Value-Based Care chu eng nge ni? Engtin nge i ṭhatna tûrin a hlâwkpui theih?

Kan healthcare system hi tlem a tha zawk a ngai niin i hria em? A châng chuan i damloh hian doctor pakhat hnu pakhata kal a, test pakhat hnu pakhat neih chu a hahthlak ṭhin a ni lawm ni? Vawiin hian chutiang thil tidanglam thei leh i hriselna hlutna pe tak tak thei enkawlna kalphung kan sawi dawn a ni . Hei hi `(Value-Based Care)` emaw value-based care kan tih chu a ni.

He ‘Value-Based Care’ hi eng nge ni tak tak?

A awlsam zawngin, hei hi damlote, chu chu nangmahni’n enkawlna quality tihsan leh chu enkawlna atanga rah tha ber hmuh theihna tur a ni. Hemi kawngah hian natna a lo thlen hnua enkawl ai chuan, natna lo awm hmaa venhimna kawnga hriselna enkawlna buatsaih kan thlir a ni . Phên dangin sawi ila, ‘a lo thlen hnua beih ai chuan, a lo thlen hmaa ven’ chungchang a ni. So, your overall well-being , enkawlna quality, leh preventive screenings te hi he system ah hian a pawimawh hle. Heng zawng zawng hi hriselna atana tha ber tur i neih theih nan tih a ni. Hetah hian a pawimawh ber chu natna pakhat enkawl mai ai chuan, hrisel taka awm tir tum hi a ni.

Chuti a nih chuan he (Value-Based Care) system avang hian damlote tan eng nge danglam ang?

He ``Value-Based Care`` system hian a tum ber chu healthcare process tihchangtlun a ni . Sumdawnna tha tak kalpui ang bawkin, ``best practices`` hmanga thil tih dan mumal taka tih. Ngaihtuah teh, a chang chuan doctor engemaw zat hnenah thu inang i hrilh a ngai thin, a dik em? Test khat vawi hnih emaw vawi thum emaw tih a ngai fo thin a ni lawm ni? Chutiang thil chu he system hnuaiah hian a tlahniam a ni. A chhan chu, data pakhat zel ``(data)`` leh evidence ``(evidence)`` chu eng treatment nge hnathawk a, eng treatment nge thawk tha lo tih hriat nan an zirchiang a ni. Chutiang chuan damlote tana result tha ber pe thei tur ``care pathway`` bulpui siam a ni . Chumi awmzia chu, natna engemaw i neih chuan, chu chu pek theihna tur enkawlna ruahmanna tha ber, pawmtlak a awm tihna a ni. Heng thilte hi mi zawng zawng tan a inang vek lo va, i dinhmun nena inmil tura siamrem a ni.

Hemi kawngah hian thil pawimawh dang chu wellness leh prevention ngaih pawimawh hi a ni . Ngaihtuah teh, zu in bânsan , i ei leh in leh nunphung ṭha taka tihdanglam te, leh exercise i tih hian i natna i neih theihna a ti tlem ang. Chuti a nih chuan test, procedure buaithlak tak tak, leh damdawi atana sum i hman a ngai tawh lo vang , a dik em? Hei hi ' invenna' ang a ni."Damdawi aiin invenna a tha zawk" tih ang mai a ni. "Tihdam aiin invenna a tha zawk," kan ti fo thin a, chu chu a ni.

Hrisel taka awm hian mi zawng zawng tan healthcare senso a ti tlem a ni. Chu chu i tan chauh a tha lo, khawtlang pum tan pawh a tha.

Entirnan, zunthlum ang chi natna rei tak i nei ta ang u . Eng thil nge thleng tlangpui? Mit doctor hnenah i kal thei a, pakhat chu i kal en turin i kal thei a, pakhat chu vun lama harsatna neiin i kal thei bawk. Hmun tinah chipchiar thar i sawifiah a ngai a, chu report ang chiah chu i enfiah leh a ngai mai thei bawk. He ``Value-Based Care`` system hnuaiah hian chu natna avanga harsatna awmte chu nasa takin i veng thei a ni. Damdawi in leh doctor hrang hranga tlan ai chuan nangmah leh i natna hre chiang tak ``integrated team`` nen hna i thawk thei ang . He team hi i hriselna enkawltu chhungkaw ang mai a ni. Chutah chuan i chhungkaw doctor ``primary doctor``, specialist, nurse, physiotherapist, leh i tanpuitu nutritionist te pawh a tel a ni:

• I thisen sugar level kha control la.
• Ei leh in hrisel chu eng ang nge a nih tih zirtir la, chu chu vawng reng turin pui bawk ang che.
• I kum leh taksa hriselna nena inmil exercise program siam rawh.
• He natna hi rilru lam leh rilru lam thil, lungkhamna leh lungngaihna te hi hrethiam la, chu chu hmachhawn turin in tanpui rawh.

