Mmene Tingakhalire ndi Ubale Wabwino pakati pa Achipatala ndi Ogwira Ntchito Dokotala
Ogwira ntchito pang'onopang'ono anasintha pang'onopang'ono zaka khumi zapitazi pokhala odzigwira okha kuti azigwiritsidwa ntchito ndi zipatala kapena machitidwe a zaumoyo. Zimenezi sizikuoneka ngati zodziwika kwa madokotala atsopano, omwe mwina anayamba ntchito zawo monga antchito. Komabe, madokotala odziwa zambiri angakhale akuvutika ndi kusintha kuchokera kwa mwiniwake kapena mnzanu kwa wogwira ntchito.
Madokotala ena amene akhala akugwira ntchito zawo monga mwini yekha kapena wogwirizana nawo tsopano akudzigwira ntchito ngati antchito , ndikudziwitsa kwa bwana kapena woyang'anira mwa njira ina.
Kuonjezera apo, madokotala ochulukirapo ambiri amaopa kusintha kwa umwini wamalonda kuti agwire ntchito monga antchito, ambiri olamulira chipatala mwinamwake akusangalala mofanana ndi udindo wowonjezera wa kuyang'anira antchito a madokotala olemba ntchito.
Izi ziyenera kuti zinayambitsa zowawa zina zomwe zikukula kumbali zonse za tebulo. Ndiye kodi oyang'anira chipatala ndi otsogolera otsogolera akulimbana ndi ntchito yatsopano yowonjezera yokhudzana ndi kuyang'anira antchito awo a udokotala, pokhalabe ndi moyo wabwino komanso malo abwino ogwira ntchito kwa madokotala awo? Izi zingakhale zovuta makamaka kwa madongosolo ang'onoang'ono omwe ali ndi zochepa zochepa, kapena omwe ali kumidzi.
Mankhwala Otsogolera Njira Zogwirira Ntchito Kuti Azigwira Nawo Odwala
Kuti mupeze mayankho a momwe mungagwirire ntchito ndi kuthandizira ogwira ntchito zachipatala, otsogolera omwe akusowa malangizo angayang'ane ku zipatala zina ndi machitidwe a zaumoyo omwe apambana ndi ntchito ya udokotala ndi kusungira mpaka pano.
Mwachitsanzo, Southern Tennessee Regional Health System ku Lawrenceburg, TN ikupereka njira zosiyanasiyana ndi mapulogalamu kuti apindule ndi madokotala ake.
Pofuna kusunga madokotala, akuluakulu a boma "amawaphatikizira pakupanga chisankho, kukonza ndondomeko, ndi zikondwerero zonse zazing'ono ku HCAHPS ndi zolinga zomwe zakhazikitsidwa kuti kampaniyo ipeze," anatero Tina Holt, chitukuko cha malonda ku STRHS.
Atafunsidwa kuti ali ndi malo abwino ogwira ntchito, madokotala amakhulupirira kuti STRHS "ali ndi gulu lalikulu lachipatala lomwe limagwirizana ndi madokotala nthawi zonse. Iwo amapereka chithandizo pa nkhani za ofesi kuti atsimikizire kuti dokotala akuchita bwino. "
Ngakhalenso kuthandizidwa kwambiri ndi chipatala ndi anthu ammudzi, ndondomeko ndi njira zina zikhoza kukhala zovuta kugulitsidwa kwa madokotala, makamaka madokotala omwe amagwiritsidwa ntchito kukhala ndi ufulu wambiri monga mwini mwini wawo. Olemba ntchito zachipatala angapange bwanji madokotala kugula mizere yatsopano, machitidwe, kapena ndondomeko ndi njira?
"Tili ndi zomwe timachitcha kuti PEG (Physician Engagement Group) kuti gulu la opatsa limapereka chaka chilichonse," adatero Holt. Msonkhanowo umakhala ngati bwalo lolira kwa CEO. Misonkhano imachitikira kamodzi pa kotala kumsasa pa nthawi ya chakudya.
Makhalidwe ambiri aonjezera magulu awo ogwirizana ndi madokotala kuti athetse kulankhulana pakati pa madokotala ndi chipatala.
Ntchito Siingakhale Yankho Labwino kwa Onse Odwala Health kapena Madokotala Onse
Pamene zipatala zimagwiritsa ntchito madokotala, sizimangopita nthawi zonse monga momwe zinalinganizidwira kapena zogwirizana. Zimatengera zifukwa zingapo, kuphatikizapo dokotala komanso chiwerengero cha anthu. Dokotala wina akulumikizana m'chipatala chakumidzi, yemwe adalankhula ngati sakudziwika, ananena kuti njira imodzi yokhalira madokotala akumeneko akukondwera ndi "kubwerera kumka 1970."
Madera enawa ndi madokotala ambiri achikulire, kumidzi yakumwera chakum'mawa.
Mwachidziwitso, chifukwa cha msinkhu wa madokotala omwe akukhalapo komanso zaka zambiri monga eni eni eni, kusintha kwina kulikonse mu malonda, pamwamba pa kusintha komwe kumabwera ndi kusintha kwa kukhala antchito a chipatala, ndizochuluka kwambiri kuti madokotala ena azitenga nthawi ina pa ntchito zawo zachipatala.
Iye adanenanso kuti kugwiritsa ntchito madokotala kunalibe vuto kwa chipatala chake, kotero kuti chipatala cha chipatala chinasiya ntchito yogwirira ntchito patangopita ntchito akatswiri ochepa. Kuyambira pamenepo iwo adayang'ana kunja kwa makampani ndi ogwira ntchito kuti athe kusamalira akatswiri ogwira ntchito kuchipatala monga mankhwala odzidzidzidwa ndi anesthesiologists.
