Makemake ʻoe e ʻike pono e pili ana i kāu mau moʻolelo lapaʻau a me kou ʻohana?

I kēia manawa, e kamaʻilio mākou e pili ana i kahi mea nui loa iā ʻoe a me kou ʻohana. ʻO ia hoʻi nā moʻolelo lapaʻau, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, "(Medical Record)". I ka ʻōlelo maʻalahi, ua like kēia me kahi moʻolelo i kākau ʻia e pili ana i kou olakino, a i ʻole kahi puke pai. ʻO nā maʻi āu i ʻeha ai, nā lāʻau lapaʻau āu i lawe ai, nā hoʻokolohua āu i hana ai, ua hoʻopaʻa ʻia kēia mau mea a pau ma kēia.

He aha ka mea maoli i loko o kahi moʻolelo lapaʻau?

ʻAe, e nānā kākou i ke ʻano o ka ʻike i loko o kēia moʻolelo lapaʻau. Ua like ia me kāu puke mōʻaukala olakino . ʻO ka hapa nui o ka manawa, loaʻa i nā haukapila a me nā keʻena kauka kēia mau mea ma nā ʻōnaehana kamepiula. Kāhea mākou i kēia mau mea he Electronic Health Records (EHR) a i ʻole Electronic Medical Records (EMR) . He mea maʻalahi loa kēia no ka mea hiki iā ʻoe ke mālama i ka ʻike i hoʻonohonoho pono ʻia a loaʻa koke iā ia ke pono ʻoe.

No laila, ʻo kahi hōʻike e like me kēia e komo pū me kēia mau mea:

• ʻIke pilikino maʻamau e like me kou makahiki, ke kāne, a me ka lāhui .
• Kou kiʻekiʻe a me kou kaumaha . Hiki iā ʻoe ke hoʻopaʻa i ke ʻano o ka loli ʻana o kēia mau mea i ka hala ʻana o ka manawa.
• Nā pilikia olakino kikoʻī āu e loaʻa nei. Eia kekahi laʻana, inā he hānō kou, he maʻi epilepsy, a i ʻole kahi maʻi lōʻihi e like me ka maʻi diabetes mellitus.
• ʻO kou mau pilikia olakino noʻonoʻo . Inā ua mālama ʻia ʻoe no nā kūlana e like me ka hopohopo a i ʻole ke kaumaha, aia paha kekahi mau memo e pili ana i kēlā.
• ʻO nā hopena o kāu mau hoʻokolohua lapaʻau . Hoʻokomo pū kēia i nā hōʻike hoʻokolohua lab, nā X-ray, a me nā hōʻike scan.
• Nā kikoʻī o nā lāʻau lapaʻau āu e lawe nei, ka nui āu e lawe ai, a me ka nui o nā manawa e lawe ai ʻoe iā lākou i ka lā . He mea nui loa kēia, no ka mea, aia wale nō ʻoe e lawe pono i ka lāʻau lapaʻau e hoʻomaikaʻi ai ka maʻi.
• Nā maʻi ʻaleka āu e loaʻa nei. ʻO ia hoʻi inā pane kou kino i kekahi mau lāʻau lapaʻau (nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau ma luna o ke kūʻai aku), nā nahu pepeke, kekahi mau meaʻai, a i ʻole ka latex. He ʻike koʻikoʻi loa kēia, no ka mea, hiki ke lilo i pilikia nui inā ʻaʻole ʻoe i ʻike e pili ana i ia mea a mālama iā ia i kahi pilikia.
• Nā kikoʻī o nā ʻoki kino āu i hana ai a me nā noho haukapila āu i loaʻa ai .
• ʻO kāu mau pale ʻana . Hoʻopaʻa kēia i nā pale ʻana a pau āu i loaʻa ai mai kou wā kamaliʻi.
• Inā pono, hiki ke hoʻohui ʻia ka ʻike bila a me ka ʻikepili inikua i kēia.

E noʻonoʻo e maʻi koke kāu keiki a lawe ʻia i ka haukapila. Inā hiki i ke kauka ke ʻike koke i nā maʻi allergies o ke keiki a me nā lāʻau lapaʻau i hāʻawi mua ʻia iā ia, ʻaʻole anei he kōkua nui ia i ka hāʻawi ʻana i ke keiki i ka lāʻau wikiwiki a pololei? ʻO ia ke kumu he waiwai nui kēia mau moʻolelo lapaʻau.

ʻO wai ka mea hiki ke ʻike i nā moʻolelo lapaʻau a kaʻu keiki?

