Kuwedzera Kudiwa Kunoshandiswa Kune Mari Yakawanda Kwevamwe Vanachiremba
Sezvo kana vashandi vezvehutano vakanga vasati vagara vachitsvaga, mishonga yakawanda iri kureva maitiro anoratidza kuti Affordable Care Act (ACA) inowedzera kuwedzera kudiwa kwevashandi vakawanda vehutano. IAACA, iyo inonziwo Obamacare kana kuchinja kwehutano, ndeyezvikwata zvizhinji zvinowedzera kudiwa zvakanyanya kuna vanachiremba uye vanamukoti, uye zvichida zvichikonzera kushayikwa kuwedzera kune dzimwe nyika dzenyika, kunyanya kune zvekuchengeta rubatsiro rwekutanga.
Zvikonzero nei ACA Ichiwedzera Chikumbiro cheVashandi Vezveutano
Imwe nzira iyo ACA iri kuwedzera kudiwa ndeyokuderedza nhamba yevanhu vari munyika iyo isina kuvimbiswa nehutano hwekuchengetedza hutano. Nokuwedzera chikwata chekuchengetedzwa, izvi, zvakare, zvinoumba chido chekuwedzera kwehutano hwehutano. Dzimwe nzvimbo, kusanganisira Bradley Yunivhesiti, inoratidzira chikwata chisina kuvimbiswa chinosvika 9.2 kubva muzana, iyo ndiyo yakaderera zvikuru mumakore makumi mashanu. Mushumo wavo pamusoro pemigumisiro yeAACA yevashandi vanoyamwisa uye vanyori vekunyora chikoro chevadzidzi vanoti "kushanda kweAACA kunopa mukana usina kumboitika weAIDSN (Advanced Practice Registered Nurses) kutora mabasa ekutungamirira mukupa rubatsiro rwekutanga nekusimbisa mabasa ekudzivirira . "
Uyewo kukura mukuzivikanwa uye kudiwa kune chiremba wekuyamwisa maitiro mapurogiramu (DNP), maererano neBudley University inopographic. "Chiremba weUnited Practice Practice (DNP) vanamukoti vakapfuurira mberi ruzivo rwezvematongerwo enyika uye unyanzvi hwekudzivirira," mushumo unoti, achicherechedza kuti vadzidzi 18 352 vakanyoresa zvirongwa zveDNP muna 2013-2014.
Kukura muMental Health Care
Mukuwedzera pakushayikwa mumunda wekuchengetedza kwepamusoro, kutarisira kwehutano hwepfungwa ndiko kunzwa kunzwa kunopera mubasa rekushanda, mushure meCAA. Kukubatsira kugadzirisa kudiwa kunowedzera, zvikoro zvakawanda zviri kuwedzera mapurogiramu epurogiramu pakupa mazano uye hutano hwehutano. Maererano neYunivhesiti yeBudley, inenge hafu (47,4 muzana) yeAmerica ichava nemhando yehutano hwepfungwa muupenyu hwavo.
Mutengo wechirwere chepfungwa muUnited States ndeimwe yepamusoro-soro munyika, maererano neWorld Health Organization (WHO).
Advanced Practice Clinicians
Vashandirwi vakawanda uye zvipatara zvehutano vari kutendeukira kune avo vanoita zvekuita maitiro, avo vakadai seNPs (vanachiremba vadzidzisi) uye PAs (vatsigiri vezvechiremba) kubatsira kubhadhara zvinodiwa mukutarisira kwepamusoro uye utano hwehutano. Dzidzo yepamusoro-shandini vanachiremba vatove vaine spike muzvinoda nekubhadhara basa, nhamba dzinoverengeka dzekambani dzinoshuma. Semuenzaniso, The Medicus Firm, chiremba wehurumende uye chiremba chiremba chekutsvaga kutsvaga, yakaratidza kuwedzera kwakanyanya kwekuisa mabasa kune vasiri vedanzvi muna 2014 na2015, maererano neshoko ravo rekupfupiswa kwegore negore remabasa ekuunganidza vanhu munyika. Muna 2015, maitirwo emakambani ekufambisa maitiro akawedzera kusvika ku8,3 kubva muzana yevatengi vanoisa zvikamu munyika yose, kubva pa6,34 muzana gore rapfuura, uye 1,32 muzana muna 2012. Muna 2015, Chiremba Vabatsiri vaiva yechina inowanzoiswa mupiro nevatengi veThe Medicus Firm .
