Ukulinganisa Ikhwalithi Yokunakekelwa Othole Ngayo Ngesikhatsi Esibhedlela
Umthetho Wokunakekelwa Okunenzuzo ka-2010 wakha uhlelo lokuvuza esibhedlela olugxile emkhakheni wokunakekelwa nokugcinwa kwamazinga aphezulu okwaneliseka kwesiguli. Njengengxenye yesinyathelo esikhulu esibizwa ngokuthi Ukubambisana Kwabeziguli, lokhu kugxila emgangathweni wokunakekelwa kuthinta ukuthi izibhedlela zikhokhwa kanjani iziguli zeMedare . Izibhedlela ziyaphoqeleka ukuba zithuthukise inkonzo yazo ezigulini noma ingozi yokulahlekelwa imali yeMedare.
Njengoba ababheki besikhwama somuntu siqu bevame ukulandela ukuhola kukaMedare, kulindeleke bona nabo, ekugcineni bavumelanise ukubuyiswa ngokugculiseka kwesiguli. Lokhu kusho ukuthi phakathi neminyaka embalwa, zonke iziguli zizozuza kulokhu kugcizelelwa okusha ekugculweni kwesiguli.
Isibhedlela Silandela Amazinga Wokunakekelwa
Nakhu okusebenzayo: Uma iziguli zifakwa esibhedlela, kunemisebenzi ethile elinganiswayo yokuhlola ikhwalithi yokunakekelwa eyanikezwa yona. Iningi lemisebenzi lihlobene ngokuqondile namazinga okunakekelwa. Isibonelo, isiguli esifika esibhedlela esiphakathi nesifo senhliziyo kufanele sithole "imithi ye-fibrinolytic" (imithi echitha ama-blood clots) kungakapheli imizuzu engama-30, noma imithi yokulwa namagciwane kufanele inikezwe isiguli ngaphakathi kwehora lesikhungo sokuhlinzwa ukunciphisa ingozi yalesi siguli esithola ukutheleleka okubangelwa ukuhlinzwa.
Nasi isibonelo salokho ukuhlola kungabonakala futhi imibuzo ebuzwayo.
Amazinga wokunakekelwa abuye abizwe ngokuthi imikhuba emihle yemitholampilo, isici esisodwa esibaluleke kakhulu sekhwalithi. Kodwa-ke, iziguli zesibhedlela ngokuvamile azi ukuthi ngabe ziyalandelwa yini futhi aziqabukeli ngisho nokuzibuza ukuthi zibuza ngani. Ngakho-ke, ukwaneliseka ngesineke ngokuvamile akuxhomeke kubo, futhi ngaphandle kokuthi isiguli noma umndeni uthola kamuva ukuthi izinga alizange lilandelwe futhi ukutholwa kwesiguli kunciphile noma isiguli sifile, ngenxa yalokho, iziguli zingase zingazi ukuthi lezo zindinganiso kwalandelwa.
Isibopho esiphelele sokulinganisa ukuthi ngabe lezo zindinganiso zilandelwa yini zizofika esibhedlela.
Ukuhlola Okugculisayo Kwamaphutha
Iziphi iziguli eziziwayo, izici ezilinganiselwe esibhekana nazo. Ukuxhumana nabasebenzi basebhedlela, ukunakekelwa kwamazinga obuhlungu, izincazelo mayelana nemithi, ukukhipha imiyalelo .... Lezi zonke izici zokunakekelwa esibhedlela iziguli ezitholako - noma ezingakutholi - ukuthi singakwazi ukuzilinganisa.
