Ukuqhathanisa amasevisi anikezwayo nezindleko
Uma isiguli sizwa ubuhlungu esifubeni sabo , cishe ngeke siqiniseke ukuthi bangaphi: bayabiza u-911 , baya emnyangweni ophuthumayo , baya esikhungweni sokunakekelwa okuphuthumayo, noma wenze i-aphoyintimenti nodokotela ozinakekelayo oyinhloko ?
Akuyona isinqumo esilula futhi akulula ukuchaza.
Ukuphuthuma noma okuphuthumayo?
Ezinye izimo zibhekwa njengeziphuthumayo eziphuthumayo: ukuhlaselwa yinhliziyo , izibhamu , i-sepsis, i- anaphylaxis , nokulimala yizinye zezimo zezokwelapha ezibhekwa njengezimo eziphuthumayo emhlabeni jikelele.
Kumelwe bahlolwe futhi baphathwe emnyangweni ophuthumayo. Uma isiguli siya esikhungweni sokunakekelwa okuphuthumayo ngesimo esiphuthumayo sezokwelapha, abasebenzi abasebenza ngokuphuthumayo kufanele babathumele emnyangweni ophuthumayo noma kunjalo, ngokuvamile nge-ambulensi futhi ngokuvamile ngezindleko ezinkulu.
Lokho nje isampula encane yalokho okwenza isimo esiphuthumayo . Uhlu luyisikhathi eside futhi lubandakanya ukuxilongwa. Ngamanye amazwi, omunye ucishe wazi ukuthi unesifo senhliziyo ukuze kube yisimo esiphuthumayo sangempela.
Akuyona yini umthwalo weminyango ephuthumayo ukutshela iziguli ukuthi izimpawu ababhekana nazo ziyizibonakaliso zesimo esiphuthumayo? Ngingasho ukuthi i-American College of Emergency Physicians iyavumelana nami, kodwa akusikho konke ukuqinisekiswa kwezokwelapha okwenzayo. Okuningi kulokho ngezansi.
Amasevisi Okunakekela Okuphuthumayo
Ngakho, iziguli kufanele zifike kusikhungo sokunakekelwa okuphuthumayo nini? Akuwona umbuzo olula ukuphendula.
Omunye angase azwe igama elithi "isikhungo sokunakekelwa okuphuthumayo" futhi acabange ukuthi "okuphuthumayo" kusho lokhu indawo lapho ukwelashwa okujulile kungaphathwa khona ngendlela efanayo, uma kungenjalo, ngendlela efana nomnyango ophuthumayo.
Iqiniso liwukuthi wonke umbuso uhlukile. Abanye bathi bacabangele izikhungo zokunakekelwa okuphuthumayo ngaphandle kwamahhovisi odokotela abakhazimulisayo. Ezinye iziphathekayo zibaphatha njengeminyango ephuthumayo yokuzimela (inketho yesithathu esizoyihlanganisa ngezansi) kungakhathaliseki ukuthi izikhungo eziphuthumayo ezizimele zingakhetha yini kuleso simo.
Izikhungo zokunakekelwa okuphuthumayo zingase zisebenze odokotela noma zingase zisebenze nabahlengikazi noma abasizi bezokwelapha, kuye ngokuthi isimo. Njengoba izifundazwe zombuso ngabanye zikhuluma ngezidingo zabantu bakubo, imithetho iyashintsha ngokushesha.
Ngomthethonqubo ongavamile, ukuya esikhungweni sokunakekelwa okuphuthumayo sokuphuthumayo okuphuthumayo wezokwelapha kuyigugu ngaphandle kokuba isiguli sisho kusengaphambili ukuthi isikhungo sokunakekelwa okuphuthumayo singasingatha kanjani. Ezimweni eziningi, abantu kufanele baphathe isikhungo sokunakekelwa okuphuthumayo njengehhovisi likadokotela. Iba namahora amaningi aguquguqukayo.
Ungavakashela udokotela ngomphimbo obabayo? Ngokuqinisekile, futhi lokho kuyindlela ehloniphekile yesikhungo sokunakekelwa okuphuthumayo. Isigungu sigoma noma ukutheleleka kwesikhumba? Iphelele ngokunakekelwa okuphuthumayo doc, futhi.
