Indlela Yokulondoloza Ubuhlobo Obuhle Phakathi Kwezibhedlela Nabaqashi BamaDokotela
Umsebenzi wezokwelapha uye wahamba kancane kancane eminyakeni eyishumi eyedlule ngokuziqhenya ngokuyinhloko ukuze aqashwe izibhedlela noma izinhlelo zezempilo. Lo mkhuba cishe awubonakali odokotela abasha, okungenzeka baqala imisebenzi yabo njengabasebenzi. Kodwa-ke, odokotela abaningi abanolwazi bangase balwe noguquko kusuka kumnikazi womkhuba noma umlingani kuya emsebenzini.
Abanye odokotela okungenzeka basebenze iminyaka bephethe futhi benza imisebenzi yabo njengomphathi oyedwa noma njengelungu lobambiswano manje sebezithola besebenza njengabasebenzi , futhi bebika kumphathi noma umphathi ngenye indlela.
Ukwengeza, odokotela abaningi baye besaba ukuguqulwa kobunikazi bebhizinisi ukuba basebenze njengabasebenzi, abaphathi abaningi esibhedlela cishe bajabule ngokulingana nomthwalo wemfanelo owenziwe wokuphatha abasebenzi bezinyanga eziqashiwe.
Lokhu kungenzeka kubangele izinhlungu ezithile ezikhulayo zombili zombili etafuleni. Ngakho-ke abaphathi besibhedlela nabaphathi abaqhuba kanjani ukubhekana nalesi sigaba esisha esinezela imisebenzi kanye nemithwalo yemfanelo ehlobene nokuphatha abasebenzi babo odokotela, kuyilapho begcina isimo sengqondo nomsebenzi omuhle odokotela babo? Lokhu kungaba yinselele ikakhulukazi ezinkambisweni ezincane ezinemithombo encane, noma ezindaweni ezisemakhaya.
Amasu Okuphatha Odokotela Ukuhlanganyela Nokugcina Abahlengikazi
Ukuze uthole izimpendulo mayelana nendlela yokusebenza ngokuphumelelayo nokusekela amalungu abasebenzi odokotela, abaphathi abadinga iseluleko bangabheka kwezinye izibhedlela nezinhlelo zezempilo eziye zaphumelela ngokuqashwa kwabahlengikazi nokugcinwa kwamanje kuze kube manje.
Isibonelo, uhlelo lwezempilo lweSifundazwe sase-Southern Tennessee e-Lawrenceburg, TN lugunyaza ngamasu nezinhlelo ezihlukahlukene ukuze kuzuze odokotela bayo.
Ukuzama ukugcina uphethiloli ophezulu, ukuphathwa "kuhlanganisa nabo ekwenzeni izinqumo, ukuhlela amasu, nayo yonke imikhosi yezinconywana ezincane ku-HCAHPS nemigomo ebekwe ukuba inkampani iphumelele," kusho uTina Holt, umqondisi ukuthuthukiswa kwebhizinisi ku-STRHS.
Lapho ebuzwa ukuthi yiziphi izinsiza namasu abawasebenzisa ukuze balondoloze indawo enhle yokusebenza kwabahlengikazi, uHolt wabelane ngokuthi i-STRHS "ineqembu elikhulu lokuphatha okwenziwa odokotela elisebenzisana nodokotela njalo. Banikeza usizo ngezindaba zehhovisi ukuqinisekisa ukuthi umkhuba wesidakamizwa usebenza ngokushelela. "
Ngisho nokusekelwa okuhle kusukela ohlelweni lwesibhedlela kanye nomphakathi, izinqubomgomo ezithile nezinqubo zingase zibe yinto enzima yokudayiswa odokotela, ikakhulukazi labo odokotela asetshenziselwa ukuzimela okuningi njengomnikazi wangaphambili womkhuba. Abaqashi bezempilo bangathola kanjani odokotela ukuthenga emigqeni yamasevisi amasha, imizamo, noma izinqubomgomo nezinqubo?
"Sinezinto esizibiza ngokuthi i-PEG (Odokotela Engagement Group) ukuthi iqembu elikhethiwe labahlinzeki lisebenza njalo ngonyaka," kusho uHolt. "Isebenza njengebhodi elizwakalayo ku-CEO. Imihlangano ibanjwe kanye nekota ngekhamera ngesikhathi sokudla. Ngokuvamile kuvumelana kahle kakhulu nokuphendula kulezi zikhathi zeqembu."