Ukuze sibone ukuthi sineliseke kangakanani iziguli zethu ngendlela esizizwa ngayo, iziguli zihlolwe ngezikhathi ezithile. Imibuzo yocwaningo ibuza iziguli ukuthi zineliseke kangakanani noma ezinye zezici ezilandelayo zokunakekelwa kwazo:
- Yeka ukuthi abahlengikazi abaxhumana kahle kanjani neziguli
- Odokotela baxhumana kanjani neziguli kahle
- Izisebenzi zezibhedlela ezithintekayo zazidingo zeziguli
- Abahlezi kahle (ngokubhekisela kubasebenzi basebhedlela) ubuhlungu beziguli eziphethwe
- Abanakekeli abanakekele kahle (ngokubhekisela kubasebenzi basebhedlela) bachazela imithi yeziguli kubo
- Ukuhlanzeka nokuthulisa kanjani isibhedlela
- Abanakekeli abanakekele kahle bachaza kanjani iziguli kanye nemindeni okudingeka zizithathele ukuze zizinakekele ngaphandle kwesibhedlela (ie, imiyalelo yokuthuthwa)
Uma ungene esibhedlela, ungathola enye yalezi zosesho.
Nansi iseluleko esithile sokugcwalisa olunye lwezinhlolovo zesipiliyoni.
Ngo-Okthoba 2012, i-Medicare yaqala ukuvuza izibhedlela ezenza kahle kakhulu ngamabhonasi - imali eyasindiswa ngokungabuyisanga odokotela nezibhedlela ngamaphutha ayenzile noma agcinwe ngamanye okunciphisa ukubuyisela.
Lokhu Lokuqala Kuthuthukisa Kanjani Ukwaneliseka Abagulayo?
Ngaphandle kwesimo esicacile nesiguliwe esibhedlela esifundazweni, futhi okugxile ekukhulumisaneni, iziguli nazo zizoqala ukuhlonishwa okuvela kwabasebenzi basebhedlela.
Okuthi iziguli azikwazi ukuthonya zithinta imikhuba yezokwelapha ezidingekayo ngale ndlela yokukhokha entsha ngoba ngokuvamile asiqondi imithi elandelayo.
Kungakhathaliseki ukuthi zenziwa ngokufanele noma cha, nokuthi ngabe zibhalwe kahle noma zingabhalisiwe, zishiywe ngokuphelele kubasebenzi basebhedlela. Uma isibhedlela sifuna ukudlala umdlalo, kuzokwenza, futhi kuncane kakhulu thina iziguli esingakwenza ukuze silwe nalo. Ukukhokhwa, ukukhokhwa, ukurekhoda kanye namaphutha wezokwelapha kwenzeka nsuku zonke ezibhedlela. Lesi sinyathelo ngeke senze ukuthi sinembile futhi sinokwethenjelwa kunanamuhla futhi singase sidonsa abanye ukuba bangaphansi kokuthembeka.
Noma yimiphi amaphutha okubhala futhi okuqoshwayo azophazamisa amarekhodi ethu, ngakho-ke, wena, isiguli, ungathola amarekhodi akho wezokwelapha futhi uwalungise uma kunesidingo , okuzoba usizo uma udinga ukwelashwa kamuva.
Isici esisodwa salesi sikole esibhedlela ngeke sikwazi ukudlala umdlalo kuzoba izimpendulo iziguli ezinikeza imibuzo yabo yocwaningo mayelana nokuhlangenwe nakho kwabo (njengoba kubhalwe ngenhla). Iningi lala ma-survey liyoba uhlobo oluthiwa yi-HCAHPS (Abathengi Bokubheka Abathengi Bezibhedlela Nezinhlelo - ezibizwa ngokuthi "H-caps").
Uhlolo lokuqala lwe-HCAHPS lwenziwa kusukela ngo-2006. Izibalo zokuqala zesibhedlela zabikwa eMnyangweni wezeMpilo kanye neSibhedlela se-Human Service sika-Qhathanisa iwebhusayithi ngo-2008. Empeleni, iSibhedlela siqhathanisa iwebhusayithi, kufaka phakathi izibhedlela eziningi ezitholwe ngokusekelwe kulolu cwaningo, ithuluzi elilodwa lokukhetha esibhedlela esihle kunazo zonke .