Kuwedzera Kwokuda Kudiwa Kunobatsira Kupihwa Kwehutano Kwemakemikari
Nekuwedzera kwekutsvaga uye kukanganisa kunogona kuuya kunowedzera kwekuwedzera mihadhara zvakare.
Kuda uye mubhadharo kune vanachiremba uye mberi kwekuchirapa vanachiremba vanga vachiri kukwira kumusoro kwemakore akawanda. Uyezve, kupararira kwekusayina mabhonasi kwaita kuti purokiti ive yakangoita inotarisirwa navanachiremba pavanenge vachinyorwa, pamwe nevanenge makumi manomwe kubva muzana yezvikamu zvinosanganisira bhonasi yekusayina. Maererano neRedus Medicine Firm's placement report, chireji chiremba chekusaina chiremba chakakura kusvika madhora 23,663, uye dzimwe nyanzvi dziri kuraira mabhonasi matanhatu ekutumira mabhizimusi e $ 100,000 kusvika ku $ 250,000.
Munguva pfupi yapfuura, kusaina mabhonasi eNPs uye PAs kwakanga kusinganzwisisiki, asi munguva pfupi ikozvino kushandiswa kwekuisa mabhonasi ekunyengedza kushandiswa kwemaitiro ekurapa makiriniki kugamuchira basa kunowanikwa munzvimbo yakawanda.
Bhizinesi yekubhabhatidzwa kwebhasi yePA yaiva $ 6 250 muna 2015, zvinodarika kaviri ye $ 3,000 inosvika makore maviri zvisati zvaitika.
Kuwedzera pakusayina mabhonasi, kuendeswa kwepakiti kunopiwawo kubatsira kubhadharwa kune imwe nzvimbo, uye kubhadhara chikwereti chevadzidzi kunewo maitiro anozivikanwa kune vanachiremba, avo vanowanzotanga basa ravo ne $ 150,000 - $ 250,000 mune chikwereti chikwereti chemudzidzi.
Hasi dzose dzezviitiko izvi zvinokonzerwa chete nehutano hwehutano. Pamusana pekukwegura kwevanhu uye kufambira mberi mune zvemishonga, kuda kwehutano kwakange kwava kutowedzera, uye kushandiswa kweChipatara Chakatarisira Mutemo kunogona kunge kuchiwedzera kudiwa kuburikidza nekuita kuti vakawanda veAmerica vawane inshuwarisi yehutano. Zvisinei, kune dzimwe nzvimbo dzekumaruwa, kunyanya muminda yakadzingwa zvikuru inotaurwa pamusoro apa seyokutanga kuchengetedza, uye hutano hwehutsika, kuva nehuwandu hakusi nguva dzose kuvimbisa kugona kwachiremba , nekuda kwekushaiwa kwezvinhu munzvimbo dzakawanda uye mamwe mabasa. Nokudaro, kuwedzera huwandu hwekufambira mberi kwechiremba vanachiremba uyewo kuwana dzimwe nzira dzekuwedzera kukwanisa kwevashandi (telemedicine, nezvimwewo) zvakakosha kusangana nekudiwa kwemabasa ekurapa.
Physician Salaries Trend Upward
Physicians 'mishairi yakaratidza kuwedzera kwezvimwe zvidimbu zvegore ra2015, maererano ne 2016 nhepfenyuro. Bhuku rinonzi Medical Group Management Association (MGMA), pamwe chete nemamwe makambani ekuunganidza, rakaratidza chiitiko chekuwedzera mishonga yezvechiremba mune zvakawanda zvakasiyana kubva muna 2014 kusvika 2015.
Mishonga yemishonga ya Medicus Firm's yakaratidza kuwedzera kwebhodhi kwekutanga kokutanga, maererano naJim Stone, mutungamiri. "Zvose zvinoratidzira kuwedzera kuwedzera kubva muna 2014 kusvika muna 2015, iyo inotanga kuongorora kwegore negore," akadaro. "Kunyange zvazvo mubhadharo uine, nokuda kwechikamu chikuru chakasimudzirwa pamusoro pemakore mashomanana adarika eongororo yegore rega rega, pane makore mashomanana akaratidza kuderera kwekuwedzera kwekuwedzera, uye kunyange kuderera kunorondedzerwa mune zvimwe zviitiko zvishoma nezvishoma.Uyu ndiwo gore rokutanga ndinorangarira zvose zviitiko zvinoratidza kuwedzera kwakasimba mubhadharo, "Stone yakapedzisa.