Maitiro Ekuti Independence Purogiramu Yekushandisa Inoshanda
Munyika yakakwana, vanhu vaizoenda kundoona chiremba vasati vazoda kutarisirwa kuchipatara. Panova nehutano hwekuchengetedza huripo panzvimbo yekuderedza dambudziko rehutano husingaperi hwomumwe munhu kuti urege kubviswa. ICentral for Medicare neMedicaid Services (CMS) yakaronga kuvandudza kutarisira apo ichideredza kushanya kwechimbichimbi muchipatara uye kuchipatara kubvumirwa.
Iyo Mishonga Yemazuva Ano Inokundikana Vakwegura
Muna 2010, vanopfuura hafu yevana veAmerica vaiva nezvirwere zviviri zvisingaperi uye nhamba iyoyo inowedzera kusvika kudarika 63 muzana kune avo vanopfuura makore makumi matanhatu nemashanu uye kusvika kune 83 muzana kune avo vanodarika makumi mashanu nematatu. Matambudziko haasi vose vanogona kutarisira vanoda muhofisi yechiremba.
Kune avo vasina simba kana mubhedha-vakasungwa, avo vanogona kunge vachida kurapwa kwakanyanya, zvinogona kunge zvakaoma chaizvo kunyange kutosiya musha wavo. Kune vamwe, kuoma kwemamiriro avo akawanda kunogona kutora nguva yakareba kudarika inowanzosvika 15 kusvika 20 yemaminiti ehofisi. Chiremba angave achida kuti vauye kakawanda kuti vave nenguva yakakwana yekugadzirisa nyaya dzose.
Munyika chaiyo, vanachiremba vanonetseka kuti vakwanise varwere vanowedzera muzvirongwa zvavo zvakabatikana. Kana varwere vasingakwanisi kuonekwa, varwere vanogona kuzviwana muimba yepamhanho vachiedza kuwana kutarisirwa kwekukurumidzira, kutarisirwa kunodhura zvakanyanya kudarika zvinogona kugoverwa mumararamiro epfungwa.
Kudzoka kweImba Kudana
Nekufamba kweAne Affordable Care Act ( Obamacare ) muna 2010, mamiriyoni evanhu vekuAmerica vasati vabatsiri iye zvino vane ruzivo rwekutarisira utano. Yakanamatira kwenguva, vanachiremba vari kuedza kuona vamwe varwere munguva shoma kuti vasangane nechido ichocho. Izvozvo zvinosara nguva shomanana yekutumira imba. Muna 2013, 13 kubva muzana chete vechiremba vemhuri vakadana mumba mune vhiki ipi neipi uye 3% chete iyo imba mbiri dzinodana vhiki.
Vakatengesa Care Care Act vakabatsira kushandura purogiramu yeIndendence Pamba yekukurudzira vanachiremba kuti vawedzere mamwe mahofisi eimba. Vanachiremba vanochengetedza mari yeMedare kana vachivandudza hutano hwekutarisira vaizogoverana mumabhonasi emari.
Iyi purogiramu yemakore matatu yekufambisa yakanyoresa maitiro 17 akasiyana-siyana munyika yose kuti iendese hutano hwekuchengetedza vanaMedare avo vaine zvirwere zvakawanda zvisingaperi. Kuzvinyora, mumwe nomumwe aizoita basa rekuchengetedza musha kuchengetedza varwere veMedare vanenge 200 kuburikidza nachiremba kana mukoti-chiremba . Purogiramu yacho yose yakachengetedza vanopfuura 8 400 vaMedare vanobhadhara.
Mabatsiro eDzimba Dzimba
Kuzvimiririra paImba kwakaratidza migumisiro yakaisvonaka mugore rayo rokutanga, kuchengetedza madhora 3,070 pamutemo weMedricare uye $ 25 mamiriyoni akazara. Pamitambo 17 inobatanidzwa, 12 yakachengetedza mari kune varwere vavo, gumi nematanhatu nzira yekuwana mabhonasi emari uye ose akavandudza hutano hwekutarisira varwere mune zvinenge zvitatu pamatanhatu. Miitiro mina chete ndiyo yakazadzisa zvinangwa zvezvikamu zvitanhatu zvehutano.
Zvinonyanya kukosha, hupenyu hwevarwere ava hwakakonzerwa nekuvandudzwa. Kwakanga kushoma mashoma ekuverengera kuchipatara , kuwedzerwa kuteverwa mushure mekugara kwechipatara, kuongororwa kwakajeka kwemishonga uye kushandiswa kwepasi rose kwezvipatara zvekuchengetedzeka kwenguva refu.
Iyi haisi yekutanga kukokwa kweimba kwakaratidzwa kuderedza mari nekuvandudza kutarisira. Chidzidzo chegore ra2014 mu Journal of the American Geriatrics Society yakarongedza chirongwa chekufonera imba kugadzirira varwere 722 makore maviri. Kuchengetedza murwere mumwe nomumwe kwakapetwa kudarika madhora mazana mana nemakumi mana pagore neine vashoma muzvipatara uye nzvimbo yekukurumidza inoshanyira ne 9 muzana uye 10 muzana maererano.
Imba inoshevedza inoita mutsauko. Sezvo chirongwa chekuzvidzivirira paIndaneti paIndaneti chinopfuurira kune mamwe makore maviri, tarisa kuwana vamwe vanachiremba pamusha uri pedyo newe.
Sources:
Nzvimbo dzeMedare uye Medicaid Services. Affordable Care Act Mutengo wekubhadhara muenzaniso unoponesesa kudarika $ 25 mamiriyoni mugore rokutanga rokubata. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-06-18.html. Yakabudiswa naJune 18, 2015.
Nzvimbo dzeMedare uye Medicaid Services. Zvirwere Zvisingagumi Pakati peMedare Vanobatsira, Chartbook: Edition 2012. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf.
De Jong KE, Jamshed N, Gilden D, Kubisiak J, Bruce SR, Taler G. Migumisiro yeImba-Based Based Care Care pamusoro pemishonga Inodhura muvakuru vane ngozi. Nyaya yeAmerican Geriatrics Society. October 2014, 62 (10): 1825-1831. http://onlinelibrary.wiley.com/doi/10.1111/jgs.12974/full.