Kuchembera munzvimbo inofambisa kushandiswa kwemafuta emafuta
Maererano neNational Association for Home Care uye Hospice, kutarisira kumusha kwakatanga muUnited States muma1880. Vanenge mamiriyoni gumi nemaviri vanhu varipo vanogamuchira rubatsiro kubva kune vanopfuura 33,000 vanopa. Muna 2009, kushandiswa kwegore negore kwehutano hwemusha kwakarongerwa kuva $ 72.2 mabhiriyoni.
Mupi Wechipo
"Masangano ekuchengetedza vekumba" anosanganisira mapoka ezvekuchengetedza hutano kumusha, kutarisira kumusha masangano anobatsira, uye hospice s.
Mamwe emasangano aya ane chirwere cheMedare, icho chinobvumira vanopa mari kupa Billare kubhadhara.
- Vanopfuura 62 kubva muzana ehurumende vari kusununguka
- 12 muzana zvipatara-based.
Nzvimbo dzisina kuvimbiswa dzimba dzekuchengetedza musha, kushandiswa kwekumba kubatsira masangano, uye hospice s dzinoramba dziri kunze kweMedare dzinodaro nokuda kwezvikonzero zvakasiyana-siyana. Kazhinji havakwanisi kupa huwandu hweshumiro inonzi Medicare inoda, sekuchengetedza vane unyanzvi.
Services
Mishonga yehutano yemishando inosanganisira
- Musha Wehutano Aide Services
- Zvirwere Zvevashandi Vashandi Pabasa
- Nursing Services
- Nutritional Services
- Physical Therapy Services
- Occupational Therapy Services
- Respiratory Therapy Services
- Kutaura kweTradio Services
- Musha Mishonga Nezvivako
- Professional Medical Equipment Assessment Services
Kushandiswa
CMS mirairo iyo:
- mari yose yenyika yehutano muna 2009 yaiva $ 2.5 trillion.
- kushandiswa kwehutano kuburikidza nemaripo yevanhu vanowedzera kusvika ku8,7 muzana muna 2009, kusiyana nekusvika mazana matatu kubva muzana kubva mukushandisa kwevatengi vega.
- purogiramu yechuwarisi yega yega yakaderera 1.2 muzana, ichidzikisa kukura mumari yekubhadhara yega yega muna 2009.
Vatengi
Medicare ndiyo mubhadhari mukuru kune wese wehutano hwemusha. Muna 2009, mari yekurapa yeMedare yakaratidza inenge 41 muzana yemari yehutano yepamusha.
Medicaid mubhadharo wekuchengetwa kweimba inoparadzaniswa kuva zvikamu zvitatu zvakanyanya: zvinotenderwa zvekugara kumba kwehutano hunobatsira, uye mapurogiramu maviri ezvokuda, kusarudzwa kwevanhu pachavo uye vashandi vekugara uye vagari vemunharaunda.
Pamwe chete, izvi zvitatu zvekuchengetwa kwemhuri zvinomiririra chikamu chiduku asi chiri kukura cheMedicaid yose.
Utano hwehutano muUnited States huri kuwedzera mari mari kuburikidza nemasangano ekutarisira anotarisirwa. Masangano anobatsira anotarisira, kusanganisira masangano ekuchengetedza hutano (HMOs), kazhinji mari yehutano yehutano kuburikidza nehutano hwakabhadharwa, mubhadharo wekubhadhara kune vanopa utano hwehutano.
Vagari veKutarisira uye Vatarisiri
- Vanenge mamiriyoni 7.6 muUnited States vanoda imwe nzira yekuchengetwa kwehutano hwemusha.
- Vanopfuura 20 000 vanochengetedza utano hwepamba variko nhasi.
- Inenge zvikamu zviviri kubva kune zvitatu (63,8 kubva muzana) zvevashandi vehutano hwemusha ndivo vakadzi.
- Zvinopfuura zviviri kubva kune zvitatu (69.1 muzana) zvevashandi vehutano hwemusha vane makore anopfuura 65.
- Mamiriro ezvinhu anoda kutarisira hutano hwemusha kakawanda anosanganisira chirwere cheshuga, mwoyo kusakundikana, chirwere chisingaperi cheganda, osteoarthritis, uye hypertension.
- Mhuri inopfuura imwechete yevatatu veUnited States (inofungidzirwa kuti vane mamiriyoni 48,9 vanopfuura makore gumi nemasere) vasati vatarisira vanhu vane makore anopfuura 18, vasina mamiriyoni 16,8 ane hanya nevana kana vose vana nevakuru, kune mamiriyoni 65,7 mamiriyoni ega .
- 63 muzana yevanotarisira vakaroorwa uye / kana kugara newavo, uye zvikamu zvitatu (66 muzana) ndevakadzi.
- Chimwe chetatu (34 kubva muzana) kuchengetedza vanhu vaviri kana kupfuura, pamwe ne 86 muzana vachichengetedza hama-yepamusoro yechitatu yekutarisira mubereki uye mumwe wevanomwe (14 muzana) kutarisira mwana wavo.
- Iyo inowanzochengeta mucheche mukadzi ane makore 48 anopa maawa anopfuura makumi maviri ekutarisira vhiki imwe neimwe.
Kubhadhara Vatapi
Vatarisiri vakagadzirira vanosanganisira vashandi uye vashandi vanobhadharwa kupa rubatsiro rwehutano hwemusha uye rubatsiro rwekuzvitarisira.
- Vanhu vanosvika 958 000 vakanga vachishanda mumasangano ekuchengetedza hutano mumusha muna 2008.
- iyo nhamba huru yevashandi / FTEs iri musha wekuchengeta aids uye RNs.
- kubva muna 1993 kusvika muna 2008, imba yekuchengetedza basa yakakura yakaenzana ne5,4 kubva pagore (510,000 kusvika 961 400).
Kururamisira kweKutarisira
Musha unochengetedza basa rinobhadhara kune vanhu vanodzokorora kubva muchipatara kugara uye kune avo avo, nekuda kwehurema hwehutano kana hunoziva, havagoni kuzvitarisira ivo pachavo. Kuchengetwa kweimba kunotsigira uye kunowedzera kubatsirwa kunopiwa nevemumhuri neshamwari uye kuchengetedza ruregerero chiremera nekuzvimirira. Varwere avo vakagamuchira mishonga yekuchengetedza musha vakanga vasinawo mikana yekudzokidzwa kubhadhara kuchipatara.
Matambudziko
Muna 2011 mhizha yakatarisana nedambudziko idzva. Vatsigiri veMedare vanodiwa kuti vaone chiremba mazuva makumi matatu vasati apfuura kana mazuva makumi matatu mushure mokutanga mabasa ehutano emusha kuitira kuti hofisi yehutano yepamusha inoripiwe. Pasi pemutemo wakare, chiremba aigona kupa mutano wepamusha kutarisira varwere kuti vawane rubatsiro, asi chiremba haafaniri kuona murwere kuti aite izvozvo.
Pasi pemutemo mutsva, vanachiremba vanofanira kuzadza fomu vachivimbisa kuti ivo kana mumwe mutapi wehutano hwakadai semurezi aive akaona murwere nokuda kwechinangwa chaicho chekugadza murwere kudikanwa kwekuchengetwa kwemusha. Izvi zviri kuwedzera kune mabasa ezvechiremba emazuva ano ekurondedzera kutarisirwa kwehutano hwemusha uye kuisa purogiramu yekutarisira, iyo inowanzosimbiswa nehurumende yehutano yeimba.