Ngubani obeka iThabhu?
Umqondo wonke wezikhungo zokunakekelwa okuphuthumayo wazalwa ngaphandle kwezindleko zokunakekelwa kwezempilo eziphuthumayo. Abantu bahamba njalo ku-ER uma bebengaya kudokotela wabo wangasese ngezindleko ezingaphansi. Qhathanisa nezindleko zomnyango ophuthumayo kanye nendawo yokunakekelwa okuphuthumayo eceleni, futhi uzobona ukuthi izikhungo zokunakekelwa okuphuthumayo cishe njalo zibiza kakhulu uma isimo sezokwelapha singento engayiphatha.
Lokho akusho ukuthi kushibhile njalo isiguli ukuba uye esikhungweni sokunakekelwa okuphuthumayo.
Ngisho nokususa amathuba okubhekana nezimo eziphuthumayo zezokwelapha-okudinga ukuthutha kwe-ambulensi kusukela esikhungweni sokunakekelwa okuphuthumayo kuya kwezindleko zokuqhathaniswa kwe-ER akuyona ama-apula ama-apula ngempela.
Izinkampani zomshuwalense (owaziwa nangokuthi abakhokhela ) ngokuvamile zibolekana nezinsiza kanye nodokotela (futhi ngezinye izikhathi izinkampani zamagulensi) ukuthola amanani angcono kakhulu. Kukhona amanethiwekhi ezinsiza kanye nodokotela okungenzeka kube izinketho ezishibhile kubakhokheli. Ingxenye yesiguli yesikweletu (ukukhokhelwa ngokubambisana, ama-deductibles, noma i-co-inshurensi) ihlukahluka kakhulu kuye ngokuthi inkampani yabo yomshuwalense, icebo labo lokufakaza, nokuthi ngabe isakhiwo noma udokotela usezinkundleni noma cha.
Yenye yezinqubo zezimali eziyinkimbinkimbi kakhulu abathengi abaningi abazobhekana nazo.
Uma ukunakekelwa okuphuthumayo kungekho enkundleni, kodwa umnyango ophuthumayo, ungagcina uphawula isiguli esingaphansi ukuvakashela ukhetho olubi kakhulu.
Ake siwaphule: Uma kokubili umnyango ophuthumayo kanye nesikhungo sokunakekelwa okuphuthumayo singaphakathi (noma ngaphandle) kwenethiwekhi, abakhokhi besikhokhelo abafuni ukukhokhela i-ER uma kungesiyiphuthumayo. Ngokuvamile abakhokhi bazizwa bezindleko ezingadingekile ukukhokhela udokotela ophuthumayo ukuhlola nokuhlola isikhalazo, ngaphandle uma kuvela ukuthi isikhalazo sifanele ngempela umnyango ophuthumayo.
Iziguli ziyazi kanjani ukuthi isimo sabo sezokwelapha siyisidingo esiphuthumayo? Umkhokheli unquma ukuthi isahlulelo sesiguli silungile yini usebenzisa ukuxilongwa kukadokotela, into engayazi baze bafike lapho.
Izikhathi eziningi, abakhokhela bazosebenzisa ukungena esibhedlela njengendlela yokuhlolwa kwe-litmus ukuze banqume ukuthi isiguli sasigula ngempela yini ukuya ku-ER. Uma isiguli singeniswe esibhedlela, umkhokheli anganciphisa noma alahle noma yikuphi ukukhokhela noma ukukhipha imali. Ngakolunye uhlangothi, uma isiguli singavunyelwanga, sisekhoneni le-deductible noma co-pay. Kuzuzisa ukubheka futhi kusiza kuphela abanshuwalense.
