Biyan kuɗi da kuma sayen kuɗi ana amfani da kalmomi don bayyana tsarin biyan kuɗin kiwon lafiya wanda ke ba likitoci, asibitoci, da sauran masu samar da kiwon lafiya damar su. Ana amfani da yawancin aiki a matsayin samar da inganci mafi girma don ƙimar kuɗi.
Ana yin la'akari da farashi mai kyau (P4P) a cikin mahallin gyaran kiwon lafiya. Gwamnatin tarayya ta fara kokari don aiwatar da shirin P4P a shirinsa na Medicare, amma waɗannan ƙoƙarin suna cikin matakan farko kuma basu riga sun bada cikakkun bayanai don sanin ko P4P yana da tasiri a rage ko haɗar kimar lafiyar lafiyar.
Me ya sa ya karbi tsarin biyan kuɗi?
A karkashin tsarin kula da lafiyarmu, masu biya suna biya domin kowane sabis da aka yi. Wannan ya ba masu samar da kiwon lafiya damar samar da kudi don yin aiki da yawa kamar yadda ya kamata. Wannan, haɗe tare da masu ƙwarewa masu ƙwarewa suna nuna rashin amincewar kansu don yin hukunci, suna iya haifar da overprising and overutilization of healthcare services.
Bugu da ƙari kuma, wasu masanan harkokin kiwon lafiya sunyi imanin cewa tsarin mu na yanzu ya ɓace domin yana watsi da muhimmancin da kulawa zai iya yi a inganta kiwon lafiya da rage yawan farashin kiwon lafiya. Yau, masu samarwa suna karɓar kuɗi don maganin masu ciwon sukari da ke fama da gazawar koda zasu yi aiki tare da mai haƙuri don kokarin hana koda koda, ta hanyar kula da glucose jini, da farko. Wannan shine baya baya zuwa ga masu gyarawa na kiwon lafiya.
Sabuwar tsarin biyan kuɗi wanda ya ba masu ba da wadata don haɓaka tasiri na kulawa na iya taimakawa wajen haɓaka kimar lafiyar lafiyar ku.
An bayar da kudaden biya a matsayin irin wannan tsarin. Zai sãka likitoci don samar da kulawa da aka tabbatar don inganta sakamakon kiwon lafiya kuma zai ƙarfafa su don rage raguwa a duk lokacin da zai yiwu.
Kalubale
Babban kalubalen da ake yi a aiwatar da P4P shine samun kowa da kowa ya yarda da daidaito.
Matsayi mai kyau shine matakan da aka yi amfani da ita wajen ƙayyade ko masu samarwa suna ba da kulawa mai kyau. Alal misali, misali mai kyau zai zama likita don gwada matakan A1C a marasa lafiya da ciwon sukari sau hudu a shekara. A cikin tsarin P4P, likitoci da suka hadu da wannan daidaitattun za a sãka musu yadda ya dace.
Matsalar ita ce, yawancin ma'aikatan kiwon lafiya sunyi imanin cewa aikin likita ya zama abu ne mai kyau kamar yadda kimiyya yake da shi da kuma tafasa duk abin da ke tattare da jerin abubuwan bincike da kuma maganin algorithms zai yi rashin lafiya ga marasa lafiya. Har ila yau, masu samarwa wani lokaci basu yarda a kan hanyar dacewa da magani ga marasa lafiya da irin wannan ganewar asali da kuma tarihin likita ba. Wadannan jayayya za a warware kafin a fara aiwatar da P4P.
Yaya Ayyukan Biyan Kuɗi zai shafi Ni?
Yana da wuya a faɗi abin da tasirin yin amfani da shi zai kasance tun lokacin da aka fara wasa. Duk da haka, saboda P4P yana da damuwa sosai game da yadda likitoci, asibitoci, da sauran ma'aikatan kiwon lafiya suka biya bashin aikin su, bazai iya samun tasiri sosai ga marasa lafiya ba. A tsawon tsawon lokaci, fatan shine cewa idan an aiwatar da P4P cikakke, marasa lafiya na iya jin dadin lafiyar lafiya ba tare da sun biya ƙarin ba.