Isikhungo sakho sokwelashwa singathinta izinga lakho lokuphila nemiphumela
Ungathola kanjani isikhungo esingcono kakhulu sokwelapha umdlavuza uma unomdlavuza wamaphaphu? Kungakhathaliseki ukuthi usanda kutholakala unomdlavuza wamaphaphu noma ufuna umbono wesibili, lo mbuzo obalulekile.
Ukukhetha isikhungo sokwelapha umdlavuza wamaphaphu kungenye yezinqumo ezinkulu ozobhekana nazo ngesikhathi esibucayi nesinzima ngokomzwelo. Kungaba kuhle uma wonke umuntu enesikhungo somdlavuza wezinga eliphezulu emaminithini emakhaya abo, kodwa siyazi ukuthi akunjalo.
Futhi njengoba nje kunekhwalithi yezinga eliphezulu uma kuziwa kuma-plumbers kanye nabameli, ukunakekelwa kwezokwelapha kungahlukahluka ezweni lonke. Yiziphi izinto okufanele uzicabangele, futhi yimiphi imibuzo okufanele uyibuze, ngaphambi kokunquma esikhungweni sokwelapha kwakho komdlavuza? Kungase kubonakale kunzima kakhulu, kodwa kungenzeka ukuthi uthole ukunakekelwa okuhle kakhulu. Nazi ezinye izinyathelo zokwenza ukuhamba kalula kube lula.
Izinto Okudingeka Uzicabangele
Kunezici eziningana okumelwe uzicabangele njengoba unciphisa izinketho zakho zesikhungo sokwelapha umdlavuza. Ukuthatha isikhathi sokucabangela lezizinto kungase kuzwe kunzima, futhi kungase kube nzima ukufuna ukwelashwa ngokushesha ngangokunokwenzeka. Kodwa ukuyeka isikhathi eside ngokwanele ukuqinisekisa ukuthi wenze isinqumo esifanele kuwufanelekile: ukucwaninga okungeziwe kungakwenza ukhethe indlela ehlukile, ephakanyiswa ngombono wesibili. Ngakolunye uhlangothi, kungase kukushiye uzizwe uqinisekisiwe ukuthi wenze izinqumo ezikuhle kuwe.
Ezinye izinto okufanele uzicabangele zihlanganisa:
1. Ikhwalithi
Ukukhetha ukunakekelwa kwekhwalithi kufanele kuqala uma ukhetha isikhungo somdlavuza. Uma usesikhungweni somdlavuza wekhwalithi, eziningi zezinye izici zizowela ngokuzenzakalelayo. Kodwa ngaphandle kokuthi ucwaninge izikhungo zomdlavuza zokuphila, ungagweba kanjani izinga lokunakekelwa okunikeziwe?
Ngokujabulisayo, imininingwane yolwazi iyatholakala ukuze ikusize uqale.
I-American College of Surgeons ine-database ehlanganisa izikhungo ezingaphezu kuka-1500 zomdlavuza ezigunyazwe yiKhomishini yeCancer (Coc) ye-American College of Surgeons. Ukuze kufakiwe, lezi zikhungo kufanele zihambisane nemigomo ethile, futhi kufanele ezinikezele ekuhlinzekeni okungcono kakhulu emdlalweni wokuxilongwa komdlavuza kanye nokwelapha. Amaphesenti angamashumi ayisishiyagalolunye weziguli esanda kutholakala ukuthi athole ukunakekelwa kwelinye lalezi zikhungo.
I-National Cancer Institute inehlu lwezikhungo ezingaba ngu-70 ezikhethiwe. Kunezidingo eziningana ezidingekayo ukuze isikhungo somdlavuza senze uhlu, enye yazo ukuthi isikhungo sithatha inxaxheba ekucwaningeni ukunciphisa izinga lokufa emdlalweni.
