Kafukufuku amathandizira kukulitsidwa kwa kuwunika kowopsa kochitidwa ndi inshuwaransi m’dziko lonselo

Seputembara 23, 2022

Kukula kwa California pakuwunika kowopsa kwaubwana kwayamikiridwa ngati chitsanzo kwa mayiko ena, malinga ndi chidule chomwe chasindikizidwa posachedwa mu Journal of the American Board of Family Medicine.

Mwachidule – olembedwa ndi ofufuza ochokera ku UC Davis Health ndi mabungwe ena a UCLA – akuti ma scans ali ndi kuthekera kowonetsa kuchuluka kwa zomwe zikuchitika muubwana (ACEs) komanso momwe zimakhudzira zotsatira za thanzi la akulu.

Zokumana nazo paubwana (ACEs) ndi gulu la zochitika zowopsa zomwe zimachitika usanakula kuphatikiza mitundu yosiyanasiyana ya nkhanza, kunyalanyazidwa, kusudzulana kwa makolo, kupatukana kapena kufa, nkhanza zapabanja, komanso matenda amisala a wachibale. ACE ndi kupsinjika kwapoizoni ndizomwe zimayambitsa zovuta zina zowononga, zolimbikira komanso zodula kwambiri pazaumoyo komanso zaumoyo zomwe dziko likukumana nazo masiku ano. Kafukufuku wapeza kuti anthu omwe adakumana ndi zovuta paubwana amatha kukhala ndi matenda osatha komanso amakhala ndi moyo waufupi.

Ndi 62% ya achikulire aku California omwe adakumana ndi ACE m’modzi ndipo 16% adakumana ndi zinayi kapena kupitilira apo, California ikuchitapo kanthu kuthana ndi ma ACE ndi kupsinjika kwapoizoni kudzera mu ACEs Aware, njira yoyamba ya dziko kukhazikitsa kuyezetsa kwanthawi zonse m’chipatala. network yosamalira.

Mu Okutobala 2021, boma la California linakhazikitsa Lamulo la Ufulu wa Ogawana nawo pankhani ya kasamalidwe ka katundu. Lamuloli lidakulitsa kuchuluka kwa mayeso a ACE powalamula kuti aziperekedwa ndi inshuwaransi yazamalonda. Kuwunika kwa odwala a Medi-Cal kwakhala kofunikira kuyambira koyambirira kwa 2020.

Gulu lofufuza la UCLA lidasanthula zotsatira, zopindulitsa, komanso kuwopsa kwa kuwunika kwathunthu kwa ACE pakati pa ana ndi akulu. Iwo anatsindika mfundo zingapo za pulasitiki:

Kuwunika ndi chilungamo chaumoyo: Kuti kuyezetsa kukhale ndi ubwino wathanzi m’madera onse, kupeza njira zothandizira ndizofunikira kwa wodwala aliyense amene angapindule kwambiri pa mafunso a ACE. Kupanda kutero, mayesowo atha kukhala kulowererapo kowona komwe sikumapereka chithandizo ndi ntchito monga momwe amafunira.

Yesani ma ACE onse mofanana: Palibe umboni waposachedwa wotsimikizira kuti ACE iliyonse imakhala ndi zotsatira zofanana pazaumoyo wa munthu aliyense. Ngakhale kuchuluka kwa ACE nthawi zambiri kumalumikizidwa ndi chiwopsezo chachikulu chokhala ndi zotsatira zoyipa zaumoyo, kafukufuku wambiri amafunikira pamlingo wamunthu payekha. Munthu akhoza kuchita bwino pa sikani ya ACE koma pali umboni wochepa wotsimikizira kuti munthu apitilizabe kukhala ndi zotsatira zoyipa za thanzi.

Mtengo: Pogwiritsa ntchito ziwerengero zochokera kwa olembetsa a Medi-Cal, olembawo akuyerekeza kubweza $29 pa cheke cha ACE pamalingaliro ndi ndondomeko zamabizinesi, zomwe zimatanthawuza kuwonjezeka kwa 0.03% pamitengo yonse.

Zowonongeka zotheka: Pali kufunikira kwa opereka chithandizo kuti aziphunzitsidwa bwino pa 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

Ofufuzawo adanenanso kuti kuzindikira za ubwino ndi zovuta zomwe zingatheke ndikofunika kwambiri pophunzira momwe machitidwe azaumoyo angagwiritsire ntchito makina a ACE ngati chida choperekera chithandizo chodziwitsidwa ndi zoopsa kuti akwaniritse zosowa za odwala.

Dziwani Maphunziro a ACE Masiku Ano (Zaulere!)

California Medical Association (CMA) imalimbikitsa madokotala onse, makamaka opereka Medi-Cal, kuti Pezani maola awiri a maphunziro aulere Kuti mudziwe momwe kuwunika, kuwunika zoopsa ndi chisamaliro chozikidwa pa umboni kungathandizire bwino kupsinjika kwapoizoni.

Poyang’ana ma ACE, opereka chithandizo amatha kudziwa kuthekera kwa wodwala pakuwonjezeka kwa ziwopsezo zaumoyo chifukwa cha kuyankha kwapoizoni, gawo lofunikira pakuyankha ndi Chisamaliro chodziwitsidwa ndi zoopsa Amalumikiza odwala ku netiweki yothandizira kuti achepetse zovuta za ACE.

Madokotala atha kulandira 2.0 Continuing Medical Education (CME) ndi 2.0 Certificate Maintenance Credits (MOC) akamaliza – ndipo angathe Landirani Kubweza ndalama zoperekera zowunikira za ACE kwa omwe apindula ndi Medi-Cal.

Kubwerera

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