Iyo STD Clinic mu Age of Healthcare Reform

Matanho emakiriniki ezvekuchengetedzwa kwetachiona arikuchengeteka kwevateresi. Vanopa rubatsiro runodikanwa, kazhinji kusununguka, munzvimbo dzakawanda kudarika United States. (Kana uchida rubatsiro kuwana imwe ... ) Vanopawo nyanzvi mune zvekurapa umo vanachiremba vazhinji vasinganzwisisiki. Ndicho chikonzero vamwe vanhu vanoona zvichivhiringidza kuti basa rekliniki yeTV rinogona kuchinja munguva yehutano hwehutano.

The Affordable Care Act, inozivikanwawo kuti ObamaCare kana ACA, yakashandura basa rekliniki yeTV. Zvisinei, iyo inotambirwa nemakiriniki eparamende haana kuchinja sekuwanda kwevanhu vakawanda vangatarisira. Ichokwadi kuti, pasi pe ACA, vanhu vakawanda vakawanda vane inshuwalhu yehutano. Ichokwadi zvakare kuti kusununguka kweSDD pasina kuvhara uye kurapwa kurapwa kunotarisirwa kune vamwe vanhu . Zvinosuruvarisa, kugoverwa hakubvumirwi kune mumwe nomumwe. Uyezve, pane vanhu vasingazoshandisi inshuwarisi yavo kune maSDD kunyange kana vachigona. Ndicho chikonzero nei pasina mubvunzo chichiri basa kune makiriniki eDDV mune zvehutano hwepabonde.

Chikonzero nei varwere vachipfuurira kusarudza Makiriniki eDDD mushure mokutengeswa kwekutengesa

Vatsvakurudzi vanoverengeka vakaongorora kuti nei varwere vachiri kuramba vachishanyira makiriniki eTSD, kunyange kana vane zvimwe zvingasarudzwa zvekutarisira. Chimwe chidzidzo chikuru chakawana kuti pane zvikonzero zvakawanda nei vanhu vachida kushanyira kliniki yeTV. Kunyange zvazvo inenge 60 muzana yevanhu vari muchidzidzo ichocho vaine ruzivo kune rumwe ruzivo, ivo vachiri kusarudza kliniki yeTV nokuda kwehutano hwavo hwepabonde.

Zvikonzero zvavo zvinosanganisira kupinda kune rimwe zuva zuva rekugadza, kukwanisa kufamba-mune kuchengetedza, unyanzvi hwechiremba, uye mari shoma. Mune mamwe mazwi, makiriniki eDDS akafunga senzvimbo yakachengeteka, yakakosha, uye yakawanda inogona kutarisirwa.

Ruzhinji rwevanhu vanoenda kumakiriniki e STD vanowanzove vaduku, varume, uye vasina-White.

Inenge hafu haisati yasimbiswa. Vakawanda varume vanorara nevarume . Zvichida zvisina chokwadi, awa ose mapoka ayo anowanzotambudzwa nawo, kana kuti anononoka kupinda, kuchengetedza tsika dzekudzivirira. Kune vazhinji vavo, kliniki yeTDD inzvimbo iyo kutarisirwa kweutano hwepabonde kunouya nehuwandu hwekutonga. Matanho emakiriniki egawo inzvimbo iyo vanogona kukurumidzira uye nyore nyore kuwana rubatsiro rwekukurumidzira, zvisinganzwisisi zvido.

Inishuwarenzi, Chivande, uye STD Clinic Access

Chimwe chezvikonzero chikuru izvo vanhu vanosarudza kuenda kumakiriniki epabonde pane kuona chiremba wavo ndeyekuti vanoona makiriniki se nzvimbo yakavanzika yekuchengetedza. Haafaniri kunetseka pamusoro pechiremba wavo achivatonga nokuda kwezviito zvavo zvepabonde kana vanoita zvepabonde. Vanoziva kuti munhu wose ari muimba yekumirira aripo nokuda kwechikonzero chakafanana. Vanogona kugara vasingazivikanwe kana vasingazivi, kana vachida. Pane chimwe chinhu chinonakidza chekuda kwechido ichi chekuvanda paunenge uchitaura nezvehutano hwepabonde. Vanhu vazhinji vanozeza kushandisa utano hwehutano kumakiriniki eDD.

Tsvakurudzo dzakawanda dzakawana kuti kungoita hafu yevanhu vane inshuwarisi vanoda kushandisa inshuwalisi pane kliniki yeTV. Ichokwadi ichocho kana kuti kwete ivo vanofanira kubhadhara mari yekutarisira .

Kunyange zvazvo chikonzero chikuru chekusada kushandisa inshuwarisi kazhinji kunetseka pamusoro pezvakavanzika, zvikonzero zvakasiyana zvinosiyana. Vangangodaro vachinetseka nezvezvinyorwa zviri kutumirwa kumisha yavo. Vangave vasingadi kuti kambani yavo ye inshuwarisi izive kuti vari kuongororwa. Kana vakashandisa hutano hwehutano inshuwarisi, vangangodaro (vasina kururama) vanofunga kuti vashandi vavo vachave nekwaniso yezvinyorwa zvavo. Vaya vanogamuchira kugoverwa kuburikidza nomubereki kana mudzimai wako vanogona kunge vaine hanya kuti munhu iyeyo angaona zvikwereti zvavo.

