Kuyeza Chisamaliro Chimene Mwachilandira Pakhomo
The Affordable Care Act ya 2010 inapanga chipatala cha chipatala chomwe chimayang'ana pa kusamalira ndi kukonzanso zapamwamba zokhutira ndi matenda. Monga gawo la polojekiti yayikulu yotchedwa Partnership for Patients, kuganizira za ubwino wa chisamaliro kumakhudza momwe zipatala zimalipilira odwala a Medicare . Mazipatala akukakamizidwa kuti apititse patsogolo ntchito yawo kwa odwala kapena chiopsezo chotaya ndalama za Medicare.
Popeza ogulitsa inshuwalansi amatsatira chithandizo cha Medicare, akuyembekezeranso kuti, potsirizira pake adzagwirizanitsa zowonjezera ndi kukhutira kwa odwala. Izi zikutanthauza kuti pakapita zaka zochepa, odwala onse adzapindula ndi kutsindika kwatsopano pa kukhutira mmoyo.
Chipatala Chimatsatira Miyezo Yothandiza
Apa ndi momwe zimagwirira ntchito: Pamene odwala ali m'chipatala, pali ntchito zina zomwe zimayesedwa kuti ziwone momwe angasamalire. Ntchito zambiri zimagwirizana mwachindunji ndi miyezo ya chisamaliro. Mwachitsanzo, wodwala amene akufika kuchipatala pakati pa matenda a mtima ayenera kulandira "mankhwala othandizira mankhwala" (mankhwala omwe amasungunula magazi) mkati mwa mphindi 30, kapena mankhwala opha tizilombo ayenera kuperekedwa kwa wodwala mkati mwa ola limodzi la opaleshoni kuti achepetse chiopsezo cha wodwalayo kupeza matenda opatsirana opaleshoni.
Pano pali chitsanzo cha zomwe kafukufuku angawonekere komanso mafunso omwe akufunsidwa.
Miyezo ya chisamaliro imatchedwanso njira zabwino zamakono, ndi mbali imodzi yofunikira kwambiri ya khalidwe. Komabe, odwala kuchipatala nthawi zambiri samadziwa ngati iwo akutsatiridwa ndipo kawirikawiri samadziwa ngati angafunse za iwo. Choncho, kukhutira mwachidwi nthawi zambiri sikudalira iwo, ndipo pokhapokha ngati wodwala kapena banja atapeza kuti sizinatsatidwe komanso kuti wodwalayo akuchepetsedwa kapena wodwalayo afa, zotsatira zake, odwala sangadziwe ngati zikhalidwezo adatsatidwa.
Udindo wonse wa kuyeza ngati miyezoyi ikutsatiridwa idzapita kuchipatala.
Kufufuza Kokhutira Wodwala
Odwala omwe amadziwa, ndizo zoyezera zomwe timakumana nazo. Kulankhulana ndi anthu ogwira ntchito kuchipatala, kumvetsetsa pamasamba opweteka, kufotokozera za mankhwala, malangizo okhudzidwa .... Izi ndizo zonse za chithandizo cha chipatala chimene odwala amachiwona - kapena osachidziwa - kuti tingathe kudziwerengera tokha.
Kuti tione momwe odwala timakhutira ndi momwe timasamalirira, odwala amafunsidwa mwachisawawa. Mafunso ofufuzirawa amafunsa odwala momwe aliri okhutira ndi ena kapena zinthu zonse zotsatirazi:
- Amwino kwambiri amathandizidwa ndi odwala
- Madokotala amathandiza kwambiri odwala
- Ogwira ntchito kuchipatala anafunikira zosowa za odwala
- Ndibwino kuti odwala azisamalidwa bwino
- Omwe akusamalira bwino (kutchula ogwira ntchito kuchipatala) amawafotokozera odwala mankhwalawa
- Momwe zinaliri zoyera ndi zotonthoza chipatala chinali
- Omwe akusamalira bwino anafotokozera njira zomwe odwala komanso mabanja ayenera kutengera kuti azisamalira okha kunja kwa chipatala (ie, malangizo okhudzidwa)
Ngati mwakhala m'chipatala, mukhoza kulandira imodzi mwazifukufukuzi.
Nazi malangizo ena omwe angakwaniritse chimodzi mwazofukufuku za odwala.
Mu October 2012, Medicare idapatsa mpata zipatala zabwino kwambiri ndi mabhonasi - ndalama zomwe zinapulumutsidwa mwa kusabwezera madokotala ndi zipatala chifukwa cha zolakwitsa zomwe adazipanga kapena kupulumutsidwa kupyolera mu zochepetsera zina.
Kodi Njira Yoyamba Ikuthandizani Bwanji Kukhutira Odwala?
Pambuyo pazidziwikiratu zomwe zimapangitsa kuti odwala azidziwe bwino muzipatala, komanso zokhudzana ndi mauthenga atsopano, odwala adzayambanso kuona ulemu watsopano kuchokera kwa ogwira ntchito kuchipatala.
Zomwe odwala sangawonongeke ndizochitika zachipatala zomwe zimayendera njira yatsopano yopereka ndalama chifukwa sitingamvetsetse mankhwala omwe amachokera.
Kaya ali ochita bwino kapena ayi, ndipo ngati ali olembedwa bwino, amasiyidwa kwathunthu kwa ogwira ntchito kuchipatala. Ngati chipatala chimafuna kusewera masewerawa, zidzatero, ndipo pali ocheperako omwe odwala angathe kuchita kuti athane nawo. Kulemba ngongole, kulembera, kulembera ndi kuchipatala kumachitika tsiku ndi tsiku m'mzipatala. Cholinga ichi sichidzawapangitse kukhala olondola kapena owonamtima kuposa momwe aliri lerolino ndipo akhoza kukopa ena kuti asakhale owona mtima.
Zolakwitsa zilizonse ndi zojambula zojambula zidzakhudza zolemba zathu, kotero mpaka momwe inu, wodwalayo, mungapezere zolemba zanu zachipatala ndikuwongolera ngati pakufunikira , zomwe zingakhale zothandiza ngati mukufunikira chithandizo pambuyo pake.
Gawo limodzi lachidziwitso kuchipatala silingakhoze kusewera lidzakhala mayankho omwe odwala amapereka ku kafukufuku wawo mafunso okhudza zomwe anakumana nazo (monga momwe tawonetsera pamwambapa). Zambiri mwa zofukufukuzi zidzakhala mtundu wina wotchedwa HCAHPS (Ogwiritsira Ntchito Chipatala cha Odwala Health and Providers) omwe amatchulidwa "H-caps").
Kufufuza koyamba kwa HCAHPS kunayambika kuyambira mu 2006. Maphunziro oyambirira a chipatala anauzidwa ku Dipatimenti ya Zaumoyo ndi Human Service's Hospital Compare webusaiti ya 2008. Ndipotu, chipatala chikuyerekezera webusaitiyi, kuphatikizapo zipatala zambiri zomwe zatengedwa kuchokera pazofukufuku, Chida chimodzi chosankhira chipatala chabwino kwambiri kwa inu .