Kusintha kwa chisamaliro chaumoyo kuchoka ku nthawi kupita ku chinthu

nChithunzi cha Orman Rockwell cha 1939 “Pamene Dokotala Achitira Mwana Wanu” chimasonyeza dokotala wabanja ali ndi stethoscope pakhosi pake akulemba mankhwala pamaso pa ana atatu, mmodzi wa iwo atakhala pachifuwa cha amayi ake. Chojambulacho chimadzutsa chikalata cha chisamaliro chaumoyo: dokotala yemwe ali ndi udindo wosamalira banja komanso anthu, omwe makhalidwe ake amafunikira kudzipereka kosasunthika ku ubwino wa wodwalayo.

Masiku ano chithandizo chamankhwala sichili ngati chojambula chojambula. Zasintha kuchokera ku chitsanzo cha chisamaliro choyambirira kupita ku njira yokhazikitsidwa ndi gulu komwe chisamaliro chimaperekedwa kudzera muzopereka zambiri zomwe zimaphatikizapo madotolo oyambira, akatswiri othandizira azaumoyo, ndi madokotala ndi akatswiri. Madotolo ambiri osamalira odwala amakhala ndi nthawi yochepa yocheza ndi odwala komanso mabanja awo, ndipo nthawi zambiri amaphonya zidziwitso zofunikira zachipatala komanso zamalingaliro zomwe zingaphatikizidwe mu chisamaliro chomwe amalimbikitsa. Palibe maola okwanira masana kuti mupereke chisamaliro chonse chovomerezeka.

M’nthaŵi ya Rockwell, madokotala anali ndi udindo osati kokha kwa odwala awo ndi mabanja awo komanso madera awo. Kwenikweni, ntchito zaukatswiri kaŵirikaŵiri zagwirizanitsidwa ndi kutchuka. Masiku ano, ogwira ntchito zachipatala ayenera kulinganiza kuyankha kwa odwala awo ndi udindo kwa ena ogwira nawo ntchito, kuphatikizapo mapulani a zaumoyo ndi olemba ntchito; Samalani ndi zokolola; Ndipo muyenera kusamala kuti musagwirizane ndi dongosolo lazamalamulo.

Zotsatsa

Matenda owopsa komanso osatha anali mbali yaulendo wosamalira wodwala womwe unatenga ntchito yake ndi moyo wake. Panalibe kukayikira za yemwe anali ndi udindo wopereka malangizo ogwirizana a chisamaliro – dokotala wawo. Masiku ano, ndalama zokwana madola 80 biliyoni pachaka pakuwonongeka kwa chithandizo chamankhwala zimatheka chifukwa cha kusamalidwa bwino kwa chisamaliro.

Koma mwina kusintha kosokoneza kwambiri ndiko kuwonongeka kwa kukhudzana kosasinthasintha kwa anthu monga gawo lachidziwitso cha chisamaliro, kumverera kuti ife monga odwala timamvetsetsa bwino ndi akatswiri odalirika omwe amatisamaliradi.

Zotsatsa

Chisamaliro chaumoyo chikukula chifukwa cha zachuma, kusintha kwabwino, komanso kusakhutira kwa ogula. United States imawononga ndalama zoposa $4 thililiyoni pazaumoyo chaka chilichonse, zomwe 25% yazowonongeka. Komanso dzikoli silimapindula kwambiri pamiyeso yoyendetsera ntchito zachipatala monga kupeza chithandizo, kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake

Ngakhale mu chithunzi chowoneka ngati ndakatulo cha Rockwell cha nthawi yakale, chowonadi chinali chochepa kwambiri kuposa choyenera. Zosankha zenizeni za chisamaliro zinali zachikale pomwe mtundu wa chisamaliro unali wosiyanasiyana, monga momwe zilili lero. Ndipo magulu azamalonda anali atayamba kale ntchito: Upjohn, kampani yomwe inathandizira kujambula, ikuyesera kugwirizanitsa mankhwala ake atsopano opangira mankhwala ndi chidaliro cha dokotala wa banja (komanso wotchuka wa Rockwell).

Ogula moyenerera sakhala osangalala, madokotala atopa, ndipo chisamaliro chaumoyo chikupitirizabe kuwononga ndalama zothaŵathaŵa. Kusintha kumafunika ndipo msika ukupereka – ngakhale sizikudziwikabe momwe njira zatsopano zosamaliramo zidzakhalire kapena kupikisana komanso momwe ogula angayendetsere zosankha.