Ukunakekelwa okuphelele
Ukwelapha umdlavuza we-Lung kuyinkimbinkimbi. Ngaphandle kokubona i- oncologist (udokotela ophatha umdlavuza ngokwemithi njengokwelashwa kwamakhemikhali), ungase uvakashele nodokotela ohlinzayo wegazi (uhlobo lohlinza ohlinzayo lomdlavuza wamaphaphu), i-oncologist yemisebe (udokotela wesifo somdlavuza ogxile ekwelapheni kwemisebe ), i- pulmonologist (isazi sephaphu), ochwepheshe bokunakekelwa kwezinhliziyo (odokotela abasebenza ngokukhethekile ekuphatheni izimpawu ezingokomzimba nezingokomzwelo ezibangelwa umdlavuza - inothi, lokhu akufani ne-hospice), kanye nabanye odokotela kuye ngokuthi yiziphi ezinye izimo zezokwelapha ozenzayo. sibhekene nakho.
Ngaphezu kwalokho, ithimba lakho lingabandakanya abahlinzeki bokusebenza ngokomzimba, abahlinzeki bokuphefumula, nabanye ochwepheshe.
Enye inzuzo yokufuna ukunakekelwa esikhungweni somdlavuza olunzulu ukuthi eziningi zalezi zinsizakalo zingatholakala ngaphansi kophahla olufanayo. Ngokuhambisana nokuhamba okuseduze nokunciphisa ukuhamba, lokhu kuvame ukusho ukukhulumisana okungcono phakathi kwethimba lakho lokunakekelwa kwezempilo.
3. Umqulu
Isikhungo somdlavuza esibangela isibalo esikhulu seziguli singase sibe nezinzuzo ezithile. Okwakamuva futhi okukhulu kunazo zonke kwezobuchwepheshe-njengemifanekiso yezokwelapha kanye nemithi yokwelashwa -iza ngenani. Futhi isikhungo somdlavuza esibamba iziguli eziningi singase sibe nesimo sezimali esingcono sokutshala izimali emishini entsha.
Ucwaningo lubonisa ukuthi abantu abanezinhlinzeko zomdlavuza wamaphaphu ezibhedlela eziphezulu kakhulu babhekene nezinkinga ezimbalwa futhi bahamba phambili kangcono . Kukhona nethonya elikhulu lokuthi isikhungo esiphakeme sezinyathelo sizoba namaqembu asekela asetshenziselwe abantu abanomdlavuza wamaphaphu.
4. Izinketho zokwelashwa
Imithi ethile yomdlavuza wamaphaphu unesithakazelo sokuthola kuphela izikhungo zomdlavuza. Isibonelo, ezinye izilingo zomtholampilo womdlavuza wamaphaphu zikhawulelwe kwezinye izikhungo, kanti ezinye zezindlela zokuhlinzwa ezintsha, njenge-VATS, kungenzeka zingatholakali kuzo zonke izibhedlela.
Ngaphezu kokunakekelwa okuvamile, abanye abantu banesithakazelo ekutholakaleni kwezokwelapha okuhambisanayo / okunye okufana nokwelashwa nokugcoba . Nakuba izikhungo eziningi zomdlavuza ezikhudlwana manje sezihlinzeka ngalezi zindlela zokwelapha, ezinye izikhungo zigxile kakhulu ekunakekelweni okuhlangene kunabanye.
5. Indawo
Kubantu abathile, ukuthola ukunakekelwa eduze kwasekhaya, noma eduze komndeni, kubaluleke kakhulu, kanti abanye bangase bazimisele ukuhamba ukwelashwa. Uma ukhetha ukuhamba, cela ngezindlu lapho wenza ukuqokwa kwakho. Ezinye izikhungo zomdlavuza zinezindlu eziseduze ezinikezela izindlu mahhala ngenkathi ukwelashwa komdlavuza. Isikhungo singase sikwazi ukunikeza izaphulelo kumahhotela wendawo. Ukuhamba ukwelashwa , kungaba ngemoto noma indiza, kungabiza. Khumbula ukuthi ukuthutha kanye nokulala ngenxa yezizathu zezokwelapha yizindleko zokwelapha ezithintekayo .
