Dɛn ne Ɔhwɛ a Egyina Botae So? Ɔkwan bɛn so na ebetumi aboa wo yiyedi?

So ɛtɔ mmere bi a wote nka sɛ ɛsɛ sɛ yɛn akwahosan ho nhyehyɛe no yɛ papa kakra? Ɛtɔ mmere bi a, sɛ woyare a, ɛyɛ ɔbrɛ sɛ wobɛkɔ oduruyɛfo biara nkyɛn akɔyɛ nhwehwɛmu biako akyi foforo, ɛnte saa? Ɛnnɛ yɛbɛka ayaresa nhyehyɛe bi a ɛsakra nneɛma a ɛte saa na ɛma w'akwahosan som bo ankasa ho asɛm . Eyi ne nea yɛfrɛ no `(Value-Based Care)` anaasɛ ɔhwɛ a egyina bo so.

Dɛn ankasa ne ‘Ɔhwɛ a Egyina Botae So’ yi?

Sɛ yɛbɛka no tiawa a, eyi fa ɔhwɛ a ayarefo, kyerɛ sɛ, wo, nya no a wɔbɛma atu mpɔn na wɔanya nea eye sen biara afi saa ɔhwɛ no mu ho. Wɔ eyi mu no, yɛrehwɛ sɛ yɛbɛhyehyɛ akwahosan ho nhyehyɛe wɔ ɔkwan bi so a ɛbɛma yare asiw ansa na aba, sen sɛ yɛbɛsa bere a aba akyi . Ɔkwan foforo so no, ɛfa ‘no a wobesiw ano ansa na aba, sen sɛ wɔbɛpere bere a aba akyi’ ho. Enti, wo yiyedi nyinaa , ayaresa no su, ne nhwehwɛmu a wɔde siw ano ho hia yiye wɔ nhyehyɛe yi mu. Wɔyɛ eyinom nyinaa sɛnea ɛbɛyɛ a wubenya akwahosan mu nkɔso a eye sen biara. Ade titiriw a ɛwɔ ha ne sɛ wobɛbɔ mmɔden sɛ wobɛma woanya apɔwmuden, sen sɛ wobɛsa yare bi kɛkɛ.

Enti dɛn na ɛbɛsakra ama ayarefo esiane saa (Value-Based Care) nhyehyɛe yi nti?

Botae titiriw a ɛwɔ saa ``Value-Based Care`` nhyehyɛe yi mu ne sɛ ɛbɛma akwahosan ho nhyehyɛe ahorow ayɛ mmerɛw . Te sɛ adwuma pa a woreyɛ no, sɛ wode ``nneɛma pa`` bedi dwuma wɔ ɔkwan a ɛyɛ nhyehyɛe so. Susuw ho hwɛ, ɛtɔ mmere bi a ɛsɛ sɛ woka nsɛm koro no ara kyerɛ nnuruyɛfo pii, ɛnte saa? Ɛtɔ mmere bi a ɛsɛ sɛ woyɛ sɔhwɛ koro no ara mprenu anaa mprɛnsa, ɛnte saa? Saa ade no so tew wɔ nhyehyɛe yi ase. Efisɛ, wɔhwehwɛ nsɛm ne adanse biara mu hwɛ ayaresa ahorow a ɛyɛ adwuma ne nea ɛnyɛ adwuma. Saa kwan yi so no, wɔbɔ ``ɔhwɛ kwan`` titiriw bi a ebetumi ama ayarefo anya nea eye sen biara . Ɛno kyerɛ sɛ, sɛ wunya yare pɔtee bi a, ayaresa nhyehyɛe a eye sen biara a wogye tom wɔ hɔ a wode bɛma. Saa nneɛma yi nyɛ ade koro mma obiara, na mmom wɔyɛ nsakrae ma ɛne wo tebea hyia.

Ade foforo a ɛho hia wɔ eyi mu ne sɛ wobɛma w'ani aku yiyedi ne sɛnea wosiw ano ho yiye . Susuw ho hwɛ, sigaretnom a wubegyae , nsakrae pa a wobɛyɛ wɔ w’aduan ne w’asetra kwan mu, ne apɔw-mu-teɛteɛ bɛma hokwan a wowɔ sɛ wobɛyare no so atew. Afei ɛho renhia sɛ wosɛe sika de yɛ nhwehwɛmu, akwan a ɛyɛ den, ne nnuru , ɛnte saa? Eyi te sɛ ' siw ano'.Ɛte sɛ nea woreka sɛ, "Asiw ano ye sen ayaresa." Yɛka bere nyinaa sɛ, "Asiw ano ye sen ayaresa," na ɛno ara ne no.