He team hian an inbia a, in thu hriatte an insem a, enkawlna tha ber pe turin an thawk ho thin. Chu chuan i rilru a hahdam tir a ni lawm ni?

Engtin nge he (Value-Based Care) approach hian sum senso a tihtlem?

Okay, tunah chuan he `(Value-Based Care)` method hian engtin nge sum senso a tihhniam tih hi han en ila. I hre reng mai thei, tun hma chuan doctor emaw, damdawi in emaw i pan chuan thil pakhat zel man a hranpaa i dawng ṭhin. Test tih zat, damdawi pek zat, procedure tih zat i pek a ngai a ni. Chu chu thil tam zawk i tih chuan sum tam zawk i hmu tihna a ni . Hei hi `(Fee-for-Service)` emaw ``fee for service`` tih emaw an tih chu a ni. Hetiang a nih chuan a chang chuan test tul tak tak lo pawh tih theih a ni a, a chhan chu service tam zawk i pek chuan sum tam zawk i hmu thin.

Mahse he ``Value-Based Care'' concept-ah hian doctor leh damdawi-in te chu damlo an hmuh zat, surgery engzat nge an tih, an charge zat a zirin hlawh pek an ni lo Chu ai chuan damlote'n ``outcomes'' an dawn dan azirin hlawh an pe zawk a ni .. Chu chu damlo chu a dam thuai a nih chuan, harsatna a tlahniam a nih chuan, damdawi ina dah leh a ngai tawh lo a nih chuan, chu chu result tha tak tak, incentivized a ni tihna a ni. Ngaihtuah teh, natna tin test leh service tin atan a hranpaa charge ai chuan pawisa pekte chu an bundle khawm a, ``bundled payment`` an ti thin. Hei hi joint replacement ang chi complex case-ah chuan a tangkai hle. Tichuan, thil tul lo tih leh sum hmuh duhna thlemna chu a tlahniam ta a ni . A chhan chu, doctor leh damdawi in te hian test tam tak tih mai ni lovin, dam thuai leh hriselna tha taka awmtir che hi an duh ber a ni.

Thil dang chu damlo tinte damdawi lam chanchin chu Electronic Medical Records -ah dah a nih avangin test leh enkawlna tul lo tak takte chu tih nawn leh a ngai tawh lo Doctor pakhat leh doctor dang test report chu awlsam takin i hmu thei ang . Doctor leh hriselna lama thawktu dangte chuan team angin care coordinator-te puihnain an inbiak tawn a, damlote chu uluk zawkin an enkawl a, hun leh tha senral ngai lovin Chutiang chuan damlote chuan he integrated system hmang hian an mamawh service chu rang takin an hmu thei a ni.

A rah chhuah tum ber chu readmission, damdawi ina dah leh emergency room tlawh tihtlem hi a ni. Value-Based Care hi hun rei tak chhunga thil tum a ni. Healthcare senso tihtlemtu, hriselna lama rah tha zawk siamtu, a pawimawh ber chu i hriselna leh hriselna zawng zawng tichangtlungtu proactive approach a ni

Chuti a nih chuan, heng zawng zawng atang hian take-home message chu eng nge ni?

Okay, so from what we’ve talked about , he concept hi a pawimawh zia chu i hrethiam mai thei. Natna enkawl mai ni lovin, i hriselna zawng zawng ngaihtuah a ni. A awlsam zawngin, hetiang hi a ni:

• I enkawlna quality a tha zawk a, a chhan chu result lam ngaihtuah a nih vang a ni.
• Natna lo awm hmaa venna kawngah hian invenna hi a pawimawh hle. Ngaihtuahna bulpui ber chu "natna tuar ai chuan hrisel hi a tha zawk" tih hi a ni.
• I overall wellness hi kan ngaihtuah zawk a ni. Rilru hriselna hi taksa hriselna ang bawkin a pawimawh.
• Hei hian test leh enkawlna tul lo tak takte tihtlem nan a pui a, healthcare senso pawh a ti tlem bawk. Hei hi i pocket tan pawh hahdamna a ni.
• Doctor, nurse leh healthcare worker dangte chuan team angin an thawk ho a, enkawlna tha ber an pe che a ni. Hei hian nangmah chauh ni lo ang maiin a siam che a ni.

Hei hi ‘Natna enkawl ai chuan hrisel taka awm a tha zawk’ tih thu hi a taka hman ang a ni. Tin, i mamawh service tha ber man tlawm zawka i hmuh theih nan a pui bawk.

Chuvangin, he ``Value-Based Care'' system hi kan healthcare system-a kan dah belh hian nakin lawkah nangmah, kei leh kan zavaia tan healthcare service tha zawk, tha zawk, leh hlu tak tak kan dawng thei dawn a ni Chuvang chuan hei hi kan hriat chian a pawimawh hle! A chhan chu, kan hriselna hi kan thil neih hlu ber a ni.

` Value-based care, hriselna enkawlna, natna laka invenna, damlo result, hriselna atana sum hman, integrated care, wellness