6. Izithiyo zomshuwalense
Kubalulekile ukuhlola inkampani yakho yomshuwalense ukuze ubone ukuthi ihlanganisa yini ukwelashwa ezindaweni ezibhekene nomdlavuza ozicabangayo. Kubalulekile ukubuza ukuthi ngabe isikhungo sise-"in-network" noma "ngaphandle kwe-inethiwekhi." Abahlinzeki abangaphandle nabanethiwekhi bavame ukumbozwa, kodwa nge-co-pay ephakeme noma e-deductibles. Ukukhetha isikhungo somdlavuza ngaphansi kohlelo lwakho lomshuwalense kuzosiza kakhulu izindleko, kodwa awukhawulelwanga (ngaphandle kwezezimali) esinqumweni sakho. Ngamanye amazwi, uma ukwelashwa kungagcinwa ngaphansi kwe-plan yakho yomshuwalense, usenayo-uzodingeka ukuthi ukhokhele ngaphandle kwepokhethi. Lokhu kuyiqiniso eziningi zokwelashwa okudidiyelwe ngomdlavuza, njengokwelapha ukusikhipha umzimba kanye nokukhishwa kwe-acupuncture.
Ukuthola Umbono Wesibili
Abanye abantu bayanqikaza ukucela umbono wesibili: besaba ukuthi bazocasula udokotela wabo, noma bangesaba ukuthatha isikhathi esifanele ukuphenya omunye umbono. Kubalulekile ukukhumbula ukuthi ukuthola umbono wesibili uma unomdlavuza kungavamile; empeleni, cishe kulindeleke. Njengoba nje ubungabheka ngaphezulu kweyodwa yokuthengisa uma uthenga imoto entsha, ukuhlola isikhungo esingaphezu kwesinye sokwelapha kubaluleke kakhulu. Ngakolunye uhlangothi, ungathola indlela ehlangabezana nezidingo zakho kangcono, kanti ngakolunye uhlangothi-uma imibono ifana-uzozizwa ukhululekile ukuthi uhamba ngendlela efanele.
Yebo, kuthatha isikhashana ukuhlela umbono wesibili, kepha iningi lamdlavuza liye landa isikhathi eside ngaphambi kokuba litholakale. Ngezinye izikhathi ukwelashwa okuphuthumayo kuyadingeka, kodwa kaningi kunesikhathi sokufuna ezinye imibono ngaphambi kokuqala ukwelashwa. Ngiyazi ukuthi kulula ukushiwo kunokuba kwenziwe-ohambweni lwami nomdlavuza, ngangikhathazekile ukuqala ngokushesha ngangokunokwenzeka. Kodwa ngathola ukuthi ngokuhamba kwesikhathi, ngangijabula ngokuthi ngithathe isikhathi sokuthatha umoya ojulile futhi ngithole umbono wesibili ngaphambi kokwenza isinqumo sami sokugcina.
Imibuzo Yokubuza
- Iziphi ukwelashwa ozincoma ngomdlavuza wami?
- Uma imibono ehlukile mayelana nokwelashwa, yiziphi izizathu ezenza izincomo zabo zilandelwe?
- Ubani ozoba "ngaya" kumuntfu-umuntu olawula ukunakekelwa kwami kuzo zonke izazi engizibonayo? Ingabe ngizoba nomphathi wamacala?
- Kunzima kangakanani ukuthola i-aphoyintimenti?
- Ubani ongangixhumana naye emini noma ngezimpelasonto uma nginemibuzo?
- Uma ngidinga ukungena esibhedlela, ngingavunyelwa kuphi?
- Ngingayithola yini ukunakekelwa kwami kulo mtholampilo noma esibhedlela, noma ngabe ngabe ngidinga ukuhamba ezindaweni ezahlukene, isibonelo, nge-chemotherapy kanye nokwelapha imishanguzo?
- Ingabe zikhona iziguli oye waphatha ukuthi ngiyakwazi ukukhuluma ngazo ngokuhlangenwe nakho kwabo?
