Chii chinonzi Value-Based Care? Chingakubatsira sei pakurarama kwako?

Dzimwe nguva unonzwa here kuti hurongwa hwedu hwehutano hunofanira kuva nani zvishoma? Dzimwe nguva kana uchirwara, zvinonetesa kuenda kuna chiremba mumwe mushure memumwe uye kuongororwa kamwe chete mushure memumwe, handiti? Nhasi tichataura nezvehurongwa hwekurapa hunochinja zvinhu zvakadaro uye hunonyatsopa kukosha kuhutano hwako . Izvi ndizvo zvatinodaidza kuti `(Value-Based Care)` kana kuti kutarisirwa kwakavakirwa pamutengo.

Chii chaizvo chinonzi 'Kutarisirwa Kwakavakirwa Pakukosha' uku?

Zvichitaurwa zviri nyore, izvi ndezvekuvandudza mhando yehutano iyo varwere, kureva kuti, iwe, unowana uye kuwana mhedzisiro yakanaka kubva mukutarisirwa ikoko. Muizvi, tiri kutarisa kuronga hutano nenzira inodzivirira chirwere chisati chaitika, pane kurapa mushure mekunge chaitika . Nemamwe mashoko, ndezve 'kudzivirira chirwere chisati chaitika, pane kutambura mushure mekunge chaitika.' Saka, hutano hwako hwese, mhando yekurapwa, uye kuongororwa kwekudzivirira zvakakosha zvikuru muhurongwa uhwu. Zvese izvi zvinoitirwa kukupa mhedzisiro yakanaka yehutano. Chinhu chikuru pano ndechekuedza kuchengetedza hutano hwako, pane kungorapa chirwere.

Saka chii chichachinja kuvarwere nekuda kwehurongwa uhwu (Hutano Hwakavakirwa Pakukosha)?

Chinangwa chikuru chehurongwa uhwu hwekuti "Kutarisirwa Kwakavakirwa Pakukosha" ndechekurerutsa maitiro ehutano . Kungofanana nekufambisa bhizinesi rakanaka, kuita zvinhu nenzira yakarongeka uchishandisa "maitiro akanakisa". Funga nezvazvo, dzimwe nguva unofanirwa kuudza vanachiremba vakati wandei ruzivo rwakafanana, handiti? Pane dzimwe nguva paunofanira kuita bvunzo imwe chete kaviri kana katatu, handiti? Chinhu chakadaro chinoderedzwa pasi pehurongwa uhwu. Nekuti, chidimbu chega chega chedata nehumbowo zvinoongororwa kuti zvionekwe kuti ndeapi marapirwo anoshanda uye api asingashande. Nenzira iyi, "nzira yekutarisira" yekutanga inogadzirwa inogona kupa mhedzisiro yakanaka kuvarwere. Izvi zvinoreva kuti, kana ukaita chirwere chakati, pane hurongwa hwakanaka hwekurapa hunogamuchirwa hwekupa. Zvinhu izvi hazvina kufanana kune wese munhu, asi zvinogadziriswa kuti zvienderane nemamiriro ako ezvinhu.

Chimwe chinhu chakakosha panyaya iyi ndechekunyatsoteerera hutano nekudzivirira . Funga nezvazvo, kurega kusvuta , kuita shanduko dzakanaka mukudya kwako nemararamiro ako, uye kurovedza muviri kunoderedza mikana yako yekurwara. Saka hauzofaniri kushandisa mari pabvunzo, maitiro akaomarara, uye mishonga , handiti? Izvi zvakafanana ne'kudzivirira'.Zvakafanana nekutaura kuti, "Kudzivirira kuri nani pane kurapa." Tinogara tichiti, "Kudzivirira kuri nani pane kurapa," uye ndizvozvo chete.

Kugara uine hutano kunoderedza mari yekurapwa kwevanhu vese. Izvozvo hazvisi zvakanaka kwauri chete, asi zvakanakawo kune nzanga yese.

Semuenzaniso, ngatitii une chirwere chisingaperi chakadai sechirwere cheshuga . Chii chinowanzoitika? Ungaenda kuna chiremba wemaziso, mumwe kunoona itsvo dzako, mumwe kune dambudziko reganda. Unofanira kutsanangura ruzivo rutsva kwese kwese, uye ungangofanira kuongorora mushumo mumwe chete zvakare. Pasi pehurongwa uhwu hwe "Value-Based Care", unogona kudzivirira matambudziko echirwere ichocho zvakanyanya. Pane kumhanyira kuzvipatara zvakasiyana-siyana nevanachiremba, unogona kushanda ne "chikwata chakabatana" chinokuziva iwe nechirwere chako zvakanaka. Chikwata ichi chakafanana nemhuri inotarisira hutano hwako. Chinosanganisira chiremba wemhuri yako "chiremba mukuru", nyanzvi, vanamukoti, nyanzvi dzekurapa muviri, uye nyanzvi dzezvekudya vanokubatsira:

• Chengetedza huwandu hweshuga muropa rako.
• Vadzidzisei kuti kudya kwakanaka kunoita sei uye vabatsirei kuti varambe vachidya zvakanaka.
• Gadzira purogiramu yekurovedza muviri inoenderana nezera rako uye hutano hwako.
• Nzwisisa manzwiro uye pfungwa dzechirwere ichi, zvakaita sekushushikana nekusuruvara, uye tsigira kuti uzvigadzirise.

Chikwata ichi chinotaurirana, chinogovana ruzivo rwako, uye chinoshanda pamwe chete kuti chikupe kurapwa kwakanakisisa. Izvozvo zvinoita kuti unzwe wakasununguka, handiti?