Mapulani azaumoyo, opereka chithandizo chamankhwala, ma pharmacies ogulitsa, ndi makampani osawerengeka aukadaulo azachipatala akuyesa njira zatsopano zoperekera chisamaliro zomwe cholinga chake ndi kupindika mtengo, kukonza bwino, kupereka zokumana nazo za ogula komanso, nthawi zina, kutembenuza phindu. Zina ndi zoyesayesa zenizeni za olemba ntchito ndi makampani a inshuwaransi kuti apeze chisamaliro chomwe chingakhale chokwera mtengo ndikuchitumiza kumalo ogwirira ntchito. Ena amalunjika ogula mwachindunji ndi lonjezo la chithandizo chamankhwala chabwinoko, chotsika mtengo.

Anthu aku America akupereka chisamaliro chawo kwa mapulogalamu ndi opereka ma telemedicine omwe zidziwitso zawo, udindo wawo, komanso chisamaliro chawo ndi opaque. Msika womwe ukupita patsogolo waumoyo umaganiza kuti chisamaliro chaumoyo ndi chinthu chomwe sichifuna maubwenzi anthawi yayitali, osanenapo kufunikira kotsatira chikalata cha chisamaliro.

Ogula angapindule pokhala ndi zosankha zambiri, koma kusankha pakati pawo kudzakhala kovuta popanda njira zodalirika zofananizira mtengo ndi khalidwe. Kodi munthu ayenera kupeza kuti chithandizo ndi ululu wammbuyo, matenda a shuga, kapena mavuto ena aakulu kapena aakulu: utumiki wa telemedicine wovomerezedwa ndi kampani ya inshuwalansi? Amazon/One Medical, CVS Health, kapena bot yaposachedwa kwambiri yazaumoyo yoyendetsedwa ndi ukadaulo waposachedwa wa AI? Kodi chisamaliro chiyenera kugwirizanitsidwa bwanji pamasamba onsewa? Kodi anthu angakhale bwanji otsimikiza kuti malo amenewa ndi odzipereka ku moyo wawo?

Zotsatira zovutitsa kale kwa omwe abwera kumene ku chithandizo chamankhwala, monga kulembera kosayenera, zawonekera pomwe mtundu wabizinesi ukhala wofunikira kwambiri pakuperekera chithandizo chamankhwala. Ntchito zochepetsera ndalama zipeza njira zochitira izi – koma chenjezo.

Pali njira zopitira patsogolo. Mabungwe omwe akukhudzidwa posankha njira za inshuwaransi yazaumoyo (monga olemba anzawo ntchito) kapena kupereka chithandizo chaumoyo akuyenera kukhala ndi miyezo yomveka bwino ya chisamaliro ndi kuwonekera poyera za ziyeneretso za opereka chithandizo ndi mabungwe ogwirizana nawo komanso mtengo wa chisamaliro. Anthu ayenera kudziwa kuti akugula zinthu zomwe zilibe kudalirika kwazomwe zimagulitsidwa. Kugula chithandizo chaumoyo sikufanana ndi kugula magetsi. Ogula ayenera kuphunzira kuthana ndi zovuta ndikukhala ogula anzeru. Njira ziyenera kukhazikitsidwa zomwe zimatsimikizira chisamaliro chokhazikika, chapamwamba, mosasamala kanthu za kukhazikitsa. Izi zikuphatikizapo zida zoyenera zoyendetsera ntchito, mautumiki a chidziwitso, miyezo yapamwamba, analytics, ndi ogwira ntchito ophunzitsidwa bwino kuti atsimikizire kuti ogula amapeza zotsatira za thanzi labwino kulikonse kumene amalandira chisamaliro.

Moyenera, izi zitithandiza tonse kuzindikira kuti chithandizo chamankhwala ndi nthawi, osati chinthu chofunikira.

Peter A. Boones ndi dokotala wamkulu wa Wolters Kluwer Health, gastroenterologist, ndi pulofesa wothandizira wa zamankhwala ku Tufts University School of Medicine ku Boston.


Ngati mumakonda kuwerenga malingaliro ndi zolemba, pezani zolemba zoyamba zomwe zimaperekedwa sabata iliyonse kubokosi lanu Lamlungu lililonse. Lembani apa.

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