Uma amarekhodi akho wezempilo kanye nezokwelapha egcinwa, efinyelelwe, eguquliwe futhi ebuyekeziwe ngamanani, usebenzisa amakhompyutha noma amaphilisi noma amanye amadivaysi, abizwa ngokuthi i-EHRs (i-Electronic Health Records) noma ama-EMR (i-Electronic Medical Records).
Njenganoma yikuphi ukugcinwa kwamarekhodi, ukurekhoda kwamarekhodi eziguli ezivela kumaphepha wephepha nokubhala ngokomzimba kumakhompyutha kanye namakhono abo okugcina okudala ukudala ukuphumelela okukhulu kweziguli nabahlinzeki babo, kanye nezinhlelo zokukhokha kwezempilo.
Kodwa ukusebenza kahle akusiyo kuphela inzuzo. Kuzo iziguli ngabanye, ukufinyelela kokunakekelwa okuhle kuba lula futhi kuphephile lapho amarekhodi angabelana kalula. Ulwazi olubalulekile - olufana nohlobo lwegazi, izidakamizwa ezinqunyiwe, izimo zezokwelapha kanye nezinye izici zomlando wethu wezokwelapha - zingabalelwa ngokushesha kakhulu. Okungenani, irekhodi lempilo ekhona e-EHR (i-EHR) lingasindisa isikhathi ehhovisi likadokotela. Ngokuvamile, ukufinyelela okusheshayo kumarekhodi ethu kungasindisa ukuphila uma kwenzeka isimo esiphuthumayo futhi izimpendulo zale mibuzo zidingeka ngesikhathi senqubo yokwenza izinqumo eziphuthumayo.
Ngisho nohulumeni wesifunda ucabanga ukuthi ukugcinwa kwamarekhodi e-elektroniki kubalulekile, futhi uye wabeka imali nemizamo lapho izincomo zayo zikhona. Izibhedlela ze-Veterans ezweni lonke zihlanganyela ohlelweni lwe-elekthronikhi, olubizwa nge-VistA, oluvumela ukukwabelana ngamarekhodi kwabadala bezilwane ohlelweni lwezempilo. Uma isiguli sizitholela esibhedlela sase-VA, ngisho nalapho esivela ekhaya, isibhedlela sizoba nokufinyelela okufanayo emarekhodi akhe ukuthi isibhedlela sasekhaya senza, ngokusebenzisa uhlelo olubizwa ngeBlue Button.
Ngaphezu kwalokho, uhulumeni wabeka uhlelo lokugqugquzela abahlinzeki ukuba basebenzise amarekhodi ezempilo e-elektroniki futhi banamathele ohlwini lwezinqubo zokuthuthukisa ukunakekelwa nokufinyelela kwesiguli. Lezo zindlela zibizwa ngokuthi Ukusetshenziswa Okunenjongo.
Izenzakalo ezibuhlungu njenge-9/11, iSiphepho uKatrina, nemililo yaseCalifornia ziye zabonisa izinzuzo zokugcina amarekhodi edijithali.
Labo abalimala noma abagulayo nganoma iyiphi yalezo zenzakalo baphathwa kalula futhi kungenzeka ukuthi bathole imiphumela engcono kunalabo abangenawo amarekhodi wezokwelapha. Amasistimu ama-EMR amakhulu aphindaphinda amarekhodi agcinwe ezindaweni eziningana ezweni lonke ukuze umcimbi owodwa oyingozi ungabhubhisi.
Enye inzuzo ukuphepha. Esikhathini esidlule, indlela udokotela eyithole ngayo umlando wakho wezempilo kwakukubuza. Ngaso sonke isikhathi lapho uvakashela ihhovisi elisha kadokotela, ugcwalise amafomu ngomlando wakho, kufaka phakathi ukuhlinzeka kwangaphambili, noma izidakamizwa ozithatha njalo. Uma ukhohlwe ucezu lwazi, noma uma ungabhali phansi ngoba kubonakala kungabalulekile kuwe, udokotela wakho wayengazange abe nalesi sigaba se-puzzle yakho yezokwelapha ukuze asebenze nayo.
Kodwa-ke, uma odokotela babelana ngamarekhodi ngekhompiyutha, udokotela wakho omusha udinga ukubuza igama lakho, i-birthdate, futhi mhlawumbe olunye ucezu lokuthola ulwazi. Ungakwazi ukukhipha amarekhodi akho endaweni yabo yokugcina i-electronic. Yonke imininingwane ayidinga ukuyibona iyoba khona ngokugcwele. Uma kufika isikhathi sokukuthola, kungase kube kubalulekile kuye ukuthi ufunde ukuthi uthatha uhlobo oluthile lwemithi, noma ngisho ne-supplement ye-herbal - noma yiluphi ulwazi olwenziwe nodokotela odlule.
Izinqumo zokuthola izifo nokwelashwa zingashintshwa ngokuya kulolo lwazi, okuphelele kakhulu kunalokho okungenzeka ukuthi ubhale phansi ephepheni.
Esikhathini esedlule, lapho udokotela evala umkhuba wakhe, ethatha umhlalaphansi, wathuthela, noma waze wafa, amarekhodi eziguli angakwazi ukulahleka noma ahanjiswe kalula, okwenza kube nzima ukuba iziguli zithole amarekhodi adingekayo ukuthatha udokotela omusha. Ukugcina la marekhodi ngekhompiyutha, ikakhulu lapho kwenzeka khona iziguli, futhi kusho ukuthi isiguli ngeke sishiye ngaphandle kwamarekhodi angadinga.
Imali igcinwa ngokusebenzisa amarekhodi wezokwelapha zobuchwepheshe; hhayi nje izindleko zamaphepha namafayili efayela, kodwa izindleko zabasebenzi kanye nesikhala, futhi.
Kunoma yiliphi ibhizinisi, isikhathi silingana nemali. Ukuphumelela okudalwe ngokumane uthayiphe izinkinobho ezimbalwa zokukhomba ukurekhoda irekhodi lesiguli - uma kuqhathaniswa nokubheka izinkulungwane zamafolda efayela, ukufaka nokuzikhubaza - kusindisa umkhuba odokotela noma esibhedlela izinkulungwane zamaRandi. Lokhu kuthatha ngisho nokubiza izindleko ze-electronic system.
Ukusebenza okuphumelelayo odokotela nezinkampani zomshuwalense ukugcina imali ekugcineni kubangele iziguli ezilondoloze imali, futhi.
Isiguli esinikwe amandla siyazi ukuthi siyalinganisa lezi zinzuzo ngokumelene nokulinganiselwa kwamarekhodi wezokwelapha zobuchwepheshe kanye namarekhodi ezempilo yomuntu siqu okubandakanya izinombolo zamaphutha angenziwa , ukungabi namazinga, nezinkinga zobumfihlo nokuvikeleka .