Izindlela eziningi ziye zanezela kumaqembu abo obudlelwane nodokotela ukuze baqinisekise ukuxhumana okuvulekile phakathi kwabadokotela nokuphathwa kwezibhedlela.
Ukusebenza Kungase Kungabi Impendulo Enhle Konke Izinhlelo Zempilo Noma Zonke Odokotela
Lapho izibhedlela zisebenzisa odokotela, akuhlali njalo njengoba kuhleliwe noma njengethemba. Kuncike ezintweni eziningana, kuhlanganise nodokotela kanye nomphakathi wendawo. Udokotela oyedwa esibhedlela esibhedlela sasemaphandleni, owakhuluma ngesimo sokungaziwa, wathi enye yezindlela zokwenza odokotela bendawo bejabule kakhulu "ukubuyela emuva cishe ngo-1970."
Lo mkhakha othile wezokwelapha unabanye odokotela asebekhulile, endaweni yasemaphandleni yaseningizimu-ntshonalanga.
Ngokuqondakalayo, ngenxa yezinga labahlengikazi basekhaya kanye neminyaka yobuchwepheshe njengabanikazi bokuqhuba, zonke izinguquko ezengeziwe embonini, ngaphezu kwezinguquko ezihambisana nokuguqulwa kokuba isisebenzi esibhedlela, ziningi kakhulu ukuze odokotela abathile baqhubeke ngokuhamba kwesikhathi emisebenzini yabo yezokwelapha.
Wanezela ukuthi ukuqasha odokotela kwaba inselelo enzima esibhedlela sakhe, kangangokuthi ukuphathwa kwezibhedlela kwashiya imodeli yokuqasha ngemuva nje kokuqasha ochwepheshe abambalwa abahlukene. Kusukela ngaleso sikhathi baphendukela kubaphathi abangaphandle kanye nezinkampani zokuqashwa ukuze balondoloze ochwepheshe basezibhedlela njengezokwelapha eziphuthumayo kanye ne-anesthesiologists, nabo bonke abanye odokotela endaweni yokudweba yesibhedlela bazisebenzisela ukuzimela ngasese.
"Iziphathimandla zesibhedlela zazizwa ukuthi kunezinyathelo eziningi zokubheka kanye nezinsiza ezengeziwe ezidingekayo ukuze ziqashe odokotela, ngakho bahlukanisa amaqembu amaningana futhi manje basebenzisa kuphela inombolo encane kakhulu odokotela," esho, enezele ukuthi odokotela abaningi kuye umphakathi umelene nokuqaliswa kwe-EMR nezinye izibuyekezo ezenzweni zabo, kodwa zihlala zimatasa futhi zikhiqiza. Isibhedlela asikwazi ukuphoqa odokotela ukuba benze lezi zibuyekezo noma bashintshe imikhuba yabo, njengoba odokotela bengabasebenzi esibhedlela.
Njengoba abaqondisi esibhedlela kule ndawo bengakwazi ukubuyela emuva ngesikhathi sokwenza imboni yezokwelapha zibe lula, kodwana "bazama ukunikela ngokusekelwa okukhulu ngangokunokwenzeka, ngokwemakethe yokuthengisa, abasebenzi, izinsiza, imigqa emisha yesevisi kanye nemishini , njll, kanye nokwenza noma yini esingakwenza ukuze sinciphise umthwalo omkhulu wokuphatha ngangokunokwenzeka, njengoba lokho kubonakala kuyinselele enkulu kwabaningi bethu odokotela. "
Naphezu kokushiyeka kwamacala ambalwa, umsebenzi wokudokotela ubonakala sengathi ungumkhuba ozohlala kuwo. Isibonelo, amaphesenti angu-92 odokotela ababekwe yi-The Medicus Firm, udokotela wezwe oqashwe ngokuqinile, baqashwe izibhedlela njengezisebenzi, hhayi ukufakwa emisebenzini yangasese. UJim Stone, umongameli weThe Medicus Firm, uthi: "Eminyakeni eyishumi edlule, cishe amaphesenti angaba ngu-80-90 odokotela bethu abazobe befakwa ezigabeni zokuzimela ngasese," kusho uJim Stone, umongameli weThe Medicus Firm, "namuhla, izibalo ziphelile."
