Ingabe Zonke lezi Zivivinyo Zezokwelapha Zidingeka?
Iziguli eziningi zithola ukuthi odokotela bazo baye bacela izivivinyo ezahlukene zezokwelapha, kodwa abaziqondi ukucabanga kwabo bonke. Kungani odokotela belungisa izivivinyo eziningi zezokwelapha? Bathemba ukuthini? Ingabe zonke lezo zivivinyo ziyadingeka?
Ingabe Zonke lezi Zivivinyo Ziyadingeka?
Iningi lezokwelapha lihlola ama -oda odokotela kuwe okudingekile ukusiza ukuhlonza inkinga yakho yezokwelapha noma ukunquma inqubekelaphambili yokwelapha.
Akuwona wonke uvivinyo olulodwa oludingekayo, noma kunjalo. Abanye bangakutshela ukuthi isizathu sokuhlola kuningi ngoba odokotela abasazethembi amandla abo okuhlola ukuhlola isiguli. Ngakho-ke, bancika kakhulu emiphumeleni yokuhlolwa.
Kodwa-ke, kaningi ekunakekelweni kwezempilo, impendulo evamile kulo mbuzo " landela imali ."
Ngempela kukhona izindlela ezimbili zemali ezithinta inani lokuhlolwa elihlelwe iziguli:
Okokuqala, odokotela bakhokhelwa izinkampani zomshuwalense kanye ne- Medicare kuzo zonke iziguli abazibona ngokusho ukuthi kungani bebona isiguli nokuthi yiziphi izinqubo abazenzayo.
Ngenxa yokuthi izinkampani zomshuwalense kanye neMedarera zibeka inani lemali udokotela angabuyiselwa nganoma yikuphi ukuxilongwa okunikeziwe futhi azi ukuthi umgomo wangempela njalo ukuhlala ebhizinisini futhi wenze imali, odokotela bavame ukuhleleka ukuhlolwa okuhlukahlukene - noma yini abacabanga ukuthi kuyoba kubuyiselwa isiguli.
Ngokuphindaphindiwe, lezi zivivinyo zenziwa ngqo ehhovisi likadokotela.
Lezo zivivinyo esasijwayele ukuya kwezinye izivivinyo zokuhlola - ukuhlolwa kwegazi, i-MRIs, i-EKGs, nabanye-manje zisetshenziselwa ngisho nasezilungiselelweni zokunakekela eziyinhloko.
Ukuhlolwa okudinga kakhulu odokotela basebenza emahhovisi abo, lapho bekhokhwa khona, noma ngabe isiguli siyayidinga ngempela noma cha. Njengoba iziguli zethu zivame ukuzikhokhela ngokuqondile, futhi njengoba singayiqondi ngempela ukuthi kungani sidinga, asizibuza.
Sithobela kuphela.
Isizathu sesibili odokotela bacela ukuhlolwa okuningi kakhulu kuthiwa " umuthi ovikelayo ." Imithi evikelayo yindlela odokotela abazivikela ngayo ekugwetsheni icala. Uma kwenzeka iphutha elithile ekuxilongweni noma ekwelapheni isiguli, futhi udokotela angabonisa ukuthi izivivinyo ezithile zaqhutshwa (kungakhathaliseki ukuthi ziyadingeka noma cha), udokotela angabonakala sengathi wayekhuthele ngokwanele ukucabanga ngamathuba amaningi. Empeleni, udala umzila wephepha ukuzivikela ukuthi kungenzeka ukuthi uzozomangalela kamuva.
Ukuvivinya okuningi kuzokubiza imali
Ngesihlabathi esishintshayo somshuwalense nomsebenzi wokukhokhela izinkokhelo, inkokhelo inqatshelwa ngokuphindaphindiwe kwalezi zindlela ezihlukile zokuhlolwa. Esimweni saseNew York State, odokotela babeyala i- MRIs (i-$ 1,000 ngayinye) ngeziguli okungenzeka ukuthi zenziwa kahle ngokusetshenziswa kwama-x-rays abiza kakhulu ($ 100 ngamunye). Inkampani yomshuwalense yaqala ukuphika inkokhelo, futhi iziguli zazikhokhiswa. Uzofuna ukuqinisekisa ukuthi noma yikuphi ukuhlolwa, noma ngabe uyayidinga noma cha, kuhlanganiswa umshwalense wakho ngezibonakaliso zakho noma ukuxilongwa.
Futhi, uma ukuhlolwa okwengeziwe kuyiwe ukuba kungabi nzuzo ngaphezu kwenzuzo kadokotela, sonke sibakhokhela. Siyakhokha ngendlela yokukhushulwa kwesikhwama semali, futhi sikhokhela ngezintela zenyuka ukukhokhela abakhokhela uhulumeni.
Eqinisweni, ukuhlolwa ngokweqile kudinga uhlelo lwezigidi, uma kungabikho izigidi zamaRandi ngonyaka.
Singazivimbela Kanjani Ukubhekana Nezivivinyo Eziningi?
Impendulo ewusizo kakhulu kulo mbuzo ulwazi. Uma udokotela wakho eyala izivivinyo kuwe, kunezinto ezimbalwa ongayenza:
- Kuzo zonke izivivinyo: Buza imibuzo emibili. Kuyini lokhu kuhlolwa? Futhi, ulindeleni ukuthola?
- Ukuze uhlole udokotela ugijima ehhovisi lakhe (umsebenzi wegazi, i-EKGs, noma i-MRIs), buza imibuzo engenhla, bese ubuza ukuthi lolo vivinyo luzophendula yini ukuthi olunye uvivinyo kakade luyalwe lungase lungabi khona. Noma, buza ukuthi kukhona uhlobo olubizayo lokuhlolwa noma oluzohlinzeka ngolwazi olwanele kodwa hhayi okungaphezu kwalokho okudingekayo. Isibonelo, udokotela angadinga ukulinganisa i-HbA 1c yesiguli ngesifo sikashukela ngokuthatha isampula yegazi. Lokho kuhlolwa okulodwa. Kodwa udokotela angahle ahlele iphaneli eliphelele lezisebenzi zegazi esikhundleni, okuyinto eningi kakhulu, okungenzeka kungadingekile futhi ikhokhiswe ngesilinganiso esiphezulu (okusho ukuthi wenza imali eyengeziwe.) Kuyisiguli ukuyihlola lokho.
- Ukuhlola okulethwe ebhodini elingaxhunyiwe ehhovisi likadokotela, buza imibuzo ku # 1 ngenhla, kepha ungakhathazeki ukuthi ngabe lezo zivivinyo zengeziwe uma ungakholelwa ukuthi zingase zifakwe esigabeni somuthi ovikelayo. Uma udokotela engakwazi ukuzuza ekuhlolweni okungeziwe ngokuqondile, kunethuba eliphansi ukuthi uzodinga okungaphezu kwalokho okudingayo. Izikhalo noma amakhomishana, lapho ilabhu noma indawo ekhokhela udokotela ngokudluliselwa kuyo, ayikho emthethweni emazweni amaningi e-United States. Yebo, kukhona izibonelo zokukhwabanisa . Uma unamandla anele, ungase uphishekele lokho kungenzeka. Kodwa njengoba isiguli, umgomo wakho wenombolo eyodwa ukuze uhambe kahle, ungatholi ukukhwabanisa.
- Kuzo zonke izivivinyo, cela lapho imiphumela izotholakala futhi ucele ukuthi amakhophi wemiphumela yokuhlolwa namarekhodi anikezwe kuwe.