Umfundi, ongudokotela wekusasa , ubuze imibuzo ethile mayelana nomholo wezidokotela njengoba kuhlobene nobukhulu bomphakathi ngokubambisana kwabantu. Ingabe odokotela bathola okuningi emadolobheni amancane noma emizini emikhulu, futhi ngani?
Ekuxoxiseni isinxephezelo sodokotela, ukusetshenziswa kwegama elithi "umholo" kungadukisa, ngoba odokotela abaningi abaqashiwe, futhi abakhokhelwa umholo wesisekelo.
Abaningi odokotela (abangaphezu kuka-50%) bayazibhizinisi, bephethe umkhuba wangasese ngokugcwele noma ingxenye, ngokungafani nokuqashwa esibhedlela noma eqenjini. Ngisho nodokotela abaqashiwe, isinxephezelo sabo silawulwa yizinto eziningi zezomnotho, nezomnotho, nezokuhlala, ezifana nokunakekelwa okuphethwe kanye nokubuyiswa komshuwalense, okubekwe yizinhlangano zangaphandle kanye nemithetho kahulumeni.
Ngokusho kwe-Medical Group Management Association (MGMA) eqhuba ucwaningo olunzulu lwangonyaka kanye nokuhlaziywa kwezinxephezelo zodokotela, odokotela abaningi bathola imali eningi emiphakathini engaphansi kwesigidi esisodwa kubantu. Ezimweni eziningi ezikhethekile, abahola abaphezulu kakhulu batholakala emadolobheni angama-50 000 kuya ku-250 000 ngobukhulu, ngokusho kwezibalo ze-MGMA.
Lokhu ukungalingani kunxephezelo kungenxa yezici eziningana:
Ukuncintisana
Emiphakathini encane kuya emaphakathi, ukuncintisana kwamanye odokotela akuyona indawo evamile ezindaweni ezinkulu, okuvame ukuba "okwenziwe ngokweqile" ngenxa yokuthambekela kodokotela ukuqhubekela emadolobheni amakhulu ngenxa yezibopho zomndeni noma izinzuzo ezibonakalayo esebenza edolobheni elikhulu.
Ukubuyiswa kwemali
Ukubuyiswa kwemali kusuka ezinkampanini zomshuwalense kuvame ukuphakama emiphakathini encane kuya emaphakathi. Ngakho-ke, udokotela edolobheni elikhulu nodokotela edolobhaneni elincane wayengabona inani elifanayo kanye nohlobo lweziguli, futhi enze umsebenzi ofanayo, futhi udokotela ngamunye angabuyiselwa imali ehlukene ngokusekelwe emazingeni endaweni yawo , futhi ngokuvamile i-doc idolobhana elincane eliphuma phambili.
Izindleko ezingaphezulu
Ngokujwayelekile, izindleko zokusebenza njengodokotela, njengomshuwalense wokungasebenzi, kanye nehhovisi, ziphakeme emadolobheni amakhulu. Lokhu kungenxa yokuthi imizi emikhulu ijwayele ukuba yindawo engaphezu kweminye imiphakathi encane, futhi izigwegwe ezivame ukuqhubekela phambili izindleko zomshuwalense wokukhwabanisa okuqhubekayo.
Izibonelo
Abahlinzayo bama- Orthopediki Labahlinzayo bazuza kakhulu emadolobheni angama-50,000 noma ngaphansi, ngokuvamile. Isibonelo, ngokusho kwe-MGMA Physician Compensation and Production Report ka-2009, odokotela bamazinyo emadolobheni amancane kakhulu bathola imali engenayo yonyaka ngonyaka ka $ 502,195 futhi kuphela $ 474,359 ngonyaka ezindaweni ezingaphansi kwamadolobha amakhulu kunabantu abayizigidi esisodwa ngobukhulu. Ingeniso yabo ephakathi iyancipha emadolobheni anabantu abangama-250,000-1,000,000, cishe ku-R3 393,402.
I-Gastroenterologists emadolobheni amancane (ngaphansi kuka-50,000) athola isilinganiso samaRandi angu-467,927. Labo odokotela emadolobheni angama-50 000 kuya ku-250,000 bathola u-$ 452,19, ngokwesilinganiso esingaphezulu kuka-22% ngaphezu kwabalingani babo ezindaweni ezinkulu (ngaphezu kwesigidi esisodwa), abathola imali engu-370,673 ngonyaka ngonyaka.
Ama-dermatologists athola kakhulu emadolobheni angama-50,000-250,000 anenzuzo engama-$ 395,159. Ezindaweni ezinkulu zamadolobha amakhulu, ama-dermatologists athola cishe amaRandi angama-50 000 kunalokho, engenayo imali engama-$ 340,317 yaminyaka yonke emadolobheni anabantu abangaphezulu kwesigidi.
Emadolobheni angaphansi kuka-50,000 ngobukhulu, ama-derms athole u-R635,624, ngokusho kweMGMA 2009.
I-cardiologists emadolobheni amancane kuya emkhatsini wezinga eliphezulu ihola cishe kusuka ku-17% kuya ku-25% ngaphezu kwalabo abasemadolobheni amakhulu. Lezo zindleko ezikhulayo zingalinganisa nokungafani kwamaRandi ayizigidi ezingu-150,000 ngonyaka ngonyaka wezinye izazi ze-cardiologists emiphakathini encane! I-cardiologists yangaphakathi ibona imiphumela ephawulekayo yocingo lomuzi ngemali engenayo, isibonelo, ngemali ephakathi kwamadola angama-609,041 emadolobheni amancane (ngaphansi kwabantu abangama-50,000), kanye namadola angu-462,820 ezindaweni ezinkulu (abantu abangaphezu kwesigidi).
Ngenhla izibonelo ezimbalwa nje.
Uhlu luqhubeka, kodwa lezi ziyizibonelo ezimbalwa kakhulu. Akuzona zonke izinto ezikhethekile ezibona umehluko omkhulu kangaka, kodwa cishe zonke izinto ezikhethekile zibona inzuzo ekukhokhelweni emadolobheni amancane, ikakhulukazi kulabo abahola imali engama-50 000 kuya ku-250,000, futhi yizindawo ezikhokhelwayo ezikhethekile kakhulu. Njengebhonasi eyengeziwe, ngaphezu kokuthola imali eyengeziwe ngonyaka, odokotela emiphakathini encane bathola okuningi ngemali yabo, bathola imali eyengeziwe kanye nezimo zezimali eziphuthumayo odokotela abenza emiphakathini encane noma ephakathi.