He nīnau kēia a nā mākua he nui. ʻO ka maʻamau, inā makemake ʻoe e ʻike i nā moʻolelo lapaʻau o kahi keiki ma lalo o 18 makahiki , a i ʻole e kaʻana like i kēlā ʻike me kekahi, pono ʻoe i ka ʻae o ka makua a kahu kānāwai paha o ke keiki . Akahele loa nā kauka e pili ana i kēia. ʻAʻole lākou e hāʻawi i ka ʻike o kāu keiki i kekahi me ka ʻole o kāu ʻae.

Eia nō naʻe, aia kekahi mau pilikia kūikawā kahi e ʻokoʻa iki ai kēia lula. No ka laʻana, inā manaʻo ke kauka aia kahi pilikia koke i ke olakino a i ʻole ka palekana o ke keiki , pono paha lākou e hoʻomaopopo i nā luna kūpono, malia paha me ka ʻae ʻole o nā mākua. Eia nō naʻe, he mea kakaikahi kēlā mau kūlana a no ka pono wale nō o ke keiki.

Aia nā lula a me nā alakaʻi i ʻae ʻia ma ka honua holoʻokoʻa e pale i ka pilikino a me ka hūnā ʻana o kēia mau moʻolelo lapaʻau. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, aia kekahi kānāwai kūikawā i kapa ʻia ʻo "Health Insurance Portability and Accountability Act - HIPAA" e pale i kēlā ʻike. Ma Sri Lanka, ʻo ka pale ʻana i ka hūnā ʻana o ka ʻike o ka mea maʻi kekahi ʻāpana o nā loina ʻoihana o nā kauka. No laila, ʻaʻohe ou mea e makaʻu ai no ia mea.

Ua pili anei kēia mau ʻōnaehana moʻolelo olakino uila (EHR) kekahi i kekahi?

He nīnau maikaʻi nō hoʻi kēia. I kēia manawa, inā e mālama ʻia kāu keiki e kekahi mau kauka e pili ana i ka pūnaewele haukapila like, ʻo ia hoʻi, inā hana pū ke kauka pediatric a me ke kauka dermatologist o kāu keiki ma ka haukapila nui hoʻokahi, a laila maʻamau me kāu ʻae ʻana, hiki iā lākou ke ʻike maʻalahi a kaʻana like i ka moʻolelo olakino uila (EHR) o kāu keiki. No ka mea, aia lākou i loko o ka ʻōnaehana like. ʻO ke ʻano kēia e hiki ke mālama ʻia ka hoʻomau ʻana o ka lāʻau lapaʻau.

Akā, e noʻonoʻo e hōʻike ana ʻoe i kāu keiki i ke kauka ma kekahi haukapila, a laila e hele i ke kauka ma kahi haukapila ʻē aʻe no ka manaʻo ʻelua. I kēlā hihia, ʻaʻole hiki i ke kauka ʻelua ke ʻike wale i nā moʻolelo a ke kauka mua . No kēlā, pono ʻoe e hana i kahi noi ʻokoʻa e kiʻi i kēlā mau moʻolelo mua. Pono paha ʻoe e hana i kahi noi i kākau ʻia. ʻOiai he mea hoʻopilikia iki kēia, ʻo ia hoʻi, aia ʻoe i ka mana o ka ʻike o kāu keiki.

Pehea e loaʻa ai iaʻu kahi kope o nā moʻolelo lapaʻau a kaʻu keiki?

Hiki i nā mākua o nā keiki ma lalo o 18 mau makahiki ke loaʻa nā kope o ka hapa nui o nā moʻolelo lapaʻau a kā lākou keiki.Loaʻa iā ʻoe ke kuleana e loaʻa. ʻO kou kuleana kēia.

No ka hana ʻana i kēia, pono ʻoe e hoʻopiha i kahi palapala ʻae kūikawā . Hiki iā ʻoe ke noi i kēia palapala mai kāu kauka a i ʻole mai ka ʻoihana kūpono ma ka haukapila. Ma loko, pono ʻoe e haʻi pololei iā lākou i ke ʻano o ka ʻike āu e makemake ai.

• Inā ʻoe e hoʻololi ana i nā kauka, pono paha ʻoe i ka moʻolelo lapaʻau piha .
• A i ʻole, pono paha ʻoe i ka ʻike kikoʻī wale nō, e like me nā kikoʻī o kahi "ʻoki kino" i hana ʻia, a i ʻole ka hōʻike o kahi "hoʻāʻo".

E ʻoluʻolu e haʻi maopopo i kēia mau kikoʻī ma ka palapala noi. I kekahi manawa hiki ke uku ʻia kahi uku liʻiliʻi no kēia.

