Izisetshenziswa Eziphezulu Ukugqoka Amakamelo Aphuthumayo
Amaprosesa avamile yiziguli ezibonisa ngokuphindaphindiwe ekamelweni eliphuthumayo ukunakekelwa kwezokwelapha. Bakhetha ukugibela ama-ambulensi, noma ukuhamba emnyangweni ophuthumayo, ngokuphindaphindiwe, kunokubona udokotela wabo. Bavakashela njalo ukuthi abasebenzi bayaziwa ngamagama. Ucwaningo lwango-2009 lwaseTexas lithole ukuthi esikhathini esiyiminyaka eyisithupha, iziguli eziyisishiyagalolunye zingu-2,678 ukuvakashelwa kwe-ER, ezibiza amaRandi ayizigidi ezingu-3 - amaflaya amaningi kakhulu.
- Ama-synonyms: Osebenzisa kakhulu, super utilizer (SU), GOMER no-GOOMER (phuma ekamelweni lami eliphuthumayo)
- Ezinye izipelingi: izindiza ezivamile
Ubani abaFlyers Frequent Flyers - Iziguli Eziphezulu?
Kungase kube nezizathu eziningana zokusebenzisa ngokweqile iminyango ephuthumayo. Isiguli singenaso umshuwalense ngakho-ke asikwazi ukukwazi ukubona udokotela ovamile. Leso siguli siyazi ukuthi i-ER kumele okungenani inikeze ukwelashwa okusindisa impilo. (bona i- EMTALA ). Kwakukhona ithemba ngendinyana nokusetshenziswa koMthetho Wokunakekelwa Okunganakekelwa ka -2010 wokuthi ukusetshenziswa kwegumbi lokuphuthumayo kuzokwehla ngoba abantu abaningi babeyoba nomshuwalense wezempilo. Kodwa kungakhathaliseki ukuthi lokhu kungashintsha inani lamaflaya okuvame ukuhlala kubonakala.
Isizathu sesibili singase sibe ukuhluleka kwengqondo. Ezingxenyeni eziyisishiyagalolunye zamaflaya aseTexas, abayisikhombisa babechungechunge lwezempilo yengqondo kanti abangu-8 babesebenzisa izidakamizwa.
Yiqiniso, abanye bangabantu abafuna ukufuna. I-slang term GOMER (phumani egumbini lami eliphuthumayo) lisetshenziselwa kakhulu kwi-slang yezokwelapha iziguli ezethula ngokuvamile emakamelweni aphuthumayo kepha azidingi ukunakekelwa okuphuthumayo.
Ivela encwadini ethi The House of God nguSamuel Shem.
Izifundo zathola ukuthi amaflaya amaningi ayenamathuba amaningi okuba abesifazane, abaseCaucasia, abampofu naphakathi kweminyaka engama-25-44. Kungenzeka ukuthi bazofika ekamelweni eliphuthumayo kusihlwa ngezimpawu ezincane kakhulu. Ngokuthakazelisayo, ngokuvamile bahlinzekwa ngomshuwalense nge- Medicaid kunokuba bangabambiswanga noma banomshwalense wezempilo wangasese.
Imizamo Yokubhekana Nesisetshenziswa Esiphezulu / Isikhathi Esijwayelekile Sama-Syndrome
Izinhlelo ezisetshenziswa kakhulu zifuna amaflaya amaningi kanye nezinye iziguli ezinokuvakashelwa okuphindaphindiwe futhi zisebenze nazo ukuze ziqondise ekunakekeleni okungcono ukuze zibe nokusetshenziswa okuncane. Nazi izibonelo zamahlelo aphezulu:
I-Camden Coalition of Healthcare Providers: Lolu hlelo lwaluqalile ukudweba ibalazwe elishisayo lapho iziguli ezethula ezibhedlela zaseCamden, eNew Jersey zivela khona. Bathole iphesenti elilodwa labantu abasebenzisa izibhedlela zikaCamden ngenxa yezindleko zawo ezingamaphesenti angu-30. Bakha uhlu lwamaphephandaba avamile ngokukhuluma nabasebenzi bezenhlalakahle kanye nodokotela ophuthumayo. Bhalisa iziguli futhi baqhuba ukuvakashelwa ekhaya kanye namakholi wefoni ukuze banikeze ukunakekelwa kwezempilo okungcono futhi bavikele ukuvakashelwa kwegumbi lokuphuthumayo. Iziguli ezibhalisiwe zisebenza nethimba elisekelwe emphakathini izinsuku ezingaba ngu-90, libhekene nezithiyo zokuziphatha nezenhlalo kanye nezindaba zezokwelapha.
Isimo sase-Oregon saqala uhlelo ngoJulayi 2012 ukuhlinzeka ngokunakekelwa okuhlelekile kweziguli ezihamba phambili zama-Medicaid abavakashela amakamelo okuphuthumayo esibhedlela izikhathi ezingu-10 noma ngaphezulu ngonyaka. I-CCOs igxila ekuvimbeleni nasekusizeni abantu ukuphatha izimo ezingapheli. Bahlose ukunciphisa ukuvakashelwa kwamakamelo okuphuthumayo okungadingekile njengomphumela owodwa.
Imithombo:
Hunt, K., Weber, E., Showstack, J., Colby, D., & Callaham, M. (2006). "Izimpawu zabasebenzisa njalo iminyango ephuthumayo. Amalengiso weMithi Ephuthumayo, 48 (1), 1-8."
Jacobs, BJ, et al. (2012). Ukusebenzisa isibonelo se-Brenner's Col -borative Model-Utilizer Model [PowerPoint slides]. Umhlangano Wempilo Yomndeni Ohlanganyelwe 14th Conference Yonyaka, Okthoba 4-6, 2012.