Wani mai karatu, wanda yake likitan likitanci , ya tambayi wasu tambayoyi game da albashin likita kamar yadda yake da alaka da girman al'ummar cikin sharuddan yawan jama'a. Shin likitoci na samun karin ƙananan garuruwa ko manyan birane, kuma me ya sa?
Yayin da ake magana game da lafiyar likita, yin amfani da kalmar "albashi" zai iya yaudarar, tun da yawancin likitoci ba su aiki ba, kuma basu biya bashin albashi ba.
Yawancin likitoci (fiye da 50%) suna cikin kasuwanci ne don kansu, mallaki aikin sirri a cikakke ko a wani ɓangare, kamar yadda ya saba da yin aiki da asibiti ko rukuni. Koda ma likitocin da suke aiki, ana samun lambobin su ta hanyar yawancin yankuna, tattalin arziki, da kuma abubuwan zamantakewa, irin su kulawa da kula da inshora, wadanda aka kafa ta kungiyoyi na uku da ka'idojin gwamnati.
Bisa ga Kungiyar Gudanarwa ta Gida (MGMA) wanda ke gudanar da bincike mai yawa na shekara-shekara da kuma nazarin lafiyar likita, yawancin likitoci sun sami karin kuɗi a cikin al'ummomin da ke da kyau a karkashin miliyan daya. A cikin fannoni masu yawa, ana samun masu karɓuwa mafi girma a garuruwan 50,000 zuwa 250,000 a cikin girman, bisa ga kididdigar MGMA.
Wannan mummunan ladabi saboda dalilai ne da yawa:
Gasar
A karami zuwa ƙananan al'ummomin, gasar daga wasu likitoci ba kamar yadda yake a cikin manyan ƙananan hukumomi ba, wanda ya zama "ƙwaƙwalwa" saboda yanayin likitoci don zuwa garuruwa masu girma saboda dangantaka ta iyali ko wadata amfanin aiki a cikin gari mafi girma.
Reimbursements
Reimbursements daga kamfanonin inshora sun kasance mafi girma a kananan- zuwa tsakiyar al'umma. Saboda haka likita a cikin babban birni da likita a cikin ƙananan gari zasu iya ganin daidai adadi da nau'in marasa lafiya daidai, kuma suna yin irin wannan aiki, kuma kowane likita za a iya mayar da shi cikakkiyar adadi bisa ga yawan kuɗin a yankunansu , kuma sau da yawa shi ne ƙananan garin doc wanda ya fito gaba.
Ƙarin Kasuwanci
Yawanci, farashin yin aiki a matsayin likita, irin su inshora mara kyau, da kuma ofis ɗin, yana da girma a manyan biranen. Wannan shi ne saboda birane mafi girma sun kasance sun zama yanci fiye da ƙananan al'ummomi, kuma lokuta masu yawa suna kaddamar da haɗin ƙimar haraji.
Misalai
Magungunan likitancin likita Wadannan likitoci suna samun mafi yawa a garuruwan 50,000 ko žasa, yawanci. Alal misali, bisa ga rahoton MGMA da Sanarwa na 2009, masu likita a cikin kananan ƙananan gari suna samun kudin shiga na shekara-shekara na $ 502,195 kuma kawai $ 474,359 kowace shekara a wuraren da ake amfani da ita sun fi yawan mutane miliyan daya. Sakamakon kudin da suke ciki ya rage karar da ke cikin garuruwa da yawan mutane 250,000-1,000,000, zuwa kimanin $ 393,402.
Masu bincike a cikin kananan ƙananan gari (a karkashin 50,000) sun sami kusan $ 467,927. Wadannan likitoci a garuruwan 50,000 zuwa 250,000 suna karbar $ 452,195 a kan matsakaici, wanda yake da kashi 22 cikin dari fiye da takwarorinsu a manyan wuraren metro (fiye da miliyan daya), wanda ke samun $ 370,673 a kowace shekara.
Masu binciken ilimin lissafi sun sami mafi yawa a garuruwan 50,000-250,000 tare da samun kudin shiga na median kimanin $ 395,159. A cikin manyan yankunan karkara, masu binciken dermatologists sun sami kimanin dala miliyan 50 na wannan, tare da samun kudin shiga na shekara-shekara na $ 340,317 a birane da yawan jama'a fiye da miliyan daya.
A cikin garuruwan da ke kasa da 50,000, yawancin ya sami $ 356,624, a cewar MGMA 2009 Rikicin Likita da Rubuce-rubuce.
Magungunan likita a ƙananan ƙananan garuruwa suna samun ko'ina daga 17% zuwa fiye da 25% fiye da waɗanda ke cikin manyan wuraren metro. Wa] annan ku] a] en da aka haɓaka, na iya danganta da bambancin kusan kusan dolar Amirka 150,000, a kowace shekara, ga wa] ansu magunguna, a cikin} ananan jama'a! Masu kwakwalwa na maganin cututtuka suna ganin abubuwan da suka fi girma a cikin gari a kan samun kuɗi, misali, tare da karbar kudi na $ 609,041 a cikin kananan garuruwan (karkashin mutane 50,000), da kuma $ 462,820 a manyan wuraren metro (fiye da mutane miliyan daya).
Sama ne kawai 'yan misalai.
Jerin yana ci gaba, amma waɗannan su ne wasu misalai mafi ban mamaki. Ba kowane sana'a yana ganin irin wannan bambanci ba, amma kusan dukkanin sana'a na ganin samun kuɗi a ƙananan garuruwa, musamman ma wadanda ke cikin karuwar cinikin mutane 50,000 zuwa 250,000, wanda shine mafi girman biyan haraji ga mafi yawan fannoni. A matsayin ƙarin bashi, baya ga samun karin kuɗi a kowace shekara, likitoci a ƙananan kabilu suna samun karin kuɗi, samun ƙarin ajiyar kuɗi da inganta yanayin kudi ga likitoci da ke aiki a kananan ko ƙananan al'umma.