Nzira yekuchengetedza hukama hwakanaka pakati pezvipatara nevarapi vashandi
Vashandi vechiremba zvishoma nezvishoma vakashandura kwemakore gumi apfuura kubva pakuve vanozvishanda kuti vazoshandiswa nezvipatara kana hutano hutsika. Izvi zvingave zvisingaoneki kune vanachiremba vatsva, avo vanogona kutanga mabasa avo sevashandi. Zvisinei, vanachiremba vakawanda vane ruzivo vangangodaro vachinetseka nekushandura kubva kumudzidzisi kana shamwari kune vashandi.
Vamwe vanachiremba vanogona kunge vakapedza makore vachiita uye vachiita mabasa avo semunhu mumwe chete kana sechikwata chebambirano vari kuwana iye zvino vachishanda sevashandi , uye vanoudza kune maneja kana mutariri mune imwe nzira.
Uyezve, vana vakawanda vezvechirwere vakatya kuchinja kwebhizinesi rekushanda sevashandi, vazhinji vatungamiri vezvipatara vangave vakafadzwa zvakafanana pamusoro pezvakawedzerwa zvekutarisira vashandi vechiremba vanoshandira.
Izvi zvingangove zvakaguma mune humwe huri hukura huri kumativi maviri etafura. Saka sei vatungamiri vezvipatara uye vadzidzisi vatachiona vachitarisana neiyo ichangobva kuwedzerwa mitemo yemabasa uye mabasa ane chokuita nekutarisa vashandi vavo vechiremba, asi vachichengetedza maitiro uye maitiro akanaka emabasa kune vanachiremba vavo? Izvi zvinogona kuva zvipingamupinyi zvakanyanya kune maduku maduku ane zvishoma zvigadzirwa, kana avo vari kumaruwa.
Chiremba Management Strategies kuti Uite uye Uchengetedze Physicians
Kuti uwane mhinduro dzokuti ungabudirira sei nekuita uye kuvatsigira vashandi vezvechiremba, vatungamiri vanoshaiwa mazano vanogona kutarisa kune dzimwe zvipatara uye hutano hutsika hwakabudirira kubudirira kwechiremba nekuchengetedza kusvikira ikozvino.
Semuenzaniso, Southern Tennessee Regional Health System muLawrenceburg, TN inoshandisa nzira dzakasiyana-siyana uye zvirongwa zvekubatsira vanachiremba vayo.
Kuedza kuchengetedza chiremba wehutano hwepamusoro, hutungamiri "hunosanganisira ivo mukugadzirisa zvisarudzo, kuronga hurongwa, uye mhemberero dzose dzezvishoma zvishoma muHCAHPS nezvinangwa zvakagadzirirwa kuti kambani iite," anodaro Tina Holt, mutungamiriri we bhizimusi rutsigiro pa STRHS.
Paakabvunzwa kuti zvii uye nzira dzavanoshandisa kuti varambe vachiita basa rakanaka remabasa kune vanachiremba, Holt akaudzawo kuti STRHS "ine chikwata chikuru chekuita zvechiremba chinopindirana navanachiremba nguva dzose.Vanopa rubatsiro nehupfumi nyaya kuti vaone kuti chiito chechiremba chiri kushanda zvakanaka. "
Kunyange nekutsigirwa kwakanyanya kubva kuchipatara uye munharaunda, mamwe maitiro nemitemo zvingave zvichiri kushandiswa kwakaoma kune vanachiremba, kunyanya avo vanachiremba vanoshandiswa kuva nehuwandu hwekuzvidzivirira sewaimbova mutenzi wechiitiko. Vashandi vezvipatara vangawana sei vanachiremba kutenga mune zvitsva zvese zvebasa, mazano, kana mitemo uye nzira?
"Tine zvatinonzi PEG (Physician Engagement Group) kuti boka rakasarudzwa revashandi rinoshanda gore negore," Holt akatsanangura kudaro. "Inoshanda sebhodhi rinonzwika kune CEO Misangano inobatwa kamwe chete nehafu kubva pamusasa panguva yezvokudya." Kazhinji kazhinji kukurukurirana kwakanaka uye mhinduro kumisangano yeboka iri. "
Maitiro mazhinji akawedzera kumapoka avo eukama hwechiremba uye nhaurirano kuti vabatsire kuchengetedza mitsetse yekukurukurirana yakazaruka pakati pechiremba uye chipatara chekutungamirira.