"Olamulira a chipatala adamva kuti akuyang'anitsitsa kwambiri komanso zina zofunika kuti agwiritse ntchito madokotala, choncho amagawaniza magulu angapo ndipo tsopano akugwiritsa ntchito madokotala angapo chabe," adatero, akuwonjezera kuti madokotala ambiri mwa iye midzi yatsutsa kukwaniritsidwa kwa EMR ndi zina zowonjezera pazochita zawo, komabe amakhala otanganidwa ndi opindulitsa. Chipatala sichikukakamiza madokotala kupanga zosintha izi kapena kusintha machitidwe awo, monga madokotala sakugwiritsidwa ntchito ndi chipatala.
Popeza ogwira ntchito kuchipatala satha kubwerera nthawi kuti athetse madokotala awo kuchipatala, iwo "amayesetsa kupereka chithandizo chochuluka monga momwe angathere, malonda, antchito, zothandizira, mizere yatsopano yothandizira ndi zipangizo , ndi zina zotero, komanso tichite chilichonse chomwe tingathe kuti tipewe kuchuluka kwa kayendetsedwe ka ntchito monga momwe tingathere, popeza izi zikuwoneka kuti ndizovuta kwa madokotala athu ambiri. "
Ngakhale zovuta m'mabuku angapo, ntchito ya udokotala ikuwoneka ngati njira yomwe ikukhalapo. Mwachitsanzo, 92 peresenti ya madokotala anaikidwa ndi The Medicus Firm, dokotala wolemba kafukufuku wothandizira , analembedwera ndi zipatala monga antchito, osati kuikidwa paokha. Jim Stone, pulezidenti wa The Medicus Firm, anati: "Masiku ano, mwina pafupifupi 80 mpaka 90 peresenti ya odwala athu akanaikidwa m'malo opangira okhaokha."
Mwala umangowonjezera kuti kafukufuku wam'mbuyo wakale amene adachitapo kafukufukuyo wapanga kale kuti madokotala amangofuna ntchito osati zofunikira, osati chifukwa chakuti safuna kukhala ndi ufulu. "Komabe, madokotala atsopano amene alowa ntchito zaka zitatu kapena zisanu zapitazi, sakudziwa chilichonse chosiyana. Anayamba ntchito zawo zachipatala ndi ACA, EMRs, ndi madokotala-monga antchito akuyenda kale , kotero izi ndizozoloŵera zawo. " Chifukwa chake, malonda ndi ntchito zomwe zimachititsa kuti madokotala omwe akudziwa bwino asokonezeke maganizo, sizinayambitse madokotala atsopano, Stone adamaliza.
Kodi Madokotala Amene Akugwiritsidwa Ntchito Amapindula ndi Thandizo Labwino?
Palibenso maphunziro ambiri omwe akupezeka momwe ntchito ya udokotala imakhudzira ubwino wa chisamaliro cha odwala. Komabe, monga ndi mafakitale aliwonse, antchito okondwa ndi antchito ogwira ntchito, ndipo zomwezo ndi zoona kwa madokotala. Ngati dokotala akudandaula za ntchito yake, mwina sangakhale bwino kapena apamwamba kwambiri.
Nyuzipepala ya 2017 CNN inavomereza kuti kugwiritsa ntchito madokotala, kuphatikizapo kusintha kumene kunabweretsa ndi Care Affordable Care Act (ACA, yemwenso amadziwika kuti Obamacare), walola kuti zipatala zizilipiritsa ndalama zambiri kuti zichitike chimodzimodzi, zochitidwa ndi dokotala yemwenso, chimodzimodzi chipinda chogwiritsira ntchito pamene iwo analamula pamene dokotala anati anali payekha. Sichikudziwika bwino chomwe chingachitike pofuna kuchepetsa mavuto azachuma a ntchito zachipatala pa gulu la odwala.
Chinsinsi chikuwoneka kukhala kupeza malire abwino pakati pa antchito achidwi osangalala, opindulitsa, osamalira odwala, ndi zipatala zabwino.
Kodi Tizipatala Tiyenera Kuganizira Madokotala Choyamba?
Zipatala zambiri zimadziwika kuti zimayang'ana odwala poyamba. Inde, cholinga chachikulu cha chipatala chiyenera kukhala nthawi zonse kusamalira odwala ake kuposa zonse. Komabe, gawo la mgwirizano umenewu ndikumapereka chisamaliro chapamwamba kwambiri, ndipo madokotala amafunika kuti achite zimenezo. Tsopano zipatala ndi olemba ntchito a madokotala, zipatala zambiri zingafunikire kusintha mphamvu zawo ndikugwiritsira ntchito mphamvu zina kuntchito yake. Richard Branson, munthu wamba komanso bwana wamalonda wotchuka, wakhala akutchulidwa kwambiri kuti makasitomala alibe kanthu-antchito amachita. "Timasamalira antchito, ndipo amasamalira makasitomalawo," Branson watchulidwa motero.
Kodi zingakhale zofanana ndi zipatala, madokotala, ndi odwala? Anthu ambiri sasamala kuyerekeza zipatala ndi makampani kapena kuyerekeza odwala kwa makasitomala. Komabe, pali kufanana, ndipo zipatala sizingathe kupereka chisamaliro chabwino kwa odwala awo popanda madokotala.
> Zotsatira:
> The Medicus Firm, 2017 Chidule cha Kukhazikitsa Kwachidwi Report, February 2017.
> LaMott, S, "Kodi Madokotala Amalingalira Zotani Zopindulitsa," CNN.com, January 17, 2017.