Baahida Kordhinta Badeecadda Loogu Biiro Lacagta Lacagta Loogu Talagalay Xanuuno badan
Sida haddii xirfadlayaasha daryeelka caafimaadku aanay horeyba u jirin dalab badan, ilo badan ayaa tilmaamaya isbedelka muujinaya in Sharciga Daryeelka Lacagta La'aanta ah (ACA) uu sii kordhinayo baahida loo qabo daryeel caafimaad oo dheeraad ah. ACA, oo sidoo kale loo yaqaano Obamacare ama dib-u-habeeynta caafimaad, ayaa ah dalab badan oo soo kordhay oo gaar ahaan loogu talagalay dhakhaatiirta iyo kalkaaliyayaasha caafimaad, waxaana suurtagal ah inay sababto dhibaatooyin ka dhasha meelaha qaarkood ee dalka, gaar ahaan adeegyada daryeelka aasaasiga ah.
Sababaha Sababta Sababta Maxay ACA U Baahantahay Dalabka Shaqaalaha Daryeelka?
Mid ka mid ah habka ay ACA baahida u sii kordheyso waxay hoos u dhigeysaa tirada dadka ku nool waddanka ee aan caymis lahayn siyaasadda caymiska daryeelka caafimaadka. Marka la kordhiyo heerka caymiska, tani waxay, abuurtaa baahida dheeraadka ah ee daryeelka caafimaadka. Ilaha qaar, oo ay ka mid yihiin Jaamacadda Bradley, ayaa ku warbixisa heerka aan caymiska ahayn ee hoos u dhigta 9.2 boqolkiiba, taas oo ah heerka ugu hooseeya 50 sano. Warbixintooda ku saabsan saameynta ACA ee ku saabsan shaqaaleynta kalkaalinta xanaanada iyo kalkaalinta dugsi kalkaalinimada ayaa sheegaya in "hirgelinta ACA ay soo bandhigeyso fursado aan horay loo arag oo loogu talagalay APRNs (Kalkaaliyeyaasha Tababarrada Habboon ee Dajinta ah) si ay u qaataan door hoggaamineed oo bixinaya daryeelka asaasiga ah iyo xoojinta adeegyada ka hortagga . "
Sidoo kale sii kordhaya caanaha iyo baahida waa dhakhtarka barnaamijyada barbaarinta bukaanka (DNP), sida laga soo xigtay Jaamacadda Bradley. "Dhakhtarka Kalkaalisooyinka Kalkaaliyeyaasha Caafimaadka (DNP) ayaa leh xirfad heer sare ah aqoonta iyo u-qareemeynta," warbixinta ayaa sheegaysa, in la ogaado in 18,352 arday oo ku qoran barnaamijyada DNP ee 2013-2014.
Kordhinta Daryeelka Caafimaadka Maskaxda
Marka laga soo tago cilladda daryeelka caafimaadka asaasiga ah, daryeelka caafimaadka maskaxda ayaa sidoo kale dareemaaya in ay cadaadis ku hayaan shaqaalaha, marka laga reebo ACA. Si loo caawiyo buuxinta baahida sii kordheysa, dugsiyo badan ayaa sii ballaarinaya barnaamijyada heerka tacliinta ee la talinta iyo caafimaadka akhlaaqda. Sida laga soo xigtay Jaamacadda Bradley, in ku dhow kala badh (47.4 boqolkiiba) dadka Maraykanku waxay la kulmi doonaan nooc ka mid ah dhibaatooyinka caafimaadka maskaxda noloshooda.
Qiyaasta cudurrada dhimirka ee Maraykanka ayaa ah kuwa ugu sarreeya adduunka, sida laga soo xigtay Ururka Caafimaadka Adduunka (WHO).
Xirfadlayaasha Habboon ee Habboon
Shaqo-bixiyeyaal badan iyo xarumo caafimaad ayaa u jeestay bixiyeyaasha barashada sare, sida NPs (kalkaalisada dhakhaatiirta) iyo PA (caawiye dhakhtar) si looga caawiyo buuxinta baahida daryeelka aasaasiga ah iyo caafimaadka dabeecadda. Rugta caafimaadka ee takhasuska leh ayaa mar horeba la kulantay kor u kaca baahida iyo shaqaalaynta hawlaha, tiro ka mid ah warbixinta shirkadaha qorista. Tusaale ahaan, Shirkadda Medicus, dhakhtarka qaranka iyo shirkad farsamoyaqaan oo sareeya, waxay muujisay kor u kac weyn oo ka timaadda waxqabadka meelaynta ee takhaatiirta aan takhaatiirta ahayn ee 2014 iyo 2015, sida ku cad warbixinta kooban ee meeleynta sanadlaha ah ee waxqabadka qaranka. Sannadka 2015, meeleynta adeeg bixiyeyaasha sare waxay kor u kaceen 8.3 boqolkiiba wadarta macaamilka ee guud ahaan waddanka oo dhan, ilaa 6.34 boqolkiiba sannadkii hore, iyo boqolkiiba 1,32 boqolkiiba sannadka 2012. Sanadka 2015, Dhakhaatiirta Dhakhaatiirtu waxay ahayd kii afaraad ee ugu badan ee bixiya macaamiisha Shirkadda Medicus .