Kunyange zvakadaro, zvinetso zvepachivande handizvo chete chikonzero vanhu vasingadi kushandisa inshuwarisi pamakiriniki eDD.

Chimwe chikonzero icho vanhu vangasarudza kusashandisa inshuwarisi yavo ndeyekushushikana pamusoro pemari yehomwe. Vanhu vanogonawo kuva nehanya nazvo kana kambani yavo yeinishuwarenzi ichiziva nezvechirwere chepabonde kuti inogona kuchinja premium dzavo kana kuti kuwanika kutarisirwa. Kunyange zvazvo kutarisirwa kwekutarisira kunorega kunorambidza kukaramba kugoverwa nekuda kwechikonzero chepreexisting, iyo ngozi yaive chaiyo kwemakore mazhinji. Zvinosuruvarisa, kubvisa kuchengetedzwa kwemamiriro ezvinhu epreexist akadzoka patafura mumakwikwi ehutano hwehutano hwehutano hwe 2017. Pasinei nokufarirwa kwakakurumbira kwevanhu, hapana chivimbo chokuti chicharamba chiri chikamu chemutemo wehutano hweUnited States.

Iro Utano Hwakachinja Sei Hwakashandura STD Clinic Rubatsiro

Nzira dzakagadziriswa nehutano hwehutano dzakagadzirisa inshuwarisi yekugadzirisa zvakakanganisa nzira iyo yese yekuchengetwa kweutano, kusanganisira iyo yakagamuchirwa pachipatara cheTV, inobhadharwa. Mari inoshandiswa kuwedzera Medicaid uye kuwedzera yveshuwarisi nzira dzaifanira kubva kune imwe nzvimbo. Imwe yadzo yakashandurwa kubva pamari yaimbove yakashandiswa kubhadhara zvimwe zvekutarirwa kwevarwere-zvakadai pamakiriniki eVDD. Mamwe makiriniki akavhara kana kuderedza maawa. Vamwe vakaisa mari yakawanda yekutarisira.

Massachusetts ndiyo yaiva nyika yekutanga yekuraira utano hwehutano hwehutano. Izvozvo zvakapa vaongorori mukana wakasiyana-siyana kutarisa kuti iyo yakagadzirisa sei makiriniki eDDS muhurumende. Zvavakawana zvakataura kuburikidza pakati pehupfumi nemari inobatsira kutarisira zvakanyanya zveSDD.

Kune rumwe rutivi, apo vamwe vanhu vaine inshuwarisi yekuvhara, vazhinji vavo vakashandisa. Ikoko kwaive nekuchinja kwakati chikamu chakakura chevarwere vakatanga kuenda kuchiremba wavo wokutanga kurapwa pakurapa. Kune rumwe rutivi, vazhinji vevanhu vakaramba vachienda kuchipatara chetachiona. Uyezve, kunyange kamwe chete madhora makumi manomwe emadhora akapinda munzvimbo, hafu yevashandi vekliniki vose vakasarudza kuripa panzvimbo yekushandisa inshuwarisi. Zvichigoverwa nemitengo yakakwirira yekuparidzirwa muhurumende, zviri pachena kuti vakawanda vavo vaiva ne inshuwarisi sechinhu chisarudzo. Vakangosarudza kusashandisa.

Kudiwa kwezvipatara zveSDD Hazviendi

Kuwedzerwa kwehupfumi yemainisheni inowanzofungidzirwa kuti inovandudza ruzivo rwekutarisira. Kunyange zvakadaro, zvinetso zvakasiyana-siyana zvehupfumi zvakabatanidzwa nehutano hwepabonde zvingaita kuti zvive chinhu chisingaiti kune mutemo. Hapana mubvunzo kuti kuwedzera kwekushandiswa kweinishuwarenzi ye STD kuongorora , kurapa , nekudzivirira . Zvisinei, zvinoratidzika sekutya kupoteredza kushorwa kweSDD uye humwe humwe hunoita kuti hurumende igare iine mikana apo vanhu vanotarisa kuchengetedzwa kwakavanzika.

Zvakawanda zvezvipembenene zvinonyanya kuzadzwa nemakiriniki eDD. Vanhu vangave vasingadi kushandisa inshuwarisi yavo kuti vaongorore. Vangave vasingadi kushanyira vanachiremba vavo kuti vataure nezvehutachiona. Asi ivo vachiri kuda nzvimbo yekuenda nekuda kwehutano hwavo hwepabonde.

> Sources:

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> Chipo TL, Haderxhanaj LT, Torrone EA, Behl AS, Romaguera RA, Leichliter JS. Kufungidzira Kukura uye Kuda kweSDD Prevention Services Safety Net. Public Health Rep. 2015 Nov-Dec; 130 (6): 602-9.

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> Pearson WS, Cramer R, Tao G, Leichliter JS, Chipo TL, Hoover KW. Kuda Kushandisa Utano Inishuwarenzi mune zvepabonde Zvirwere zvepabonde: Kuongororwa kwevarwere pa 21 Clinics. Am J Public Health. 2016 Aug; 106 (8): 1511-3. doi: 10.2105 / AJPH.2016.303263.