Basa Ringave Risiri Mhinduro Yakanakisisa kune Wese Health Systems kana All Doctors
Apo zvipatara zvinoshandisa vanachiremba, hazviiti nguva dzose sezvazvakarongwa kana sezvinotarisirwa. Izvo zvinoenderana nenhamba yezvikonzero, kusanganisira chiremba uye munharaunda dzevanhu. Chimwe chiremba chiremba muchipatara chemaruwa, uyo akataura pamusoro pemamiriro ekusaziviswa, akataura kuti imwe nzira yekuita kuti vanachiremba vomunharaunda yavo vafare zvikuru "kudzokera shure munenge muna 1970."
Ichi chikwata chechiremba chinowanikwa nevechiremba vakawanda vakwegura, mumaruwa ekuSouth-East.
Zvinonzwisisika, zvichienderana nehutano hwemareji emunharaunda uye makore ezvakaitika sevadzidzisi vekudzidzira, zvose zvakashandiswa mumashandisirwo, pamusoro pekuchinja kunouya pamwe nekushanduka kwekushanda kuva mushandi wechipatara, zvakanyanya kune vamwe vanachiremba kuti vatore pane imwe nguva gare gare mumabasa avo ekurapa.
Akawedzera kuti kusarudza vanachiremba kwakaratidza kuva dambudziko rakaoma kuchipatara chake, zvokuti zvekuti chirongwa chechipatara chakasiya mufambisi wemabasa nguva pfupi mushure mekushandisa vashoma vadzidzisi vakasiyana. Kubvira ipapo vakashandura kune kunze kwekuchengetedza uye makambani emashandi kuti varambe vachichengetedza chipatara-based specialists semishonga inokurumidzira uye anesthesiologists, uye vamwe vose vanachiremba muchipatara chekukandira nzvimbo vanozvishanda vari voga.
"Vatariri vezvipatara vakafunga kuti pane huwandu hwekutarisira uye zvimwe zviwanikwa zvinodiwa kuti vashandise vanachiremba, saka ivo vakaparadzana kwezvikamu zvemazana emapoka uye zvino vangoshandisa nhamba shomanana yechiremba," akadaro, achiwedzera kuti vazhinji vechiremba maari mharaunda yakaramba kushandiswa kweEEMR nezvimwe zvinyorwa zvezviito zvavo, asi vanoramba vakabatikana uye vanobudirira. Chipatara hachikwanisi kumanikidza vanachiremba kuti vagadzirise izvi kana kuchinja maitiro avo, sezvo vanachiremba vasingashandisirwi nechipatara.
Sezvo vatariri vezvipatara munyaya iyi vasingakwanisi kudzokera shure munguva yekuita kuti mishonga yehutano yehutano ive nyore, vanowedzera "kuedza kupa zviyero zvakanyanya sezvinobvira, maererano nekutengeserana, kubasa, zvishandiso, mitsara yebasa rekushandisa nemidziyo , nezvimwewo, uyewo kuita zvose zvatinokwanisa kuderedza zvakawanda zvekutakura mutoro sezvinobvira, sezvo izvo zvinoratidzika kuva dambudziko guru kune vakawanda vechiremba vedu. "
Pasinei nezvipingamupinyi mumatambudziko mashomanana, basa rechiremba rinoratidzika sechimiro chiripo kuti chigare. Semuenzaniso, 92 muzana yechiremba akaiswa neThe Medicus Firm, chiremba wenyika kuunganidza zvakasimba, yakashandiswa nezvipatara sevashandi, kwete kuiswa mumutambo wega. "Makumi gumi apfuura apfuura, zvichida anenge 80-90 muzana yevashandi vedu vezvechiremba vangadai vakaiswa muzvirongwa zvemunhu oga," anodaro Jim Stone, purezidhendi weThe Medicus Firm, "nhasi, nhamba dzacho dzava kuda kuchinja."
