Amaphesenti angaba ngu-50 aseMelika ahlupheka ngesimo esingapheli. Okubaluleke nakakhulu ukuthi amaphesenti angu-86 wezindleko zezokwelapha eziphelele asetshenziswa kulezi zifo. Ngaphezu kwalokho, izifo ezingapheliyo ziyaqhubeka - ngo-2020, izigidi ezingama-157 zaseMelika kulindeleke ukuba ziphile nesimo esingapheli - kanti abanye bazoba nezikhalazo eziningi ezingapheli, okwenza ukunakekelwa kwabo kube nzima futhi kube nzima.
Izifo eziqhubekayo nezingelapheki zifaka umthwalo omkhulu ohlelweni lokunakekelwa kwezempilo. Abaphathi babo kudla isikhathi, futhi ngenxa yalokho, odokotela bokunakekelwa kokuqala babhekene nemithwalo enkulu yokusebenza. Ukuze uqhubeke nokufunwa, odokotela bakhuthazwa ukunciphisa isikhathi neziguli, ngokuvamile ukushiya iziguli zizwe sengathi azizange zithole ukunakekelwa okwanele.
Ubuchwepheshe obusha bezempilo buba yisici esibalulekile sokuphathwa kwezifo ezingapheli. Ivumela iziguli ukuba zibe nokulawula okungaphezu kwempilo yazo, futhi uma izifo zikhona zithatha umthwalo wemfanelo wokunakekelwa kwazo. Ngesikhathi esifanayo, ngokutholwa ngokubanzi kwezobuchwepheshe ezintsha zezempilo, ukuvakashelwa njalo kuhhovisi likadokotela kulindeleke ukuba kuncishiswe futhi.
Iziguli Kudinga Ukuba Ingxenye Eyingxenye Yokunakekela Kwabo
Ubuchwepheshe obusha bezempilo buhlinzeka izindlela ezintsha zokubandakanya nokuvuselela iziguli. Ukunika amandla abantu ukuze bakwazi ukulawula isimo sabo kuyisinyathelo esibalulekile ekuvimbeleni ukuwohloka kwezempilo.
I-Network for Excellence in Health Innovation (NEHI), isikhungo senqubomgomo yezempilo kazwelonke, ithi uma iziguli ziyingxenye ebalulekile yenqubo yokunakekelwa kwezempilo, izinga labo lokuphila liyakhula futhi izindleko zokunakekelwa ziyancipha. Embikweni walo ka-2012, i-NEHI yathola amathuluzi ayi-11 ezobuchwepheshe angasiza ukuphatha nokuphatha izimo ezihlukahlukene ezingapheli, kuhlanganise nesifo sofuba, isifo sikashukela, isifo senhliziyo nesifo se-asthma.
Lawa mathuluzi afaka izindlela zempilo yezobuchwepheshe ezifana nokusekelwa kwesinqumo semitholampilo yeselula, i-telehealth yasekhaya, amathuluzi wokuphatha ngesifo sikashukela, amathuluzi wokunamathela emithi, nokuvakashelwa okubonakalayo. Kubuye kube nokwanda kwezinhlelo zokusebenza ze-software ezibambisene nedivayisi egqokekayo noma engenakusiza evumela iziguli ukuba ziphathe kahle impilo yazo. I-NEHI ibone izithiyo eziningana ezivimbela ukutholwa kwalobu buchwepheshe. Lezi zivela emkhakheni olinganiselwe ngokubuyela ekutshalweni (ROI) ezinselele zokuhlanganiswa kwedatha kanye nokumelana nomhlinzeki.
Enye yamathuluzi angu-11 avezwe umbiko we-NEHI yi -Care-Stroke Care . I-Tele-stroke, engxenyeni yezobuchwepheshe be-telemedicine, iye yahlolwa njengethuluzi elibaluleke kakhulu ezibhedlela ezingenazo izikhungo eziphuthumayo. Lezi zibhedlela manje zingasebenzisa i-Tele-stroke njengesixhumanisi sabo sokubonisana. Ochwepheshe bezinzwa zezinzwa bangasebenzisa isixhumanisi sevidiyo ukukhuluma nezibhedlela ezincane kanye / noma zasemakhaya. Futhi bangabheka izikrini nokuhlolwa ngokusebenzisa isixhumanisi sokwabelana nge-electronic. Ucwaningo lwamazwe ngamazwe lubonisa ukuthi njengoba i-Tele-stroke isetshenzisiwe, inani leziguli ezibhekene nesifo sofuba ezithola ukwelashwa kwe-TPA (isidakamizwa esishayela isidumbu esidinga ukuphathwa ngokushesha ngangokunokwenzeka) senyuke cishe ngo-10.
Izindlela zokuxhumana ze-elekthronikhi ziye zaba usizo ikakhulukazi kubantu abahlala ezindaweni ezingapheli futhi kufanele bahambe kude ukuze bahlangabezane nomhlinzeki wezempilo. Benze ukushintshaniswa okungcono kolwazi lwezempilo phakathi kweziguli nabaqeqeshiwe bezempilo, futhi phakathi kwezibhedlela. Abanakekelayo, nabo, bayazuza emasu e-e-yezempilo. Ngokwesibonelo, abacwaningi baseNetherlands bahlola ukuthi bangabasiza kanjani kangcono abantu abane-dementia engqondweni ngokusebenzisa amathuluzi we-digital akhuthaza ukuphathwa komuntu siqu.