Sɛ obi nya apɔwmuden a, ɛtew akwahosan ho ka so ma obiara. Ɛno nyɛ papa ma wo nko, eye ma ɔmanfo nyinaa.

Sɛ nhwɛso no, ma yɛnka sɛ wowɔ tebea bi a enni sabea te sɛ asikreyare . Dɛn na ɛtaa si? Ebia wobɛkɔ aniwa ho oduruyɛfo nkyɛn, obi foforo akɔhwɛ w’asaabo, ɔfoforo nso akɔhwɛ honam ani haw bi. Ɛsɛ sɛ wokyerɛkyerɛ nsɛm foforo mu wɔ baabiara, na ebia ɛsɛ sɛ wosan hwɛ amanneɛbɔ koro no ara mu bio. Wɔ saa ``Value-Based Care`` nhyehyɛe yi ase no, wubetumi asiw saa yare no ho nsɛnnennen ano kɛse. Sɛ anka wobɛtu mmirika akɔ ayaresabea ne nnuruyɛfoɔ ahodoɔ mu no, wobɛtumi ne ``kuo a wɔaka abom`` a wonim wo ne wo yareɛ no yie ayɛ adwuma . Saa kuw yi te sɛ abusua a wɔhwɛ w’akwahosan so. Ɛka w'abusua oduruyɛfo ``oduruyɛfo titiriw``, abenfo, ayarehwɛfo, nipadua mu ayaresa ho abenfo, ne aduannuru ho abenfo a wɔboa wo:

• Ma asikre dodow a ɛwɔ wo mogya mu no nyɛ adwuma yiye.
• Kyerɛkyerɛ wɔn sɛnea aduan a ahoɔden wom te na boa wɔn ma wɔnkɔ so nkura mu.
• Yɛ apɔw-mu-teɛteɛ nhyehyɛe a ɛfata wo mfe ne wo nipadua akwahosan.
• Te nkate ne adwene mu nneɛma a ɛwɔ yare yi mu te sɛ adwennwen ne awerɛhow ase, na boa wo ho ma wugyina ano.

Saa kuw yi ne wɔn ho wɔn ho kasa, kyɛ mo nsɛm, na wɔbom yɛ adwuma de ma mo ayaresa a eye sen biara. Ɛno ma wote nka sɛ wo ho adwo wo, ɛnte saa?

Ɔkwan bɛn so na saa (Value-Based Care) kwan yi ma ɛka so tew?

Okay, afei momma yɛnhwɛ sɛnea saa `(Value-Based Care)` kwan yi tew ɛka so. Ebia wobɛkae sɛ, bere bi a atwam no, sɛ wokɔ oduruyɛfo anaa ayaresabea a, ɛtɔ mmere bi a na wunya sika a ɛsono emu biara wɔ ade biara ho. Na ɛsɛ sɛ wutua nhwehwɛmu dodow a wɔyɛe, nnuru dodow a wɔde mae, oprehyɛn dodow a wɔyɛe no ho ka. Ɛne sɛ, sɛ woyɛ nneɛma pii a, wunya sika pii . Eyi ne nea wɔfrɛ no `(Fee-for-Service)` anaa ``fee for service`` kwan. Wɔ eyi mu no, ɛtɔ mmere bi a, na wobetumi ayɛ sɔhwɛ ahorow a na ɛho nhia ankasa, efisɛ sɛ wode nnwuma pii ma a, wunya sika pii.

Nanso wɔ saa ``Value-Based Care'' adwene yi mu no, wongyina ayarefo dodow a wohu, oprehyɛn dodow a wɔyɛ, anaa sika dodow a wogye so ntua nnuruyɛfo ne ayaresabea ka . Mmom no, wotua wɔn ka gyina ``nea efi mu ba'' a ayarefo nya so .. Ɛne sɛ, sɛ ɔyarefo no ho tɔ no ntɛmntɛm, sɛ nsɛnnennen no so tew, sɛ enhia sɛ wɔde no kɔ ayaresabea bio a, ɛnde ɛnonom ne nneɛma pa a efi mu ba a wɔkanyan no. Fa no sɛ, sɛ anka wɔbɛgye sika soronko wɔ sɔhwɛ ne ɔsom biara ho wɔ yareɛ biara ho no, wɔboaboa sikatua no ano na wɔyɛ ``bundled payments``. Eyi ho wɔ mfaso titiriw wɔ nsɛm a emu yɛ den te sɛ nkwaa a wɔde besi ananmu mu. Afei, sɔhwɛ a ɛne sɛ wobɛyɛ nneɛma a ɛho nhia na woanya sika no so tew . Efisɛ, nnuruyɛfo ne ayaresabea ahorow ani gye ho sɛ wɔbɛma wo ho atɔ wo ntɛm na wɔama woakɔ so anya akwahosan pa, na ɛnyɛ sɛ wɔbɛyɛ nhwehwɛmu pii kɛkɛ.