Imibuzo Yokucabangela
- Ingabe ithimba lokunakekelwa kwezempilo langihlonipha? Ingabe balalele ngokucophelela?
- Ingabe imibuzo yami yaphendulwa? Baphendulwa ngendlela ongathanda ukuba baphendule-ngokwanele ekujuleni ukwenza isinqumo esihle, kodwa ngaphandle kwezokwelapha awukwazi ukuyiqonda?
- Iyini "isisu" sami esitshela ngesikhungo? Ngabe ngizophi, futhi kuphi umndeni wami, ukuzizwa ukhululekile kakhulu?
Izibonelo Zezikhungo Zokunakekelwa
Abanye abantu bayakujabulela ukubuka amawebhusayithi ezikole zokwelapha umdlavuza ukuze uthole umbono mayelana nezinsizakalo ezinikezwayo. Ngezansi uhlu olufushane olusetshenziswa kuphela njengesibonelo, hhayi njengesincoma kunoma iyiphi indawo ethile. Iningi lamagciwane omhlaza kanye nezinhlelo zesibhedlela zinamawebhusayithi atholakele angakwazi ukuphendula eminye yemibuzo yakho.
- H. Lee Moffitt Cancer Center kanye ne-Research Institute (eTampa, Florida)
- I-University of Texas I-MD Anderson Cancer Center (Houston, Texas)
- I-Memorial Sloan-Kettering Center Cancer Centre (eNew York, eNew York)
- I-Seattle Cancer Care Alliance (Seattle, Washington)
- Isikhungo se-Vanderbilt-Ingram Cancer (eNashville, eTennessee)
- I-Mayo Clinic Cancer Center (Rochester, Minnesota)
- I-Stanford Cancer Institute (i-Palo Alto, eCalifornia
- I-Dana-Farber / iHarvard Medical Centre (eBoston, eMassachusetts)
- I-University of Colorado Cancer Center (Aurora, Colorado)
Izinkolelo eziningi
Njengoba wenza izinqumo mayelana nokukhetha kokwelashwa kwakho, kubalulekile ukukhumbula ukuthi uphethe ukukhathalela kwakho. Odokotela bazokunikeza izinqumo eziningi, kodwa ekugcineni kuzokwenza kuwe izinqumo. Abanye abantu bazofuna ukuhlukumezeka ngangokunokwenzeka ngezinketho zabo, kanti abanye bazokhetha ukungaphishekeli ukwelashwa komdlavuza wabo nhlobo. Abantu abaningi bayofuna okungenani umbono owodwa owodwa wokubasiza ukuba benze ukukhetha okulungile kubo, ngolwazi oluningi ngangokunokwenzeka. Futhi ukufunda indlela yokuba ngummeli wakho siqu ekunakekelweni komdlavuza wakho kubonakala sengathi akugcini nje ukuthuthukisa ikhwalithi yokunakekela kwakho kodwa kungase kuthuthukise imiphumela kanye.
Njengombhalo wokugcina, ukuze ube yingxenye esebenzayo yeqembu lakho lokwelapha, ukufunda okuningi ngangokunokwenzeka ngomdlavuza wakho wamaphaphu kuyasiza kakhulu. Hlola lezi zeluleko zendlela ongacwaninga ngayo futhi uthole ulwazi olungcono lomdlavuza online .
Imithombo:
I-National Cancer Institute. I-Fact Sheets. Indlela Yokuthola Udokotela Noma Isikhungo Sokwelapha Uma Unayo I-Cancer. Kubuyekezwe 06/05/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet
I-National Cancer Institute. I-NCI-Ekhethiwe I-Cancer Centers. Ifinyelele ngo-06/10/16. https://www.cancer.gov/research/nci-role/cancer-centers
Park, H. et al. Impact ye-Hospital Volume ye-Lobectomy ye-Thoracoscopic emiphumeleni ye-Cancer Primary. Ama-Annal of Surgery Thoracic . 2012. 93: 372-379.