Ta yaya tsarin aikin kyauta a gida yake aiki
A cikin duniya cikakke, mutane za su je ganin likita kafin su nemi kulawar asibiti. Za a sami matakan tsaro a wurin don rage haɗarin da wani ya kamu da rashin lafiya na rashin lafiya. Cibiyoyin Kula da Lafiya da Magungunan Medicaid (CMS) sun tsara don inganta kulawa yayin da rage yawan biranen gaggawa da kuma shigar da asibiti.
Inda Maganin Yau na zamani ya Kashe Matattu
A shekara ta 2010, fiye da rabi na jama'ar Amirka suna da akalla biyu ciwon daji tare da lambar da aka karu zuwa fiye da kashi 63 cikin dari ga wadanda suka kai 65 da haihuwa har zuwa kashi 83 cikin 100 ga wadanda suka zarce 85. Matsala ba wai kowa zai iya kulawa ba suna bukatar a ofishin likita.
Ga wadanda suke da mawuyacin hali ko gado, waɗanda suke da bukatar likita mafi kyau, yana iya zama ƙalubalen jiki har ma su bar gida. Ga wasu, ƙaddamar da yanayin da suke da shi zai iya wucewa fiye da yadda za a ziyarci ofishinsa na 15 zuwa 20. Dole na iya buƙatar su su zo sau da yawa don samun lokaci da yawa don magance dukan batutuwa.
A cikin duniyar duniyar, likitoci suna ƙoƙari su dace da marasa lafiya a cikin jadawalin aiki. Idan marasa lafiya ba za a iya gani ba, marasa lafiya zasu iya samun kansu a cikin dakin gaggawa suna ƙoƙarin samun kulawar gaggawa, kula da hakan yafi tsada fiye da abin da za a iya bayarwa a cikin saiti.
Komawa daga Kira
Tare da sashi na Dokar Kulawa da Kulawa ( Barack Obama ) a shekara ta 2010, miliyoyin mutanen Amurkan da ba a san su ba a yanzu sun sami damar yin kiwon lafiya. Daɗewa don lokaci, likitoci suna ƙoƙarin ganin ƙarin marasa lafiya a cikin lokaci kaɗan don cika wannan buƙatar. Wannan ya rage ƙasa don kiran gida. A shekara ta 2013, kashi 13 cikin 100 na likitocin iyali sun yi kira a gidan kowane mako kuma kawai kashi 3 cikin dari na gida guda biyu yayi kira a mako daya.
Dokar Taimako ta Amfani ta taimaka wajen aiwatar da Shirin Independence a Gidan gidan don taimakawa likitoci don yin karin kira gida. Ma'aikatan da suka ajiye kudi ga Medicare yayin da inganta ingancin kulawa zasu raba kudaden kudi.
Shirin matukin jirgi na shekaru uku ya ƙunshi nau'o'i 17 daban-daban a duk faɗin ƙasar don sadaukar da kulawa gida ga marasa lafiya Medicare wanda ke da ciwo mai yawa. Don yin rajistar, kowane aikin dole ne ya gudanar da kulawa gida don akalla 200 Medicare marasa lafiya ta hanyar likita ko likita-practitioner . Shirin a matsayin cikakke ya kula da fiye da 8,400 Medicare masu amfana.
Amfanin Fadar Kira
Independence at Home ya nuna sakamako mai kyau a cikin shekarar farko, yana adana dala 3.00 na Medicare da kuma dala miliyan 25. Daga cikin ayyuka 17 da suka halarci, 12 sun sami kuɗi don marasa lafiya, 9 sun haɗu da ma'auni don samun karbar kudi kuma dukansu sun inganta ingantattun kulawa ga marasa lafiya a kalla uku daga cikin shida. Ayyukan guda hudu kawai sun haɗu da manufar dukkan matakan ma'auni guda shida.
Mafi mahimmanci, rayuwar wadanda suka kamu da marasa lafiya sun yi tasiri sosai. Akwai adadin likitancin asibiti , ingantaccen biyan bayan kwantar da asibiti, mafi mahimman bayani game da magunguna da kuma rage yawan amfani da sabis na asibiti don yanayin kulawa na kullum.
Wannan ba shine karo na farko da aka nuna kiran gida don rage farashin da inganta kulawa ba. Nazarin shekarar 2014 a The Journal of the American Geriatrics Society ya sake nazarin shirin kira na gidan da ke kula da marasa lafiya 722 a tsawon shekaru biyu. Kudin da aka samu na haƙuri ya karu fiye da $ 4,200 a kowace shekara tare da ƙananan asibitoci da gaggawa ta ziyarci kashi 9 cikin 100 kuma kashi 10 cikin 100.
Kiran gida yana yin bambanci. Yayin da Independence at Home Driver shirin ya ci gaba har tsawon shekaru biyu, nemi neman karin likitoci a gida kusa da ku.
Sources:
Cibiyoyin Kula da Magungunan Magunguna da Magunguna. Dokar Kulawa da Kula da Kulawa ta Kasuwanci ta ajiye fiye da dolar Amirka miliyan 25 a farkon shekara ta farko. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-06-18.html. An buga Yuni 18, 2015.
Cibiyoyin Kula da Magungunan Magunguna da Magunguna. Yanayi na kwanakin baya Daga cikin Medicare Beneficiaries, Chartbook: Edition 2012. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf.
De Jong KE, Jamshed N, Gilden D, Kubisiak J, Bruce SR, Taler G. Abubuwan Kulawa na Farko na Makarantar Kula da Ma'aikatan Kuɗi na Medicare a cikin Al'ummai Mai Girma. Journal of the American Geriatrics Society. Oktoba 2014, 62 (10): 1825-1831. http://onlinelibrary.wiley.com/doi/10.1111/jgs.12974/full.