Ukukhokha ukusebenza kanye nokuthenga ngokusekelwe ngamanani kuyimigomo esetshenziselwa ukuchaza izinhlelo zokukhokhela ukunakekelwa kwezempilo ezivuza odokotela, izibhedlela kanye nabanye abahlinzeki bezempilo ukuze benze kahle. Ukusebenza kahle kuvame ukuchazwa njengokuhlinzeka ngekhwalithi ephezulu ngezindleko eziphansi.
Ukukhokha ukusebenza (P4P) kuvame ukuxoxwa kumongo wokuguqulwa kwezempilo. Uhulumeni wesifundazwe uqale imizamo yokusebenzisa i-P4P ohlelweni lwawo lwe-Medicare, kodwa le mizamo isesimweni sokuqala futhi ayikakutholi idatha eyanele yokunquma ukuthi i-P4P iphumelela yini ekunciphiseni noma equkethe izindleko zezempilo.
Kungani Yamukela Uhlelo Lokukhokhela Ukukhokhela?
Ngaphansi kwesimiso sethu samanje sezempilo, abahlinzeki bakhokhelwa ngenkonzo ngayinye eyenziwa. Lokhu kunikeza abahlinzeki bezempilo ukuthi babe nomthelela oqinile wezezimali ukwenza izinsizakalo eziningi ngangokunokwenzeka. Lokhu, kuhlangene nabaninikeli abaqondakalayo ukungafuni ukuveza izigwegwe ezingase zibe khona, kungabangela ekuqapheleni nasekusebenziseni ngokweqile amasevisi ezempilo.
Ngaphezu kwalokho, abanye ochwepheshe bezomthetho wezempilo bakholelwa ukuthi uhlelo lwethu lokukhokha lwamanje alukho ngenxa yokuthi lugxila indima yokunakekelwa kokuvikela okungadlala ekuthuthukiseni impilo nokunciphisa izindleko zezempilo. Namuhla, abahlinzeki bathola imali eyengeziwe yokwelapha isiguli sesifo sikashukela esibhekene nokuhluleka kwezinso kunokuba sisebenze nesiguli ukuzama ukuvimbela ukwehluleka kwezinso, ngokusebenzisa ukulawula okungcono kweglucose yegazi, okokuqala. Lokhu kubonakala emuva emuva kwabaguquleli abaningi bezempilo.
Uhlelo olusha lokukhokha olunikeza abahlinzeki ngokukhulisa umthelela wokunakekelwa kokuvikela lungasiza ekuqukeleni izindleko zokunakekelwa kwezempilo.
Inkokhelo yokusebenza ihlongozwa njengohlelo olunjalo. Luzovuza odokotela ngokuhlinzeka ukunakekelwa okuye kwafakazelwa ukuthi kuthuthukiswe imiphumela yezempilo futhi kuzobakhuthaza ukuba bancishiswe ukudoba noma nini lapho kunokwenzeka.
Izinselelo
Inselele enkulu ekusebenziseni i-P4P ivumela wonke umuntu ukuba avumelane ngezinga eliphezulu.
Izindinganiso zekhwalithi ziyizinyathelo zomgomo ezisetshenziselwa ukunquma ukuthi abahlinzeki banikeza ukunakekelwa okusezingeni eliphezulu. Isibonelo, izinga elilodwa lezinga eliphezulu lingaba odokotela ukuhlola amazinga A1C kuziguli ezine-sikashukela izikhathi ezine ngonyaka. Esikhathini sohlelo lwe-P4P, odokotela abahlangabezana nalesi simiso bazothola ngokufanele.
Inkinga yukuthi abaningi abahlinzeki bezempilo bakholelwa ukuthi umkhuba wokwelapha ubuciko obuningi njengesiyisayensi futhi okubilisa yonke into phansi kuze kuhlaziywe futhi ukulungiswa kwemithi yokwelashwa kungenza ukondla iziguli. Kanti futhi, abahlinzeki ngezinye izikhathi abavumelani nemikhuba efanele yokwelapha ezigulini ezinezifo ezifanayo kanye nemininingwane efana nezokwelapha. Lezi zingxabano kuzodingeka zixazululwe ngaphambi kokuba i-P4P ikwazi ukusebenza ngokugcwele.
Ngizokhokha Kanjani Ukusebenza?
Kunzima ukusho ukuthi umphumela wokukhokhela ukusebenza uzoba yini kusukela kusenesikhathi emdlalweni. Kodwa-ke, ngoba i-P4P ibhekene ikakhulukazi nendlela odokotela, izibhedlela kanye nabanye abahlinzeki bezempilo abahola ngayo umsebenzi wabo, cishe ngeke kube nomphumela omuhle ezigulini ngabanye. Ngokuhamba kwesikhathi eside, ithemba lokuthi uma i-P4P isebenza ngokugcwele, iziguli zingase zijabulele ukwelashwa okungcono ngaphandle kokukhokha ngaphezulu.