Intee in kabadan Saameyntii Dalabaadka Magdhawga Daryeelka Caafimaad ee Xannaanada
Iyada oo baahida korodhsan iyo baahi yaraanta ay timaaddo ayaa soo jiidanaysa mushahar kordhin ah.
Baahida iyo mushaaraadka takhaatiirta iyo takhaatiirta takhasuska sare ayaa kor u kacayay dhowr sano. Intaa waxaa dheer, in badan oo ka mid ah saxiixyada gunno-gelinta waxay sababtay in gabadhu ay ku dhowdahay in ay noqoto dhakhaatiir marka la qorayo, ugu yaraan boqolkiiba 70 meelaynta oo ku lug leh guno la saxiixay. Sida laga soo xigtay warbixinta ku-meel-gaadhka Medicus-ka, celceliska lacagta takhasuska ah ee bukaanka ayaa koray illaa $ 23,663, qaar ka mid ah takhasuseyaashuna waxay amar ku bixiyaan lix-guno oo saxiixan oo ah $ 100,000 ilaa $ 250,000.
Ugu dambeyntii, saxiixida gunno loogu talagalay NPs iyo PA waxay ahaayeen kuwo aan la garanaynin, laakiin dhawaanahan ayaa isticmaala lacagaha la soo iibsaday si loogu dhiirrigeliyo dhakhaatiirta takhasuska leh in ay aqbalaan shaqo caadi ah.
Qiimaha celceliska lacagta saxiixa ee PAs wuxuu ahaa $ 6,250 sanadka 2015, in ka badan laba jibbaar $ 3,000 celcelis ahaan laba sano ka hor.
Marka laga reebo saxiixidda gunno, xirmooyinka dejinta ayaa sidoo kale la bixiyaa si looga caawiyo kharashka dib ugu noqoshada beesha cusub, iyo dib u bixinta amaahda ardaydu sidoo kale waa ciriiri caan ah oo loogu talagalay dhakhaatiirta, kuwaas oo inta badan bilaabaya xirfadahooda $ 150,000 - $ 250,000 deynta ardayga.
Dhammaan isbeddelladani maaha kuwo keliya oo ay sababeen dib-u-habeyn caafimaad. Iyadoo ay ugu wacan tahay dadka waayeelka ah iyo horumarka daawada, dalabka daryeelka caafimaadka ayaa horey u jiray kor u kaca, iyo hirgelinta Xeerka Daryeelka Lacagta la Yiqiin karo ayaa sii xumeynaya baahida loo qabo in uu Maraykanku helo caymiska caafimaadka. Si kastaba ha noqotee, meelaha qaarkood miyiga, gaar ahaan meelaha aadka looga baahanyahay ee kor ku xusan sida daryeelka aasaasiga ah, iyo caafimaadka dabeecadda, dabeecadda caymisku mar walba ma damaanad galiso helitaanka dhakhtarka , sababtoo ah gabaabsiga meelo badan iyo khibrado gaar ah. Sidaa daraadeed, balaarinta baaxadda rukumo-dhaqameedka sare iyo sidoo kale helitaanka siyaabo kale oo lagu dheeraan karo helitaanka adeeg bixiyayaasha (telemedicine, iwm.) Waxay muhiim u tahay in la buuxiyo baahida adeegyada daryeelka caafimaadka.
Mushahaarka Dhakhaatiirta Kala Duwan
Mushaharaadka dhakhtarradu waxay muujiyeen kororka takhasusyada ugu badan ee sannadka 2015, sida laga soo xigtay warbixinnada 2016-ka. Ururka Maaraynta Caafimaadka (MGMA), iyo sidoo kale dhowr shirkadood oo qoraya, ayaa soo wariyay in kororka mushaharaadka dhakhtarrada ay u badan yihiin laga soo bilaabo 2014 ilaa 2015.
Natiijooyinka mushaarka Medicus ayaa muujiyay koror dhan wafdiga markii ugu horeysay abid, sida uu sheegay Jim Stone, madaxweynaha. "Dhammaan takhasusyada ayaa sheegay in koror laga soo bilaabo 2014 ilaa 2015, taas oo ah tii ugu horreysay ee sahankeenna sanadlaha ah," ayuu yiri. "Inkastoo mushaharooyinku haysto, hadana inta badan kor u kacday sannadihii ugu dambeeyay ee sahankeenna mushaharka sannadlaha ah, waxaa jiray dhowr sano oo muujiyay in ay hoos u dhaceen koritaan, haddana xitaa hoos u dhac ku yimid qaar ka mid ah takhasusyada gaarka ah. Dhammaan takhasusyada ayaa sheegaya in kor u kaca mushaharka, "dhagaxa gabagabo.