandizo cha Emergency Medical and Labor Act (EMTALA). Izi zimafuna chipatala chilichonse chomwe chimalandira malipiro kuchokera ku Medicare kuti chisamalire wodwala aliyense yemwe akufika ku dipatimenti yake yosayembekezereka kuchipatala, mosasamala kuti wodwalayo ali nzika, ufulu walamulo ku United States kapena kuthekera kwa ntchito.
EMTALA imagwiritsira ntchito ambulansi ndi chisamaliro cha chipatala.
EMTALA inakhazikitsidwa kuti ithane ndi "kupuma kwa odwala," kukana kuchitira anthu omwe sankatha kulipira chithandizo chaumoyo. Icho chimatsimikizira awo omwe alibe njira zosakwanira sadzachotsedwa ku chithandizo chamankhwala chodzidzimutsa. Akuti 98 peresenti ya zipatala zonse za ku United States amagwira ntchito ku Medicare kotero kuti makamaka lamulo limaphimba pafupifupi zipatala zonse.
EMTALA ili mu Consolidated Omnibus Budget Reconciliation Act (COBRA) ndipo ikugwiritsidwa ntchito ndi CMS, Center for Medicare Services.
Ntchito Zamalamulo Zachipatala Mu lamulo la EMTALA
- Kuyeza Zofufuzira Za Zamankhwala : Aliyense amene akufika kuchipatala chodzidzimutsa ayenera kuchipatala kukayezetsa mankhwala kuti adziwe ngati akudwala mwamsanga. Lamulo limanenanso kuti izi ziyenera kuchitidwa mosasamala kanthu za ndalama kapena inshuwalansi za wodwalayo, pofuna kukhala patsogolo pokhapokha pazofuna zachipatala. EMTALA ali ndi matanthauzidwe ovomerezeka a "matenda opatsirana" ndi mawu akuti "kukhazikika." Kuwonjezera apo, CMS imanena kuti izi zikugwiritsidwa ntchito ku malo aliwonse omwe amapereka chithandizo chadzidzidzi, osati kungofuna zipinda zoyenera. Ngati kafukufuku wa zamankhwala akupeza kuti palibe vuto lachipatala, sakufunikira kupereka chithandizo chamankhwala.
- Kulimbitsa kapena Kutumiza : Ngati matenda alipo mwadzidzidzi, mkhalidwe wa wodwalayo uyenera kuchitidwa kuti ukhale wosasunthika kapena kupita ku malo oyenera. Chipinda chodzidzimutsa sichingotumiza kunyumba yodwala ndi vuto limene likuyembekezeka kupitirirabe. Wodwala ayenera kudziwitsidwa za kusamutsidwa kulikonse ndi kuvomereza . Wodwala akutumizidwa kunyumba mosasinthasintha kapena kutumizidwa ku chipatala chomwe alibe malo ogwiritsira ntchito matenda awo angakhale ndi malamulo pansi pa EMTALA.
- Mzipatala ndizofunikira kutenga malipiro a mautumiki apadera: Izi zikugwirizana ndi kachitidwe kotsutsana, komwe zipatala zogwirira ntchito, monga chipangizo chowotcha, zimangolandira odwala omwe angathe kulipira. Pansi pa EMTALA, ayenera kutengapo mbali iliyonse yoyenera. Komabe, lamulo limapereka chiganizo chothawa. Ayenera kuvomereza kusamutsidwa ngati ali ndi mphamvu. Ngati alibe mabedi otseguka kapena ali kale paululansi, iwo sayenera kutengeka. Komabe, ngati atauza chipatala kuti apemphere kuti adziwe kuti ali odzaza koma wodwalayo amatumizidwa kwa iwo (kutaya) ayenera kumulandira wodwala akadzafika. Akhoza kulengeza chipatala chotumizira kuti akachitire zolakwa za EMTALA.
EMTALA Silikupereka Thandizo Labwino
Ngakhale kuti zipatala zimafunika kufufuza ndi kuchiza odwala pansi pa EMTALA, ntchito zawo sizimasuka. Angapereke ndalama kwa wodwalayo ndi kuwasankhira pa ngongole zopanda kulipira. Iwo safunikira kupereka chithandizo chamankhwala otha msinkhu atatha kumwa, koma ayenera kuwatumiza kuchipatala ndi mapulogalamu omwe angawathandize pa mtengo wotsika kapena kwaulere. Mazipatala sangakane kulandira odwala omwe akubwera pansi pa EMTALA omwe ali kale ndi ngongole.