Eia nō naʻe, aia kekahi mea kūikawā e hoʻomanaʻo ai ma ʻaneʻi. ʻO ia hoʻi e pili ana i nā moʻolelo olakino noʻonoʻo . Wahi a nā kānāwai o kekahi mau ʻāina (a no ka ʻike pono ʻana i nā kānāwai, nā lula a me nā hana ma Sri Lanka, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka), ke hiki ke keiki i ka wā ʻōpio , ʻo ia hoʻi, ma kahi o 15 a 16 paha makahiki, ʻo ke kuleana o nā mākua e loaʻa nā moʻolelo e pili ana i ke olakino noʻonoʻo o ke keiki (no ka laʻana, nā memo i lawe ʻia e kahi mea lapaʻau i ka wā o nā hālāwai aʻoaʻo, a i ʻole nā ​​​​memo mai nā kūkākūkā me kahi kauka noʻonoʻo) hiki ke kaupalena ʻia i kekahi ʻano. Hana ʻia kēia no ka mahalo ʻana i ka pilikino a me ka hūnā ʻana o ke keiki. No laila, he mea naʻauao ke kamaʻilio mua me ke kauka a wehewehe i kēia mea.

He aha nā mea nui ʻē aʻe e pono iaʻu e ʻike e pili ana i kēia?

ʻO kekahi mea nui, inā hiki , he manaʻo maikaʻi e mālama i kope o nā moʻolelo lapaʻau a kāu keiki (a i ʻole kāu) me ʻoe, ma ke ʻano he kope uila a i ʻole he kope pepa i waiho ʻia . Ua like kēia me kahi 'waihona olakino' liʻiliʻi a mākou e paʻa nei.

No ke aha he waiwai nui ia?

• E noʻonoʻo ʻoe ua pono ʻoe e lawe i kāu keiki i kahi loea . ʻO ka loaʻa ʻana o kēia mau moʻolelo ma ka lima e maʻalahi ai i ke kauka hou ke hoʻomaopopo koke i ka mōʻaukala olakino o kāu keiki.
• He mea pono loa nō hoʻi kēia inā ʻoe e hoʻololi ana i kahi kauka hou .
• I ka hanana o kahi pilikia , no ka laʻana, inā pono e lawe ʻia ke keiki i kahi lumi pilikia (ER), e kōkua kēia mau moʻolelo iā ʻoe e ʻike koke i nā mea e like me nā maʻi allergies a me nā lāʻau lapaʻau o ke keiki.
• Eia kekahi, he mea maʻalahi loa kēia i ka hoʻopiha ʻana i nā palapala no nā kula, nā kahua hoʻomoana, a i ʻole nā ​​​​kikowaena mālama keiki e koi ana iā ʻoe e hāʻawi i ka ʻike olakino a me nā kikoʻī pili i ka pale ʻana e pili ana i kāu keiki.

I ka ʻōlelo maʻalahi, ʻo ka loaʻa ʻana o kēia ʻike ma kahi kokoke e kōkua iā ʻoe e mākaukau i nā manawa a pau. Hiki iā ia ke hōʻemi i nā lohi a me nā pilikia pono ʻole.

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo?

ʻAe, mai nā mea a pau a mākou i kamaʻilio ai, aia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo. Inā ʻoe e hoʻomanaʻo i kēia mau mea, e lilo lākou i mea pono loa nou a me kou ʻohana.

• He waiwai nui nā moʻolelo lapaʻau: ʻo ia kou mōʻaukala olakino a me kāu mau keiki. Ua like lākou me ka palapala alanui, e alakaʻi ana iā ʻoe i ka lāʻau kūpono.
• E makaʻala i nā mea i loko o ka hōʻike: He mea maikaʻi ke loaʻa kekahi ʻike i nā mea o kāu hōʻike lapaʻau.
• E ʻike i kou mau pono: E makaʻala i kou mau pono, ʻoiai hoʻi e kiʻi a nānā i nā moʻolelo lapaʻau a kāu keiki. E hoʻomaopopo i ke kaʻina hana ʻae.
• He mea naʻauao ke mālama i kahi kope pilikino: Inā hiki, e mālama i kahi kope o nā moʻolelo lapaʻau koʻikoʻi me ʻoe. He mea waiwai nui kēia i ka wā pilikia a i ʻole ke hoʻololi ʻana i nā kauka.
• Inā he mau nīnau kāu, e nīnau i kāu kauka: Inā he mau kānalua a nīnau paha kāu e pili ana i kekahi o kēia, mai makaʻu e nīnau i kāu kauka a kahu maʻi paha. Aia lākou ma laila e kōkua iā ʻoe.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. He mea nui loa kēia ʻano ʻike no ke ola olakino!

Nā Moʻolelo Lapaʻau, Moʻolelo Lapaʻau, Nā Moʻolelo Ola Kino Uila, EHR, EMR, ʻIke Ola Kino, Ola Kino o nā Keiki, HIPAA