High-Utilizers Clog Emergency Rooms
Kazhinji mapurisa ndivo varwere vanowanzozviratidza muimba yepamhanho yekurapa. Vanosarudza kutasva ma ambulensi, kana kupinda mubazi rekukurumidzira, kakawanda, pane kuona chiremba wavo. Vanoshanyira kakawanda zvokuti vashandi vanovaziva nemazita. Chimwe chekudzidza muna 2009 muTexas chakawana kuti mumakore masere, vatanhatu vapera vakanga vaverenga 2,678 ER, kushanya $ 3 mamiriyoni - akawanda chaizvo.
- Muchidimbu: High-utilizer, super utilizer (SU), GOMER naGOMOMER (budai muimba yangu yepamusoro)
- Zvimwe zvinyorwa: zvinowanzoitika
Ndivanaani vane Healthcare Frequent Flyers - High-Utilizers?
Panogona kunge pane zvikonzero zvakasiyana zvekushandisa zvakanyanya dhipatimendi rekukurumidzira. Murwere angave asina yunishuwarenzi uye naizvozvo haakwanisi kuona chiremba wenguva dzose. Murwere iyeye anoziva ER inofanira kunge inopa chirwere chinoponesa. (ona EMTALA ). Paiva netariro pamwe nekutenderera uye kushanda kweAne Affordable Care Act ya2012 kuti kushandiswa kwemukana wekutsvaga kwaizopera nokuti vamwe vanhu vaizova nehutano inshuwarisi. Asi kana izvi zvingashandura kuwanda kwenhamba dzinowanzosvikika kuonekwa.
Chikonzero chechipiri chinogona kunge chisina kukanganisa mupfungwa. Pakati pezvipfumbamwe zvipfumbamwe zvakapetwa muTexas, vanomwe vakanga vane utano hwehutano hwepfungwa uye vasere vaiva vashandisi vezvinodhaka.
Zvechokwadi, vamwe vari kungozvitsvaga vanotsvaka. Slang izwi rokuti GOMER (bvisa muimba yangu yekukurumidzira) iri mukushandiswa kwakanyanya murapi yezvokurapa kune varwere vanowanzoenda kumakamuri ekukurumidzira asi havadi kutarisirwa kwekukurumidza.
Inouya kubva munorati I House of God naSamuel Shem.
Zvidzidzo zvakawanikwa kuti kazhinji mapurisa ainyanya kunge ari vakadzi, veCaucasian, varombo uye pakati pemakore 25-44. Ivo vanowanzosvika pakamuri yehutsva manheru manheru ane zviratidzo zvishoma. Zvinonakidza, ivo vanowanzochengetwa nemu Medicaid pane kuva vasina uninsured kana kuva nehutano yehutano inshuwarisi.
Kuedza Kutaurira High-Utilizer / Frequent Flyer Syndrome
High-utilizer zvirongwa chiongorai kazhinji mafurati nevamwe varwere vanodzoka kakawanda vachishanyira uye vashande pamwe navo kuti vavatungamirire kutarisirwa kwepamusoro kuitira kuti vasanyanya kushandisa. Heano mienzaniso yezvirongwa zvakakwirira-utilizer:
The Camden Coalition of Healthcare Providers: Iyi purogiramu yakanga yakatangira mukutsva mapaiti aipisa aivepo apo varwere vaiuya mumakirini eNamden, New Jersey vaibva. Vakatora chikamu chezana chevanhu vanoshandisa zvipatara zveCamden vanoverengera makumi matatu kubva muzana yemari yacho. Vakanyora mazita evanowanzofambisa nekutaurirana nevashandi vomunharaunda uye vanopinda mune imwe nzvimbo. Vanyoresa varwere uye vanofambisa kushanyira kumusha uye nhare dzefoni kuti vawane hutano hwepamusoro hwehutano uye vanodzivirira kushanyira nzvimbo yepamhanho. Vakanyoresa vashandi vanoshanda neboka revanhu vanobva mumasangano kwemazuva anenge 90, vachitarisana nemitemo yehutano uye yehupfumi pamwe chete nehutano hwehutano.
Nyika yeOregon yakatanga purogiramu muna July 2012 kuti ipe hutano hwakanyatsogadziriswa kuti varambe vachifambisa varwere veMedicaid vanoshanyira zvipatara zvekuchengetedzwa kwezvipatara ka10 kana kupfuura kwegore. CCOs inonyanya kuratidza kudzivirira uye kubatsira vanhu kutarisira mamiriro ezvinhu asingagumi. Vanotarisira kuderedza kusakosha kunoshanyira nzvimbo yekushanyira seimwe chiitiko.
Sources:
Hunt, K., Weber, E., Gonhodhi, J., Colby, D., & Callaham, M. (2006). "Zviratidzo zvevashandisi vanowanzotarisirwa kumatare ekukurumidzira. Annals Emergency Medicine, 48 (1), 1-8."
Jacobs, BJ, et al. (2012). Kushandisa Brenner's Collaborative Super-Use Model Model [PowerPoint slides]. Collaborative Family Healthcare Association 14th Annual Conference, October 4-6, 2012.