Ade foforo ne sɛ esiane sɛ wɔahyehyɛ ɔyarefo biara ayaresa ho nsɛm wɔ Electronic Medical Records mu nti, ɛho nhia sɛ wɔsan yɛ nhwehwɛmu ne ayaresa a ɛho nhia koro no ara . Ɛnyɛ den sɛ wubetumi ahu nhwehwɛmu bi a oduruyɛfo biako ne oduruyɛfo foforo ayɛ ho amanneɛbɔ . Nnuruyɛfo ne akwahosan ho adwumayɛfo afoforo, sɛ kuw, nam ɔhwɛ ho nhyehyɛefo mmoa so ne wɔn ho wɔn ho di nkitaho, na wɔsa ayarefo yare yiye, a wɔnsɛe bere ne mmɔdenbɔ . Saa kwan yi so no, ayarefo betumi anya ɔsom a wohia no ntɛm denam nhyehyɛe a wɔaka abom yi so.

Nea wɔabɔ wɔn tirim sɛ wobefi mu aba yiye ne sɛ wɔbɛtew wɔn a wɔsan gye wɔn, ayaresabea a wɔde wɔn kɔ, ne wɔn a wɔkɔ mmeae a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ so. Ɔhwɛ a Egyina Botae So yɛ botae a wɔde bere tenten yɛ. Ɛyɛ ɔkwan a wɔfa so yɛ ade a ɛtew akwahosan ho ka so, ɛma wonya akwahosan pa, na nea ɛho hia sen biara no, ɛma w’akwahosan ne wo yiyedi nyinaa tu mpɔn .

Enti, dɛn ne nkrasɛm a wɔde kɔ fie fi eyinom nyinaa mu?

Okay, so from what we’ve talked about , ebia wubetumi ate sɛnea saa adwene yi ho hia no ase. Ɛnyɛ yare bi a wobɛsa kɛkɛ, na mmom ɛfa wo yiyedi nyinaa ho a wubesusuw ho. Sɛ yɛbɛka no tiawa a, ɛfa:

• Ayaresa a wɔde ma wo no su tu mpɔn efisɛ wɔde wɔn adwene si nea efi mu ba so.
• Nyarewa a wosiw ano yɛ ade titiriw a wɔde siw nyarewa ano ansa na aba. Adwene titiriw no ne sɛ "ɛyɛ papa sɛ wubenya apɔwmuden sen sɛ wubehu amane wɔ yare ho."
• Yɛde yɛn adwene si wo yiyedi nyinaa so kɛse. Adwene mu akwahosan ho hia te sɛ nipadua mu akwahosan.
• Eyi boa ma wɔtew nhwehwɛmu ne ayaresa a ɛho nhia so, na ɛtew akwahosan ho ka so. Eyi nso yɛ ahotɔ ma wo kotoku.
• Nnuruyɛfo, ayarehwɛfo, ne akwahosan ho adwumayɛfo afoforo bom yɛ adwuma sɛ kuw de ɔhwɛ a eye sen biara ma wo. Eyi ma wote nka sɛ ɛnyɛ wo nkutoo.

Eyi te sɛ nea wɔde asɛm a wɔka sɛ ‘Ɛyɛ sɛ wobɛtena apɔwmuden mu sen sɛ wobɛsa yare’ no adi dwuma. Ɛboa wo nso ma wunya ɔsom adwuma a eye sen biara a wuhia a ɛho ka sua.

Enti, sɛ yɛde saa ``Value-Based Care'' nhyehyɛe yi ka yɛn akwahosan nhyehyɛe ho a, ɛbɛyɛ mmoa kɛse daakye ama wo, me, ne yɛn nyinaa sɛ yebenya akwahosan ho nnwuma a eye, etu mpɔn, na ɛsom bo ankasa . Enti, ɛho hia paa sɛ yehu eyi! Efisɛ, yɛn akwahosan ne yɛn agyapade a ɛsom bo sen biara.

` Ɔhwɛ a egyina botae so, akwahosan ho nhyehyɛe, nyarewa a wosiw ano, nea efi ayarefo mu ba, akwahosan ho sika a wɔsɛe no, ɔhwɛ a wɔaka abom, yiyedi