Zvaunoda kuziva kana uchibva kuchipatara mangwanani
Kazhinji yenguva, vanachiremba nevarwere vanobvumirana kana yava nguva yekubudiswa kubva kuchipatara. Zvisinei, kune mamwe mamiriro ezvinhu apo pane kusawirirana.
Dzimwe nguva, kambani yeInishuwarenzi kana mumwe mubhadhari angasawirirana nechipatara chinogara kwenguva refu. Vanogona kufunga kuti nguva yemurwere yakasimuka uye kuti havachagoni kubhadhara. Muchiitiko ichocho, murwere kana mupiki anogona kukwidza kukwidza kuchipatara chisarudzo chisarudzo .
Pane dzimwe nguva, mamiriro acho akangosiyana. Murwere anogona kunzwa sokuti vakagadzirira kuenda, asi vanachiremba havatendi kuti murwere akagadzirira kuenda. Kana murwere akazobuda kunze kwemukova, ichanzi "kubudiswa kune mazano ekurapa" (DAMA).
Nei Chipatara Chichida Kuti Varwere Vagare?
Tinoda kufunga kuti vanachiremba uye vamwe vashandi vezvipatara vane utano hwakanaka uye hutano hwepfungwa pavanomanikidza kuti tigare muchipatara, uye vazhinji vanoita. Zvisinei, panogonawo kuva nenguva apo "chidimbu" chekugara chinowedzera nezvemari pane utano hwomurwere.
Chimwe chikonzero chinogona kunge chiri chokuti iwe nguva refu iwe uchigara, mari yakawanda iyo chipatara ichiita. Izvi zvinoreva, chero bedzi ivo vachigona kubhadharwa kana inshuwarisi yako, mumwe mubhadharo, kana iwe.
Chimwe chiitiko chisingadikanwi ndechokuti iwe nguva refu iwe uchigara muchipatara, zvimwe zvinhu zvavanogona kuita. Somuenzaniso, vanogona kuronga mamwe maitiro, kuwedzera kuongororwa, nezvimwewo.
Hasi dzose idzi dzinogona kunge dzakakosha, asi dzichawedzera mamwe mari.
Asi chimwe chikonzero chakatanga kushanda neAne Affordable Care Act , iyo inosanganisira chirongwa chinonzi Hospital Readmissions Reduction Program (HRRP). Inotarisa zvipatara kana varwere veMedare vachidzokidzwa mumazuva makumi matatu kubva pakubuda kwavo.
Izvi zvakagadzirirwa kuvimbisa kuti varwere havasunungurwi vasati vaine hutano hwakakwana kuti vadzokere kumusha kuti vadzivirire kuti vadzoke.
Chikonzero Nei Unogona Kuda Kusiya AMA
Kusiya chipatara kurwisa mazano ekurapa (AMA) haisi chisarudzo chokutora zvishoma. Kunyangwe pane zvikonzero zvakawanda zvekuti ungatanga kufunga nezvazvo.
Chimwe chikonzero chinozivikanwa ndeyekuti iwe unganzwa sokuti haugoni kukwanisa kugara. Semuenzaniso, kana iwe wakanyanya kubhadhara utano hwehutano huripo kana uri kubhadhara mari, unogona kuderedza mari yekurapa kwako. Usati wafunga kuti iwe haugoni kuibhadhara, bvunza mutauriri wezvirwere wechipatara, mumiririri ane chirwere, kana ombudsman pamusoro pemari chaiyo. Mune zvimwe zviitiko, zvingasava zvakawanda sezvaunofunga.
Iwe unogonawo kutya kuti kugara kwenguva refu kuchava nemigumisiro yakaipa pane utano hwako. Zvipatara zvinogona kuva nzvimbo dzine ngozi uye zvikanganiso zvezvinodhaka uye zvirwere zvinogona kuitika. Zvechokwadi, pane zvikomborero zvakakura zvekugara muchipatara kwehuwandu hwenguva inodikanwa. Dambudziko rinokura apo iwe nevarapi vako musingabvumirani pane "zvinodiwa."
Vamwe vanhu vavewo nechiitiko chakaipa chechipatara uye vangada kusiya kana mamiriro ezvinhu asingaoneki "akarurama." Semuenzaniso, unganzwa sekukanganisa kusina hanya kuri kuitwa kunogona kukuvadza utano hwako kana hupenyu hwako.
Zvipatara uye vanachiremba vanozvidavirira kune mamiriro ezvinhu anonzi "zviitiko zvakakomba zvingaitika" (SREs) . Muzviitiko zvakawanda, iwe une zvisarudzo pane kwaunogona kugamuchira kutarisirwa kana iwe uchinzwa kuchengeteka kunokanganisa pane chipatara chako chazvino.