Iminye iminyango ephuthumayo inezindawo zokunakekelwa okuphuthumayo ezindaweni ezakhiwe ngaphakathi, futhi isiguli sisuswa kalula endaweni eyodwa kuya kwesinye esekelwe esimweni sezokwelapha. Lezi yizintandokazi zami. Isiguli (noma umshuwalense) ukhokhiswa ngokususelwa kwindlela umguli adingekayo ukuthatha. Ngaleyo ndlela, iziguli ezithola i-deductible ephansi yokuvakashela i-ER kuphela uma ukuxilongwa kuyisimo esiphuthumayo sangempela ngeke ukhokhiswe imali eyengeziwe uma kungalungile. Bayokhokhiswa kuphela imali eyimali ebiza umnyango wesimo esiphuthumayo uma kufanelekile, futhi uma umshuwalense uzothatha i-chunk enkulu yethebhu.
Abakhokhayo benza ama-deductibles e-sliding-scale njengenhlawulo yokukhetha umnyango ophuthumayo njengokwelashwa kwe-first line. Iningi leziguli, kodwa, azikho ukhetho. Ukuvakashelwa kwezilwane kungase kungatholakali usuku olufanayo. Iziguli azihlezi ukugula, kanti ama-ER ngokuvamile avulwa amahora angu-24 ngosuku. Izikhungo zokunakekelwa okuphuthumayo zazihloswe ukuvala lelo gaba. Lihhovisi lodokotela elifuna ukuqokwa kwamaminithi wokugcina kanye nokuhamba-ins. Ngeshwa, akuzona zonke izinto ezibukeka njengeemitholampilo ezifanayo.
Amakamelo Eziphuthumayo Ezikhululekile
I-freestanding noma i-stand-alone ER iyisakhiwo esisha esivela ezweni lonke. Indaba ka-2017 ye-NBC News ibike ukuthi izifunda ezingu-35 zavumela izikhungo eziphuthumayo ze-freestanding. Lezi akuzona iminyango ephuthumayo ngempela, ngoba ayisoloko ihlotshaniswa nezibhedlela zangempela. Ezingxenyeni eziningi, lezi zikhungo eziphuthumayo zivunyelwe ukuba zinezinyanga.
Izikhungo eziphuthumayo ezizimele zingase zibukeke zifana nesikhungo sokunakekelwa okuphuthumayo. Bavame ukuvula ezindaweni ezifanayo: izigceme kanye nezifunda zokudayisa. Ngeke abe eduze nesibhedlela-okungenani hhayi esakhiweni esifanayo-futhi kungenzeka noma angenayo i-ambulensi yokungena.
Iningi lalezi zakhiwo zithengisa uhla lwezinsizakalo ezigcwele, kodwa iqiniso lokuthi noma yisiphi isiguli esidinga ukungena esibhedlela cishe kuyodingeka sithathwe lapho nge-ambulensi. Ukuboniswa ngesifo noma isifo senhliziyo kanye nokwelashwa kweqiniso okuqinisekile kungadingeka ukuba i-ambulensi isiphendule futhi idlulisele emnyangweni ophuthumayo wangempela .
Okubalulekile
I-ER, eyaziwa nangokuthi umnyango ophuthumayo , yiyona ndlela ecacile yokudinga usizo lwezempilo. Leli yilapho iziguli zingaya khona kunoma yiliphi izinga lesimo sezokwelapha, kungakhathaliseki ukuthi kunzima kangakanani noma kuyingozi. Iminyango ephuthumayo nayo iyindlela ebiza kakhulu.
Isimali sokuvakashelwa kwe-ER sizohlale sisenyakatho enkulu. Uhambo oluya esikhungweni sokunakekelwa okuphuthumayo noma ehhovisi likadokotela, ngakolunye uhlangothi, kungenzeka ukuthi libe amabhange amabili noma amathathu, iziqongo. Kubalulekile ukuqonda umehluko-futhi ufundise iziguli umahluko-ukuze bakwazi ukwenza isinqumo esingcono.
> Imithombo:
> AmaSpredishithi Eqiniso . (2017). I-American College of Emergency Physicians | Igumbi lezindaba . http://newsroom.acep.org/fact_sheets?item=30033
> Ucabanga ukuthi kwakuyisikhungo sokunakekelwa okuphuthumayo, uze uthole umthethosivivinywa . (2017). Izindaba ze-NBC . https://www.nbcnews.com/health/health-care/you-thought-it-was-urgent-care-center-until-you-got-n750906