Ukuvakashelwa Okungavamile kuvumela iziguli ukuba ziphathe
Ukuvakashelwa okuvamile kungenye igatsha le-telemedicine elisiza ukuhlangabezana nezidingo zeziguli kude.
Ukukwazi ukubona nokukhuluma nodokotela ngesikhathi sangempela usebenzisa ubuchwepheshe kungasheshisa inqubo yokuhlola nokwelapha. Isiguli singachaza izimpawu zakhe (kanye nezikhalazo ezilula), kungenzeka ukuthi uthole ukuxilongwa noma uthole iziqondiso kude. Ukuvakashelwa okubonakalayo kusetshenzwa ezindaweni ezahlukene zokunakekelwa kwezempilo. Lolu hlobo lwenkonzo lungalondoloza ukuqhubeka kokunakekelwa ngezimo ezifana nesifo sikashukela nomfutho wegazi ophakeme. Isisindo, ukucindezelwa kwegazi kanye ne-blood glucose izilinganiso manje kungasakazwa bonke abahlinzeki bezempilo kusuka kumadivayisi angenantambo. Isibonelo, kuye kwaphakanyiswa ukuthi abesifazane abanesifo sikashukela sokugaya bangase bahambisane phakathi kokuvakashelwa okubonakalayo kanye nokuvakashelwa kwehhovisi ukuqinisekisa ukuhlola njalo nokuphepha ngesikhathi sokukhulelwa.
Ukuvakashelwa okwedlula manje kuhlanganisiwe kwezinye izinhlelo zomshuwalense wezempilo. Njengoba izinkinga zokubuyisela ziye zabonwa ngaphambilini njengenye yezingqinamba zokwamukelwa kabanzi kwempilo yangempela, lezi zintuthuko zingase zisize ekwenzeni ukuvakashelwa okubonakalayo kuvelele esikhathini esizayo.
Ukuvakashelwa okuvamile kunikezela izinzuzo eziningi uma kuqhathaniswa namamodeli wezokwelapha endabuko athembele ekuhloleni ngokomzimba. Njengoba iziguli zithola ukufinyelela kangcono kubahlinzeki bezempilo futhi zinikezwa amalungiselelo alula kakhulu, isipiliyoni sabo ngokuvamile sithuthukiswa. I-Tele-abahlengikazi ingatholakala ngaso sonke isikhathi, futhi ukuqapha kwesiguli kanye nemfundo kungenziwa ngokuqhubekayo. Ngaphezu kwalokho, manje kunenketho ye-e-ICU nezinsiza eziphuthumayo ze-e, ezinikeza iziguli ukufinyelela okusheshayo ezinsizakalweni ezikhethekile.
I-Telehealth emotweni idinga ukucwaninga nokuthuthukiswa okuningi
Ezinye zezobuchwepheshe zedijithali nezokuxhumana ezisekela ukuphathwa kweziguli nokuzinakekela sezivele ziqinisiwe futhi zisekelwe ebufakazini, kanti abanye badinga isikhathi esengeziwe sokuthuthukisa ngokugcwele. Indawo eyodwa ebonise okunye okungenzeka, kodwa ayikakapheli kodwa i-telehealth emotweni, ikhuthazwa ngokuthi "imoto ekhathalelayo." I-Ford neToyota basebenze kulobu buchwepheshe beveli obuzokwenza abantu babe nethuba lokuqapha impilo yabo ngenkathi behamba . Izihlalo zezimoto ezizobona ukuhlaselwa kwenhliziyo, zilethe imoto ukuba imise futhi ifonele usizo ukuze kuhlongozwe. Kodwa-ke, ngo-2015, i-Ford, ngeshwa, yamemezela ukuthi ayishiya ucwaningo futhi aphendukela kwezinye izinhlelo. Sizobona lokhu kuphinda kuthathwe futhi esikhathini esizayo. I-Jaguar, isibonelo, isebenza ekwandiseni izici ezithile ze-telehealth ezimotweni zabo. Le nkampani ithuthukisa ubuchwepheshe bokuqapha ubuchopho. Uhlelo luzofaka izinzwa ezifakwe esiteshini sokuqondisa ezingase zibone izinga lakho lokuqapha futhi ziphendule ngokufanele, zikhulise ukuphepha kwethu njengoba siqhuba.
> Imithombo
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> Amabhuzu L, de Vugt M, Kempen G, Verhey F. Ukuphumelela kohlelo lokudidiyela lokuzinakekela lokuzibandakanya "I-Partner Balance" yabanakekeli be-dementia abasenesikhathi sokuqala: ukutadisha inqubo yokuhlolwa kwesigameko esilawulwa ngokungahleliwe. Izivivinyo , ngo-2016; 17 (1): 231.
> Amasevisi Okulawula Nokuvimbela Izifo. Ku-Glance 2015. Isikhungo Sikazwelonke Sokuvimbela Ukugula Okungapheli Nokukhuthazwa Kwezempilo. https://www.cdc.gov/chronicdisease/resources/publications/aag/pdf/2015/nccdphp-aag.pdf .
> Harrison T, Amasaka D, Parry C, Macias M, Ling Grant D, Lawrence J. Ukwamukela Ukuvakashelwa Okubeletha Okubelethwe Kwabesifazane Abanesifo Soshukela. Izinkinga zezempilo zebesifazane , 2017: 1-5.
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