Kutsegula njira zoyankhulirana pofuna kukonza chisamaliro cha odwala
Kusinthana kwa zaumoyo wathanzi (HIE) ndi kusinthana kwachinsinsi kwa mauthenga a zachipatala pakati pa mabungwe ena othandizira thanzi. Cholinga cha HIE ndi kulola odwala ndi odwala kuti adziwe zofunikira zaumoyo wathanzi, panthawi yoyenera pamalo abwino, kuti apereke kapena athandize kusamalira bwino. HIE imakhazikitsidwa pamene gulu la mabungwe likutsatira miyezo yovomerezeka yogawana uthenga wa zaumoyo zamagetsi.
Mazipatala, zipatala, mankhwala, ndi ma labiti angathe kugwirizanitsidwa ndi HIE kumalo, chigawo, kapena dziko.
Popanda HIE, mauthenga amatsekedwa mu mauthenga azachipatala a bungwe la Edzi (EHR) kapena njira zina zowunikira, zomwe zimapangitsa kuti zikhale zovuta kuti madokotala azipeza deta yokhudza odwala omwe athandizidwa ndi mabungwe ambiri. HIE amalola opereka chithandizo chaumoyo m'mabungwe osiyanasiyana kuti awone ndikugawana uthenga wathanzi wa wodwala (mwachitsanzo, zizindikiro zofunika, zotsatira za mayeso, mankhwala) panthawi ya chisamaliro. Odwala angagwiritsenso ntchito HIE kuti athetse chidziwitso cha umoyo wawo.
Kodi HIE ili ndi liti?
Pali zochitika zingapo komwe kupeza chithandizo cha mankhwala kuchipatala kungakhale kothandiza kwa opereka chithandizo cha odwala ndi odwala:
- Odwala amachotsedwa kuchipatala china kupita kuchilendo china
- Wodwala amatumizidwa ku dipatimenti yowopsa pambuyo poyesedwa ku chipatala
- Wodwala amachotsedwa kuchipatala ndikutsata kuchipatala
- Oleza mtima amayenda kudutsa tauni ndikupeza wothandizira watsopano
Muzondomeko zonsezi, wodwalayo angakhale ndi chidziwitso cha thanzi chomwe chili mu EHRs cha malo oyamba omwe angakhudze mtundu wa chisamaliro chomwe amaperekedwa kuchipatala chachiwiri, ngati operekera okha atatha kuchipatala. HIE izi zimatheka.
Ubwino wa HIE
Kugawa deta kwa panthaŵi yake kungathandize othandizira ndi odwala kupanga zosankha zabwino pa nthawi yosamalira. Mapindu enieni a HIE ndi awa:
- Pewani kuwerenga kosafunikira
- Pewani kuyesedwa koyesedwa. Ngati ogwira ntchito amatha kuona zotsatira za mayesero atsopano, sayenera kuitanitsa mayeso
- Kusamalira kwapamwamba kwambiri.
Mwachitsanzo, phunziro la James Bailey ndi anzake linasonyeza kuti pamene opereka chithandizo chamankhwala m'mabenki opatsirana anagwiritsa ntchito HIE kupeza zolemba za odwala omwe ali ndi mutu, iwo sankakonza kafukufuku wamtengo wapatali (mwachitsanzo CT scans) ndipo amatha kutsatira umboni- Mfundo zofunikira zoyendetsera mutu.
Mitundu ya HIE
Pali mitundu itatu yaikulu ya HIE:
- Kutsogoleredwa Kusintha kumapereka othandizira azaumoyo omwe amadziwa ndi kudalirana wina ndi mzake kutumiza ndi kulandira chidziwitso chokhudza wodwala. Odzipereka amagwiritsanso ntchito njirayi kuti athe kupereka ndondomeko zapamwamba kapena deta.
- Kusinthana-Kusinthika Kuthandizira kumapereka opereka kupeza ndi / kapena kupempha zambiri za wodwala kuchokera kuzinthu zina.
- Consumer Mediated Exchange amalola odwala kupeza ndi kudzidziwitsa okha zaumoyo. Akhoza kugaŵana nkhaniyi ndi ogwira ntchito zaumoyo.
Chilolezo choleza mtima cha HIE
Mabungwe ali ndi njira zosiyana zothandizira odwala kuti aziwongolera ngati ndi momwe zidziwitso zawo zimakhalira kuti azigawana pakati pa mabungwe othandizira zaumoyo:
- Lowani: Zosayembekezereka ndizoti chidziwitso cha thanzi la odwala sichigawidwa. Odwala ayenera kufotokozera mwachidwi kufunitsitsa kwawo kugawana nawo zonse zomwe akudziŵa kapena gawo lake chabe
- Opt out: Chosowa ndichoti chidziwitso cha thanzi la odwala chimapezeka kuti ugawane. Ngati akufuna kuletsa kugawa zonse kapena gawo lawo lachidziwitso, odwala ayenera kufotokozera mwachidwi izi
- Palibe chilolezo: Zaumoyo wathanzi alipo kupezeka, ndipo odwala sangathe kutuluka.
Kuchuluka kwa momwe HIE ikukwaniritsirana kugwirizanitsa kudzakhudza kufunika koyenera pakati pa madokotala ndi odwala. HIE yodalirika yothetsera ngozi, khalidwe, luso, komanso mtengo wa chithandizo chamankhwala.
Kukhazikitsa malo a chigawo, mayiko, ndi a fuko kumafuna ndalama zambiri komanso mgwirizano wa anthu ambiri.
Zotsatira:
Bailey JE et al. Kodi kusinthanitsa mauthenga a zaumoyo kumachepetsetsa ubwino wokhudzana ndi matendawa komanso kumapangitsa kuti munthu asamalidwe bwino m'mutu mu dipatimenti yowopsa? J Gen Intern Med 2013; 28 (2): 176-83. Idapezeka pa June 6, 2014.
Ofesi ya National Coordinator for Health Information Technology. Kodi HIE ndi chiyani? Idapezeka pa June 5, 2014.
Health Resources ndi Services Administration. Kodi kusinthana kwa zaumoyo ndi chiyani? Kupezeka pa June 5, 2014.