Ukuvula iziteshi zokuxhumana ukuthuthukisa ukunakekelwa kwesiguli
Ukwaziswa kwezempilo ngezempilo (i-HIE) yi-exchange evikelekile ye-electronic kolwazi lwezempilo phakathi kwezinhlangano ezithile zokunakekelwa kwempilo ezinganqamuki. Umgomo we-HIE ukuvumela abahlengikazi neziguli ukuba bathole ulwazi olubucayi lwezempilo, ngesikhathi esifanele endaweni efanele, ukuze banikeze noma benze lula ukunakekelwa okungcono kakhulu. I-HIE yakhiwa lapho inethiwekhi yezinhlangano ilandela izindinganiso ezihlonziwe zokwabelana ngolwazi lwezempilo lwe-elektroniki.
Izibhedlela, imitholampilo, ama-pharmacy, kanye nezikhungo zelabhu zingaxhunyaniswa yi-HIE esifundeni sesifunda, sesifundazwe noma sezwe.
Ngaphandle kwe-HIE, ulwazi luvaliwe kumrekhodi wezempilo we- elekthronikhi ngayinye (EHR) noma ezinye izinhlelo zokwaziswa, okwenza kube nzima otholampilo ukufinyelela idatha ephathelene neziguli ezithole ukunakekelwa kwezempilo ezinhlanganweni eziningi. I-HIE ivumela abahlinzeki bezempilo emiphakathini ehlukene ukuba babheke futhi babelane ngolwazi lwezempilo lesiguli (isib. Izimpawu ezibalulekile, imiphumela yokuhlolwa, imithi) endaweni yokunakekelwa. Iziguli zingasebenzisa i-HIE ukuphatha ukugeleza kolwazi lwabo lwezempilo.
I-HIE iwusizo nini?
Kunezimo eziningana lapho ukufinyelela kwidatha yemitholampilo kuyoba usizo kubantu abahlinzeka ngempilo kanye neziguli:
- Isiguli sidluliselwa esibhedlela esisodwa siya kwesinye
- Isiguli sithunyelwa emnyangweni ophuthumayo ngemuva kokuhlolwa okwenziwe emtholampilo
- Isiguli sikhishwa esibhedlela bese silandela emtholampilo
- Isiguli sisuka edolobheni futhi sithola umhlinzeki omnakekeli oyinhloko omusha
Kuzo zonke lezi zinguquko zokunakekelwa, isiguli singaba nolwazi lwezempilo olugcinwe kuma-EHRs esikhungweni sokuqala esingathinta uhlobo lokunakekelwa olunikezwa esikhungweni sesibili, uma kuphela abahlinzeki abafinyelela kuso. I-HIE yenza lokhu kwenzeke.
Izinzuzo ze-HIE
Ukukwabelana ngedatha ngesikhathi kungasiza abahlengikazi neziguli ukuba benze izinqumo ezingcono ekunakekeleni. Izinzuzo ezicacile ze-HIE zihlanganisa:
- Gwema ukufunda okungadingekile
- Gwema ukuhlolwa okuphindwe kabili. Uma odokotela bebona imiphumela yokuhlolwa kwamuva, ngeke badinge ukuhlolwa futhi
- Ukunakekelwa kwekhwalithi eliphezulu.
Isibonelo, isifundo sikaJakobe Bailey kanye nosebenza nabo sabonisa ukuthi lapho abahlinzeki bezempilo eminyangweni ephuthumayo basebenzisa i-HIE ukuthola amarekhodi eziguli ezinamakhanda amakhanda, babengenakudlula ukuhlola izifundo ezibiza izindleko (isib. Ucwaningo lwe-CT) futhi kungenzeka ukuthi balandele ubufakazi- iziqondiso ezisekelwe ekuphathweni kwekhanda.
Izinhlobo ze-HIE
Kunezinhlobo ezintathu eziyinhloko ze-HIE:
- Ukuqondiswa kwe-Exchange kuvumela abahlinzeki bezempilo ukuthi bazi futhi banethembana ukuze bathumele futhi bathole ulwazi mayelana nesiguli. Abahlinzeki basebenzisa lolu hlobo lokushintshanisa ukubika izinyathelo zekhwalithi noma idatha yokugoma.
- I-Exchange-Based Exchange ivumela abahlinzeki ukuthi bathole futhi / noma bacele ulwazi ngesiguli esivela kwenye imithombo.
- I-Consumer Mediated Exchange ivumela iziguli ukuthi zifinyelele futhi zilawule ulwazi lwazo lwezempilo. Bangabelana ngolwazi nabahlinzeki babo bezempilo.
Imvume yesineke ye-HIE
Ama-HIE anamalungiselelo ahlukene okuvumela iziguli ukuba zilawule uma nokuthi ulwazi lwabo lunikezwa kanjani ukwabelana phakathi kwezinhlangano zezempilo:
- Khetha ukungena: Okuzenzakalelayo ukuthi ulwazi lwezempilo lesiguli alubelwana. Iziguli kufanele ziveze ngenkuthalo isifiso sabo ukwabelana noma yonke imininingwane yabo noma ingxenye yayo kuphela
- Khetha ukuphuma: Okuzenzakalelayo ukuthi ulwazi lwezempilo lesiguli luyatholakala ukwabelana. Uma befisa ukuvimbela ukwabelana konke noma ingxenye yolwazi lwabo, iziguli kumele ziveze ngenkuthalo lesi sifiso
- Ayikho imvume: Ulwazi lwezempilo luyatholakala ukwabelana, futhi iziguli azikwazi ukuphuma.
Izinga izinga i-HIE elifezekisa ngayo ukusebenzisana lizobangela inani elibonakalayo phakathi kwabahlengikazi neziguli. I-HIE ephikisana ngokugcwele ingakwazi ukuthuthukisa ukuphepha, ikhwalithi, ukusebenza kahle, kanye nezindleko zokunakekelwa kwezempilo.
Ukwakha i-HIE yesifunda, yezwe, neyezwe idinga imithombo eningi kanye nokubambisana kwabathintekayo abaningi.
Imithombo:
Bailey JE et al. Ingabe ukushintshaniswa kolwazi lwezempilo kunciphisa ukonakala okungadingekile futhi kuthuthukise izinga lokunakekelwa ikhanda emnyangweni ophuthumayo? J Gen Intern Med 2013; 28 (2): 176-83. Kufinyelelwe ngo-Juni 6, 2014.
Ihhovisi loMxhumanisi Kazwelonke Wezobuchwepheshe WezeMpilo. Kuyini i-HIE? Kufinyelelwe ngo-Juni 5, 2014.
I-Health Resources kanye nokuPhathwa Kwezinsizakalo. Kuyini ukushintshaniswa kolwazi lwezempilo? Kufinyelelwe ngoJuni 5, 2014.