Usati wasarudza kusiya AMA kusvika kune hutano hwehutano hwako, iwe unogona kunge uchida kukumbira mumwe munhu kuti akukurudzire kusvikira yava nguva yekubudiswa. Nhengo yemhuri, shamwari, kana kunyange wega, mutungamiri wehutano wehutano anogona kuva izwi rakangwaririra iwe apo iwe uchirapa.
Zvaunoda Kuziva Nezve DAMA
Kana iwe uchida kuenda, unogona. Kungofanana nevarwere vazhinji vanogona kuramba kurapwa , varwere vazhinji vanogona kubva muchipatara apo vanoda, zvakare.
Hazvisi pamutemo uye ndicho chisarudzo chako. Kusiyana, mune dzimwe nguva, kune vanehutano hwepfungwa avo avo mitemo nemitemo zvakasiyana.
Edza kugadzirisa matambudziko. Zvichienderana nezvakaitika kuti iwe ude kubva mangwanani, panogona kunge kune vanhu vanogona kukubatsira. Vanachiremba, vamiririri vezvirwere vezvipatara, uye vamwe vanogona kugadzirisa dambudziko racho kana iwe ukataura zvinetso zvako.
Usaita chisarudzo choga. Kunyanya, kana chirwere chako chinosanganisira kurapa nemhando ipi zvayo yemarwadzo ekurwadziwa kana kuti kurara-kuderedza zvinodhaka, kana iwe uchinzwa uchitambudzika zvikuru kana kuti kwete "iwe pachako," ipapo chisarudzo ichi chakakosha kuti uzviite iwe pachako.Bvunza iwe waunoda kana mutungamiri wega wega kuti akutungamirire mukuita sarudzo. Haisi imwe yekuita kana simba rako repfungwa uye remanzwiro risati rasvika.
Iwe uchakumbirwa kuisa gwaro. Izvi zvichareva kuti iwe unonzwisisa kuti uri kusiya zvinorapa mazano. Chipatara chimwe nechimwe chine maitiro ake uye chinogona kuva chinotyisa, ndicho chikonzero zvakakosha kuti uongorore pamwe nemunhu waunovimba naye zvakare.
Panogona kunge kune marudzi ose ezvinyorwa zvinowanikwa mumapepa, saka iva nechokwadi chekuiverenga nekunyatsonzwisisa. Izvi zvingangosanganisira zvaunotarisira uye izvo chipatara hachisi chekutarisira pamusoro pehutano hwako, kubhadhara, uye chero zvikwereti zvepamutemo.
Inishuwarensi yako ingangodaro ichiripa kubhadhara kwawakagamuchira. Vashandi vezvipatara vanogona kukuudza kuti iwe unenge uchida kubhadhara kuti iwe ugare. Zvisinei, zvidzidzo zvakaona kuti kusiya AMA kwakanga kusina basa pamishandiro emishuwarenzi yekutarisira kwako. Kuti uve parutivi rwakachengeteka, chengetedza nemubhizimisi wako usati wabva muchipatara.
Usati Waenda AMA
Kungofanana nokuti unosarudza kusiya kubva pakutanga hazvirevi kuti kubudiswa kwemaitiro kunofanira kushandiswa. Zvichiri kukosha kuti iwe ubvunze mibvunzo yakanaka uye uwane ruzivo rwaunoda usati wabuda kunze.
Ita nepaunogona napo kuti urambe uine ruremekedzo uye uedze kuti urege kurasikirwa nehasha kana kuti uwedzere kunetseka. Vashandi vechipatara vanogona kuedza zvakasimba kukuchengetedza iwe uye vari kungoita mabasa avo. Sezvo iwe uchange uine ruremekedzo kwavari, iwe unofanira kukumbira kuremekedzwa kubva kwavari zvakare.
Shoko Rinobva
Usati wasarudza kubva muchipatara, ita zvose zvaunogona kuti uongorore njodzi nemubairo wokusarudza kusiya AMA. Taura nemhuri yako kana murevereri pamusoro pekuti nei uchifunga kuti zvakanakisisa uye vanoona maonero avo mumamiriro ezvinhu. Pamusoro pezvose, rangarira kuti hutano hwako hunonyanya kukosha, kunyange iwe une kodzero yekuzvisarudzira kubva kana iwe uchinzwa zvakanaka.
> Kwakabva:
> Alfandre D. Kuyeuka Nezvekurapa Mazano Okurasikirwa: Kubvuma Mwoyo Murefu-Pakati Kuti Usimudzire Kuwedzera-Kuita Nezvekuvandudzwa kweAgenda Research. Zvinyorwa zveGeneral Internal Medicine . 2013; 28 (12): 1657-1662.
> Centers for Medicare & Medicaid Services. Readmissions Reduction Program (HRRP). 2017.