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Stephen Leffler: Mankhwala amaphunziro ndi ofunikira pa chisamaliro cha boma lathu

Ndemanga iyi inalembedwa ndi Dr. Stephen Leffler, pulezidenti ndi mkulu wa ntchito pa yunivesite ya Vermont Medical Center.

BlueCross BlueShield ya Vermont, kampani ya inshuwaransi yayikulu kwambiri ku Vermont, posachedwa idatumiza kalata ku Green Mountain Care Board yofunsa za kufunika kwa University of Vermont Medical Center, chipatala chokha cha maphunziro ku Vermont. BCBSVT idati chisamaliro chathu chili ndi “mabelu ndi mluzu” wambiri.

Sindikudziwa za ‘mabelu ndi malikhweru’ ambiri omwe timapereka ku UVMMC. Timayesetsa kupereka chakudya chabwino kwa odwala ndi mabanja awo, malo oimika magalimoto okwanira komanso malo aukhondo. Koma makamaka timayang’ana kwambiri chisamaliro cha odwala chomwe odwala amafunikira, nthawi zambiri kuti apulumutse miyoyo yawo. Ndikumvetsetsa kuti ma inshuwaransi athu atha kukhala kutali kwambiri ndi machitidwe azachipatala, kotero kuti kufunikira kwa chisamaliro chapafupi ndi nyumba kumatha kutayika pa iwo.

Akadakhala nane sabata yatha pamaulendo anga a sabata iliyonse, oyang’anira inshuwaransi yazaumoyo akadawona chisamaliro chodabwitsa, chovuta komanso chokwanira chikuperekedwa ku UVMMC. Akanayang’ana makolo ali pansi pa ana athu mwachidwi kudikirira kuti mwana wawo alandire chithandizo chopulumutsa moyo cha khansa chomwe chikupezeka kwina kulikonse m’boma. Mwinamwake akanakumana ndi wodwala yemwe anali atangolandira kumene transcatheter aortic valve replacement, yomwe ili yovuta, yopanda opaleshoni ya mtima – chipatala chathu ndicho chokha m’boma chomwe chimapereka njirayi. Ayeneranso kuti adawonapo wodwala wovulala yemwe chisamaliro chake chopulumutsa chimadalira malo owopsa a Level 1 okha a Vermont.

UVMMC ndi chipatala chokhacho ku Vermont komwe njira zambiri zopulumutsa moyo zimachitika. Kwa odwalawa, chithandizo chomwe timapereka si “mabelu ndi malikhweru,” koma moyo ndi imfa.

Pa maulendo anga a mlungu ndi mlungu, ndimakumananso ndi ophunzira azachipatala, okhalamo, ophunzira unamwino, ndi ophunzira ena ambiri omwe akuphunzira ndi maphunziro ku Academic Medical Center yathu. Tili ndi kuchepa kwa madokotala ndi othandizira azaumoyo ku United States – kuphatikiza Vermont. UVMMC imapereka malo ophunzirira kwa azachipatala amtsogolo. Akamaliza maphunziro awo, ena a iwo amakhalabe m’boma kuti athandizire paumoyo wathu. Chaka chatha, madotolo 28 adatsalira ku Vermont kuti ayesetse atamaliza maphunziro awo. Posachedwapa, tidalemba anamwino 150, ambiri omwe adamaliza maphunziro awo ku UVM Nursing Program. Othandizira zaumoyo am’deralo amalandira maphunziro abwino kwambiri pano ndipo ndiye kubetcha kwathu kopambana kuthana ndi kuchepa kwa anthu ogwira ntchito komwe kumavutitsa chisamaliro chonse chaumoyo ku America pakadali pano.

Yunivesite ya Vermont Medical Center imadziwika kuti ndi malo abwino kwambiri olandirira chithandizo. Kwa chaka chachiŵiri chotsatira, tinalandira nyenyezi 5 kuchokera ku Centers for Medicare and Medicaid Services. Ndi 15% yokha ya zipatala ku United States zomwe zimalandira nyenyezi zisanu. Dongosololi limaganizira zinthu zambiri, monga zomwe wodwalayo adakumana nazo, zotsatira zake, komanso mtengo wake – mwachidule, mtengo.

Pankhani ya mtengo, CMS imati njira zomwe zimayendera ku UVMMC zimawononga mtengo womwewo kapena wocheperapo kuposa wapakati wadziko lonse. Ndalama zathu za Medicare pa munthu aliyense wopindula zili pansi pa Vermont ndi dziko lonse. M’malo mwake, ndife malo azachipatala otsika mtengo a Medicare mdziko muno.

Mavoti apamwambawa amatithandiza kukopa ndi kusunga madokotala, anamwino ndi madokotala apamwamba padziko lonse lapansi.

Popanda chipatala cha maphunziro, Vermont itumiza odwala kunja kwa boma kuti akalandire chithandizo chamankhwala chapadera, ndikuwonjezera zovuta zomwe zilipo kale kuti apeze chithandizo chanthawi yake. Kupatula kuopsa kwachilengedwe, komanso zovuta (ndipo nthawi zina zosatheka) kuyenda kwa wodwala ndi achibale awo, zidzawononganso dziko lathu. Mitengo nthawi zambiri imakhala yokwera m’zipatala zamaphunziro akunja.

Ndimanyadira University of Vermont Medical Center. Ndine wonyadira anthu pafupifupi 8,000 omwe amagwira ntchito pano, onse omwe amachita ntchito yapadera yopereka chisamaliro chapadera kwa anansi awo, abwenzi ndi abale awo.

Tili ndi gulu lodabwitsa la anthu ophunzitsidwa bwino komanso odzipereka kuno kuti azitumikira Vermonters. Academic Medical Center yathu ndi gawo lalikulu lazaumoyo ku Vermont. Ntchito yomwe timachita ikhoza kumveka ngati “mabelu ndi mluzu” kwa wothandizira inshuwalansi, koma kwa odwala omwe akusowa ife ndi magulu omwe amapereka chithandizo, izi sizinthu zapamwamba koma chisamaliro chofunikira komanso choperekedwa mwaluso. Vermont Academic Medical Center iyenera kukhalabe yamphamvu, yamakono, komanso yotheka, motero imakhala yokonzeka pamene ife kapena okondedwa athu tikuzifuna.

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Tags: Stephen Leffler, University of Vermont Medical Center, UVMMC

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