Nzira iyi (yekutarisira vanhu vane kukosha) inoderedza sei mari?

Zvakanaka, ngationei kuti nzira iyi ye `(Value-Based Care)` inoderedza sei mitengo. Ungayeuka, kare, pawakaenda kuna chiremba kana kuchipatara, dzimwe nguva waiwana bhiri rakasiyana rechinhu chimwe nechimwe. Waifanira kubhadhara huwandu hwebvunzo dzakaitwa, huwandu hwemishonga yakapihwa, huwandu hwemaitirwo akaitwa. Kureva kuti, kana ukaita zvinhu zvakawanda, unowana mari yakawanda . Iyi ndiyo inonzi `(Fee-for-Service)` kana ``fee for service``. Muchiitiko ichi, dzimwe nguva, bvunzo dzaisanyanya kukosha dzaigona kuitwa, nekuti kana ukapa mabasa akawanda, unowana mari yakawanda.

Asi mupfungwa iyi ye "Value-Based Care", vanachiremba nezvipatara havabhadharwi zvichienderana nekuti varwere vangani vavanoona, kuti vanovhiyiwa vangani, kana kuti vanobhadharisa marii . Pane kudaro, vanobhadharwa zvichienderana ne "mhedzisiro" inogamuchirwa nevarwere .. Kureva kuti, kana murwere akapora nekukurumidza, kana matambudziko akadzikira, kana asingade kuendeswa kuchipatara zvakare, ipapo ndiwo mhedzisiro yakanaka inokurudzirwa. Fungidzira, pachinzvimbo chekubhadharisa zvakasiyana pabvunzo yega yega nebasa rechirwere chega chega, vanounganidza mari yacho pamwe chete voita "bundled payments". Izvi zvinonyanya kubatsira muzviitiko zvakaoma senge majoini ekutsiva. Zvadaro, muedzo wekuita zvinhu zvisina basa nekuwana mari unodzikira . Nekuti, vanachiremba nezvipatara vanofarira kukuporesa nekukurumidza uye kuchengetedza hutano hwako, kwete kungoita bvunzo dzakawanda.

Chimwe chinhu ndechekuti sezvo ruzivo rwekurapa rwemurwere wese rwakarongwa muElectronic Medical Records , hapana chikonzero chekudzokorora bvunzo dzakafanana uye kurapwa kusingakoshi . Unogona kuona zviri nyore mushumo wekuongororwa kwakaitwa nachiremba mumwe nemumwe nachiremba . Vanachiremba nevamwe vashandi vehutano, sechikwata, vanotaurirana vachibatsirwa nevarongi vekutarisira, uye vanorapa varwere zvinobudirira, pasina kutambisa nguva nesimba . Nenzira iyi, varwere vanogona kuwana basa ravanoda nekukurumidza kuburikidza nehurongwa uhwu hwakabatanidzwa.

Chinangwa chikuru ndechekuderedza kuwanda kwevanhu vanodzokera kubasa, vanopinda muchipatara, uye vanoshanyira vanhu vanorwara nekukurumidzira. Kutarisirwa Kwakavakirwa Pakukosha chinangwa chenguva refu . Inzira yekugadzirira inoderedza mari yekurapwa, inoita kuti hutano hwako huve nani, uye chinonyanya kukosha, inovandudza hutano hwako hwese uye kugara zvakanaka .

Saka, chii chiri kutaurwa nezvezvinhu izvi zvose?

Zvakanaka, kubva pane zvatataura nezvazvo , unogona kunzwisisa kukosha kwepfungwa iyi. Hazvisi zvekurapa chirwere chete, asi kufunga nezvehupenyu hwako hwese. Zvichitaurwa zviri nyore, ndezve:

• Hunhu hwekurapa kwaunowana hunovandudzika nekuti chinangwa chiri pamhedzisiro.
• Kudzivirira chirwere chinhu chakakosha pakudzivirira zvirwere zvisati zvaitika. Pfungwa huru ndeyekuti "zviri nani kuva neutano hwakanaka pane kutambura nechirwere."
• Tinonyanya kutarisa hutano hwako hwese. Hutano hwepfungwa hwakakosha sehutano hwemuviri.
• Izvi zvinobatsira kuderedza bvunzo nekurapwa zvisina kufanira, uye zvinoderedza mari yekurapwa. Izvi zvinozorodzawo mari yako.
• Vanachiremba, vanamukoti, nevamwe vashandi vehutano vanoshanda pamwe chete sechikwata kuti vakupe rubatsiro rwakanakisisa. Izvi zvinoita kuti unzwe sekunge hausi wega.

Izvi zvakafanana nekushandisa chirevo chekuti 'Zviri nani kugara uine hutano pane kurapa chirwere'. Zvinokubatsirawo kuwana sevhisi yakanakisisa yaunoda nemutengo wakaderera.

Saka, kuwedzera iyi "Value-Based Care" kuhurongwa hwedu hwehutano kuchabatsira zvikuru mune ramangwana kuti iwe, ini, uye isu tese tiwane masevhisi ehutano ari nani, anoshanda zviri nani, uye anobatsira zvechokwadi . Saka, zvakakosha kuziva izvi! Nekuti, hutano hwedu ndiyo pfuma yedu inokosha zvikuru.

Kutarisirwa kwakavakirwa pamutengo , hutano, kudzivirira zvirwere, mhedzisiro yemurwere, kushandisa mari muhutano, hutano hwakabatana, hutano hwakanaka