Ukubhekwa Kwemitholampilo Yomtholampilo ye-Electronic ngokukhomba izikhala zokunakekela
Amarekhodi ezempilo e-elekthronikhi (EHRs), ukubhaliswa kweziguli , nezinye izinhlelo zezokwelapha ngamathuluzi ayigugu ekuphathweni kwezempilo yabantu . Umqondo oyinhloko ukukhipha idatha yezempilo etholakalayo nge-electronic ukuze uthole izixwayiso zokuthola iziguli ezingase zithole ukunakekelwa okungaphezulu eqenjini lokunakekelwa kwezempilo.
Lolu cwaningo luzoqokomisa isibonelo sokuphila kwangempela indlela uhlelo lokunakekelwa kwezempilo, i-Kaiser Permanente Southern California (KPSC), oluqhuba ukubhekwa kwe-elektroniki kolwazi lwezempilo ukuthola amathuba okuthuthukisa izinga lokunakekelwa kwezempilo ("izikhala zokunakekelwa") kumgulaphi ukusetha.
Izici eziphawulekayo zohlelo lwe-KPSC lokuPhepha okuPhezulu kokuPhepha okuPhezulu zichazwe nguKim Danforth kanye nozakwabo e-athikili ka-2014 ku-eGEMs (Ukudala Ubufakazi & Izindlela zokuthuthukisa umphumela weziguli).
Izimiso Eziqondisayo
Izimiso ezimbalwa eziqondisayo zohlelo lwe-KPSC lokuPhepha okuPhezulu okuPhezulu kufanele ziphawule. Okokuqala, lolu hlelo lusekelwe ekutheni izikhalazo zokunakekelwa zikhona naphezu kwemizamo engcono yokuhlinzeka ngezempilo eliphezulu. Uma iziguli ezingu-990 ezifika ku-1 000 ezinezinkinga ezingavamile zitholakale zilandela ukulandelwa okufanelekile, okwamanje kushiya iziguli ezingu-10 ezizophangwa.
Okwesibili, inqubo jikelele ukuqhuba ukubhekwa kwe-elektroniki kwedatha yemitholampilo ngaphandle komhlangano wokuhlinzeka-ngesiguli. Njengoba nje leli gama lisho, lolu hlelo lusebenza njengetayite lokuphepha "lokubamba" iziguli ezinenkinga ezingase zingabonakali ngesikhathi sokuthola umtholampilo omatasa. I-KPSC isebenzisa i-EHR eyakhelwe i-Epic ukuqapha imiphumela yelebhu nemigomo yemithi yamaflegi obomvu.
Okwesithathu, inhloso yalolu hlelo ukukhomba iziguli ezidinga ukunakekelwa okwedlulele noma ukulandelwa ukunakekelwa, kunokuba zihlolwe ukusebenza kwabadokotela ngabanye. Imvelo ye-"icala elingenasici, yokuphepha ngokuphepha" cishe yanda ukwamukelwa ngabanikezeli bezempilo.
Imigomo
Ubuholi basebenzise lezi zindlela ezilandelayo ukucacisa ukuthi ngabe uhlelo lomuntu ngamunye lwezokuphepha luzokwenziwa kanjani.
Impact Impact: Uhlelo net yokuphepha akubhekwa njengenani elifanele uma akuzange ukubhekana nezindaba ezibalulekile ukuphepha isiguli.
Ukukhonjwa: Igebe lokunakekela lidinga ukutholakala kalula ngemininingwane ehleliwe ku-EHR, njengamanani amarebhu noma amakhodi okuxilongwa. Ukuhlunga idatha ehlelekile kulula kakhulu kunokuqhuba ukusetjenziswa komlimi wemvelo kwamanothi wombhalo wamahhala.
Landela: Abasebenzi abenele kanye nezinsiza kwakudingeka ukuba balandele iziguli. Uma isibalo esikhulu seziguli singathinteka, izixazululo ezizenzakalelayo zafunwa (isb. Thumela ngokuzenzakalelayo izincwadi zokukhumbuza iziguli)
Izinhlelo Zokuphepha Zomuntu ngamunye
Inani lezinhlelo ezingu-24 zokuphepha ezintambo zachazwa kulesi sihloko, ngasinye sigxile kwigebe lokunakekelwa okukhethekile. Kwaqalwa izinhlelo zokusiza ukuxilongwa komdlavuza (umlomo wesibeletho, i-colorectal, i-prostate), isifo esingenasifo sezinso, nesifo sofuba se-hepatitis C ngokuthuthukisa ukutholakala nokulandelwa okujwayelekile okuhlolwa okungavamile.
Ezinye izinhlelo zihlolwe ngemiphumela engaba yingozi emithi. Lokhu kwafezwa ngokukhomba amanani angavamile webholo angasikisela ukuthi amazinga omuthi ayephakeme kakhulu noma ayemaza izinso, isibindi, noma ezinye izitho. Izinhlelo zokuqapha imithi zibuye zihlonze iziguli ezibekiwe ukuthi zingase zibe yingozi emithini yemithi noma inhlanganisela yemithi.
Kukhona izinhlelo zokuthuthukisa ukulandela ezinye izivivinyo ezingavamile noma ukukhomba iziguli ezizozuza ngemigomo nokululekwa kwezempilo.
Ucwaningo lwalesisifundo lubukeze isibonelo sendlela amathuluzi elwazi lezempilo e-elektroniki angakwazi ukubona amathuba okuthuthukisa impilo yabantu. Nakuba umbiko wangempela awuzange uxoxisane nethonya langempela emiphumeleni yezempilo yesiguli, kuchaza uhlaka jikelele lokusebenzisa lolu hlelo.
Imithombo:
UDanforth KN et al. Ukuhlolwa Kwemitholampilo Yomtholampilo Yomtholampilo Ukuthuthukisa Ukwelashwa Okuphulukisiwe: Izicelo Ezihlukahlukene Ngaphakathi Kokuhleleka Okudidiyelwe. IGEMs (Ukudala Ubufakazi & Izindlela zokuthuthukisa imiphumela yeziguli) 2014; 2 (1).
Kufinyelelwe ngoJulayi 1, 2014.