I-Stone iyaqhubeka yokwengeza ukuthi umsebenzi odokotela odlule ohlolwe yi-firm esebenzile esikhathini esidlule uye wembula ukuthi odokotela bakhetha umsebenzi ngaphandle kwesidingo, hhayi ngoba abafisa ukuzimela. "Ngakolunye uhlangothi, odokotela abasha abaye bangena emsebenzini phakathi neminyaka emithathu kuya kwemihlanu edlule, abazi lutho oluhlukile. Baqala imisebenzi yabo odokotela nge-ACA, EMRs, nodokotela-njengabasebenzi abajwayele ukuhamba ngokugcwele , ngakho-ke lokhu kuwumkhuba wabo. " Ngakho-ke, izinguquko ezimbonini kanye nokusebenza kwabasebenzi ezenza ukucindezeleka kwabahlengikazi abanolwazi abangeke babangele odokotela abasha, u-Stone waphetha.
Ingabe Odokotela Abaqashiwe Bangcono Kokunakekelwa KwezeMpilo?
Akukhona izifundo eziningi okwamanje ezitholakalayo ukuthi ukuqashwa komdokotela kuthinta kanjani izinga lokunakekelwa kwesiguli. Kodwa-ke, njenganoma yimuphi umkhakha, abasebenzi abajabulayo bangabasebenzi abakhiqizayo, futhi okufanayo kungenzeka ukuba odokotela. Uma udokotela egxilile ngomsebenzi wakhe, kungenzeka ukuthi angeke enze kahle noma ngaphezulu kwamakhono akhe.
Umbiko we-2017 we-CNN uveze ukuthi ukuqasha odokotela, kuhlangene nezinguquko ezilethwe yi-Care Affordable Act (ACA, owaziwa ngokuthi yi-Obamacare), uye wavumela izibhedlela ukuba zikhokhise imali eyengeziwe ngenqubo efanayo, eyenziwa udokotela ofanayo, okufanayo ekamelweni lokusebenza njengoba bekhokhisa lapho udokotela ethi wayesebenza ngasese. Akucaci kahle ukuthi yini engenziwa ukuze kunciphise umthelela wezezimali wokuqashwa kodokotela emphakathini weziguli.
Isihluthulelo sibonakala sithola ibhalansi elungile phakathi kwabasebenzi abadokotela abajabulayo, abakhiqizayo, abanakekela kahle iziguli, nezibhedlela ezizwakalayo.
Ingabe Izibhedlela Kufanele Zigxile KuDokotela Madala?
Izibhedlela eziningi zijwayele ukugxila kweziguli kuqala. Yiqiniso, umsebenzi wokugcina esibhedlela kufanele ube njalo ukunakekela iziguli zawo ngaphezu kwazo zonke ezinye izinto. Kodwa-ke, ingxenye yalesi sibalo inikeza izinga eliphezulu lokunakekelwa okungenzeka, futhi odokotela bayadingeka ukwenza kanjalo. Manje lezi zibhedlela ziyizisebenzi zabahlengikazi, izibhedlela eziningi zingase zidingeke zilungise amandla azo futhi zibheke okungenani amanye alawo magesi kubasebenzi balo odokotela. URichard Branson, umlingiswa womphakathi nomnikazi webhizinisi owaziwayo, uye wacatshangwa kabanzi ngokuthi amakhasimende ayinandaba-abasebenzi bayakwenza. "Siyabakhathalela abasebenzi, futhi banakekele amakhasimende," kusho uBranson.
Kungabe kunjalo yini nangezibhedlela, odokotela, neziguli? Abantu abaningi abanandaba ukuqhathanisa izibhedlela nezinkampani noma ukuqhathanisa iziguli kumakhasimende. Kodwa-ke, kukhona ukufana, kanti izibhedlela azikwazi ukuhlinzeka ukunakekelwa kwezinga eliphezulu kwesiguli sabo ngaphandle kwezidokotela.
> Imithombo:
> I-Medicus Firm, Umbiko weziNgqungquthela zoMnyango wezeMpilo ka-2017, ngo-February 2017.
> LaMott, S, "Okushiwo Odokotela Ngomsebenzi Wokunakekelwa Onganakekelwayo," CNN.com, January 17, 2017.