Momwe Ntchito Yodziimira Panyumba Yakagwirira Ntchito imagwirira ntchito
M'dziko langwiro, anthu amapita kukaonana ndi dokotala asanasowe thandizo la chipatala. Pakhoza kukhalapo njira zothandizira kuti athe kuchepetsa chiopsezo cha matenda aakulu a munthu kuti asatuluke. Centers for Medicare ndi Medicaid Services (CMS) yakhala ikukonzekera kusamalira chisamaliro pamene kuchepa kwa maulendo obwera mwadzidzidzi ndi kulandiridwa kwa chipatala.
Kumene Mankhwala Amakono Akulepheretsa Okalamba
Mu 2010, anthu oposa theka la America anali ndi matenda osachepera awiri omwe ali ndi chiwerengero chimenecho chikuwonjezeka kwambiri kuposa 63 peresenti kwa iwo oposa 65 ndi 83 peresenti kwa iwo oposa 85. Vuto sililiyense amene angasamalire amafunika ku ofesi ya dokotala.
Kwa omwe ali ofooka kapena ogona, omwe amafunikira chithandizo chamankhwala kwambiri, zingakhale zovuta kuti ngakhale atuluke kunyumba kwawo. Kwa ena, kuvuta kwa zikhalidwe zawo zambiri kungakhale kwautali kuposa kawirikawiri kukafika ku ofesi ya ofesi. Dokotala angafunike kuti abwere nthawi zingapo kuti akhale ndi nthawi yokwanira yothetsera mavuto onsewa.
M'dziko lenileni, madokotala akuyesetsa kuti agwirizane ndi odwala ochulukirapo m'ndondomeko yawo yotanganidwa. Pamene odwala sangathe kuwona, odwala akhoza kudzipeza okha m'chipinda chodzidzimutsa kuyesera kupeza chithandizo mwamsanga, chisamaliro chomwe chili choposa kwambiri kuposa chomwe chingaperekedwe pakamwa.
Kubwereranso kwa Nyumba
Pogwiritsa ntchito mtengo wodalirika wa ntchito ( Obamacare ) mu 2010, mamiliyoni ambiri a ku America omwe sali ovomerezeka tsopano ali ndi mwayi wopeza chithandizo chamankhwala. Aphwanyidwa nthawi, madokotala akuyesera kuona odwala ambiri panthawi yochepa kuti akwaniritse zofunazo. Izi zimasiya nthawi yochepa yoitanitsa nyumba. Mu 2013, 13 peresenti yokha ya madokotala a banja adayitanira kunyumba mlungu uliwonse ndipo 3 peresenti yokha, nyumba ziwiri zimatchula sabata.
The Affordable Care Act inathandizira kukhazikitsa Pulogalamu ya Independence kunyumba kuti awalimbikitse madokotala kuti apange nyumba zambiri. Madokotala omwe amasunga ndalama kwa Medicare pokhala akulitsa chisamaliro cha chisamaliro akhoza kutenga nawo ma bonasi a ndalama.
Pulogalamu yoyendetsa zaka zitatu inalembetsa machitidwe 17 osiyanasiyana m'dziko lonse lapansi kuti apereke chithandizo kwa amayi kwa a Medicare omwe anali ndi matenda ambirimbiri. Kulembetsa, ntchito iliyonse inkayenera kusamalira odwala 200 odwala kudzera mwa dokotala kapena namwino . Pulogalamu yonseyi inasamalira oposa 8,400 Medicare opindula.
Ubwino wa Maitanidwe a Nyumba
Kudziimira Pakhomo kunasonyeza zotsatira zabwino m'chaka chake choyamba, kupulumutsa $ 3,070 pa Medicare wopindula ndi $ 25 miliyoni. Mwazochita 17 zokambirana, 12 kusungira ndalama kwa odwala awo, 9 njira zoyenera kupeza ndalama mabonasi ndipo onse a iwo apititsa patsogolo chisamaliro cha odwala pafupifupi osachepera atatu magulu. Zotsatira zinayi zokha zinali ndi zolinga zazitsulo zonse zisanu ndi chimodzi.
Chofunika kwambiri, miyoyo ya odwalawa inakhudzidwa bwino. Panali zowerengeka zowerengera zachipatala , zotsatira zowonjezereka zotsatila zachipatala , kupenda bwino kwa mankhwala komanso kuchepa kwa ntchito zachipatala kuti zikhale zosamalidwa.
Ino si nthawi yoyamba kuitana nyumba kuti asonyezedwe kuchepetsa ndalama ndi kusamalira chisamaliro. Phunziro la 2014 mu The Journal of the American Geriatrics Society analongosola pulogalamu ya pakhomo pakhomo yosamalira odwala 722 pazaka ziwiri. Kusungidwa kwa wodwala kunawerengetsa ndalama zokwana madola 4,200 pa chaka ndi kuchepa kwa chipatala ndi maulendo obwera mwadzidzidzi ndi 9 peresenti ndi 10 peresenti motsatira.
Kuitana kunyumba kumapangitsa kusiyana. Pamene pulogalamu ya Independence Home ikupitiriza zaka ziwiri, yang'anani kupeza madokotala ambiri kunyumba yomwe ili pafupi ndi inu.
Zotsatira:
Maofesi a Medicare ndi Medicaid Services. Ndalama zosamalidwa bwino zothandizira ndalama zimapulumutsa ndalama zoposa $ 25 miliyoni mu chaka chogwira ntchito yoyamba. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-06-18.html. Idasindikizidwa pa June 18, 2015.
Maofesi a Medicare ndi Medicaid Services. Zochitika Zolimbana Pakati pa Medicare Othandizira, Chartbook: Edition la 2012. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf.
De Jong KE, Jamshed N, Gilden D, Kubisiak J, Bruce SR, Taler G. Zotsatira za Kusamalidwa Kwapakhomo kwapakhomo pa Matenda a Medicare Okhudzidwa ndi Akuluakulu Oopsya. Journal ya American Geriatrics Society. October 2014, 62 (10): 1825-1831. http://onlinelibrary.wiley.com/doi/10.1111/jgs.12974/full.