Dombo rinowedzera kuwedzera kuti chiremba akapfuura achiongorora tsvakiriro yakaitwa munguva yakapfuura yakaratidza kuti vanachiremba vanosarudza basa kunze kwekudikanwa, kwete nokuti havachadi kuva neutongi. "Kune rumwe rutivi, vanachiremba vatsva vakapinda mubasa mukati memakore matatu kusvika mashanu apfuura, havazivi chinhu chakasiyana.Vakatanga basa ravo rechiremba neAACA, EMRs, uye vanachiremba-sevari vashandi vari kutotanga kuzara , saka iyi ndiyo tsika yavo. " Nokudaro, mashizha uye kushandiswa kwebasa zvinokonzera kushungurudzika kune vanachiremba vane ruzivo hazvikonzeri zvakafanana kune vashandi vatsva, Stone yakaguma.
Vanoshandiswa Vanachiremba Vanobatsira Kutarisira Mwoyo Murefu Here?
Iko kusati kwave nekuongororwa kwakawanda kunoonekwa kuti kushanda kwechiremba kunobata sei hutano hwekutarisira varwere. Zvisinei, sekune imwe yebhizimusi, vashandi vanofara vashandi vanobudirira, uye zvakafanana zvinogona kuitika kune vanachiremba. Kana chiremba achisimbiswa nezvebasa rake, iye angave asingakwanisi kuita zvakanaka kana pamusoro pezvaanogona.
A 2017 CNN ripoti rakaratidza kuti kusarudza vanachiremba, pamwe chete nekushandurwa kwakaunzwa neAne Affordable Care Act (ACA, inozivikanwawo seObamacare), yakabvumira zvipatara kuti zvibhadhe mari yakawanda kuti iite zvakafanana nenzira iyo, yakaitwa nachiremba mumwe chete, nzvimbo yekushanda sezvavakapa mhosva kana chiremba akati aive ari oga. Hazvinyatsozivikanwi kuti chii chingaitwa kuti kuderedze kushandiswa kwemari kwekushandiswa kwechiremba munharaunda yevarwere.
Chinhu ichi chinoratidzika sekuwana kuenzanisa kwakanaka pakati pevashandi vanofara, vanobereka vanachiremba, vane hanya nevarwere, uye zvipatara zvakanaka.
Zvipatara Zvingafanira Kuisa Musoro Kune Madhodhodho Okutanga Here?
Zvipatara zvakawanda zvakajairika kuisa pfungwa kune varwere pakutanga uye zvakanyanya. Zvechokwadi, basa rechipatara ndiro rakagadziriswa rinofanira kugara riri kutarisira varwere varo pane zvimwe zvose. Zvisinei, chikamu chekuenzanisa ichi kuri kupa hukuru hwehutano hunotoneka, uye vanachiremba vanodikanwa kuita saizvozvo. Iye zvino zvipatara zvinoshandisa vashandi, zvipatara zvakawanda zvingada kuchinja simba ravo uye kuisa kune zvimwe zvemasimba iwayo kune vashandi varo. Richard Branson, chikwata chevanhu vose uye anozivikanwa mumiriri webhizimisi, ave achinyorwa kakawanda achitaura kuti vatengi havana basa-vashandi vanoita. "Tinotarisira vashandi, uye vanochengeta vatengi," Branson ave ataurwa achitaura.
Zvingave zvakadaro kune zvipatara, vanachiremba, uye varwere here? Vanhu vazhinji havana hanya kuenzanisa zvipatara kune makambani kana kuenzanisa varwere kune vatengi. Zvisinei, kune zvimwe zvakafanana, uye zvipatara hazvikwanise kupa hutano hwakanaka kune varwere vavanhu vasina vanachiremba.
> Sources:
> The Medicus Firm, 2017 Chiremba Placement Summary Report, February 2017.
> LaMott, S, "Zvinodini Madaktari Anofunga Nezvinodiwa Nezvokuchengetedza Mutemo," CNN.com, January 17, 2017.