Table of Contents

Amandla Olawulo Lwasekuhlaleni Ekulahlekiseni Imithombo Yempilo

Iinkqubo zokwakha ezingabonakaliyo zasekuhlaleni zimisela ukuba uluntu luyaphumelela okanye luphila nje kuphela xa kufikelelwa kwimpilo. Ngoxa iingxoxo zonyango lwesizwe zilawula imixholo yeentloko-ndaba, zimithetho yengingqi, izigqibo zebhunga lesixeko, kunye nezigqibo zebhodi yesikolo ezilawula ngqo apho iikliniki zivuleke khona, indlela iipaki ezikhuselekileyo ngayo, nokuba iinkonzo zempilo zinokufumaneka ngayo. Le migaqo iguqulela iinjongo zoluntu kwizinto eziphathekayo / okanye imiqobo yempilo. //yabemi. Ukusuka ekubekeni imithetho evumela ukuba ivenkile ehlala entlango ixhaswe ngokutya okuxhasa inkqubo yezonyango, ulawulo lwasekuhlaleni lungumqobo onokuthi ube nokwandisa okanye ukungabikho kwemeko entle. Ukuqonda indlela ezikhoyo ngayo ezi migaqo-yo, apho ziphosakele, kunye nokuchasana kobungqina obuyimfuneko kwimibutho yoluntu, abasebenzi, abasebenzi kunye nabantu abahlala apho bemi.

Ukufumaneka konyango: Umgaqo-nkqubo wangaphambili ochaphazela inkqubo yoluntu

Mhlawumbi eyona ndlela ingqalileyo yokubumba impilo yasekuhlaleni kukulawula ukufumaneka nokusasazwa kweenkonzo zonyango. Urhulumente weziXeko kunye noorhulumente bamaphondo aphembelela yonke into ukusuka kwiindawo zezibhedlele ukuya kwiintlobo zonyango olunikezelwa kwiikliniki zempilo zikawonke-wonke.

Abalawuli: Imithetho yeSatifiketi yeNdlu yeNtlanganiso kunye nokuBonga

Urhulumente omninzi ufuna izibhedlele okanye iikliniki ezinkulu ukuze ufumane isiqinisekiso sokufuna (KON) phambi kokwakha amaziko amatsha okanye iinkonzo ezandisiweyo. Ngexesha kucetyiswa ukulawula iindleko nokukhusela ukwenziwa kwazo, le mithetho iyakwazi ukumisela ukhuphiswano kunye nokunciphisa ukufikelela kwimimandla engaphantsi. Oorhulumente bendawo bangasebenzisa nako ukusebenzisa imithetho yokubhaka-bhaka ukuze bachaze apho amaziko e-zamayeza anokusebenza khona. Kwezinye iindawo, ukubhalisa ikliniki-mali kunyanze ikliniki kude kwiindlela zothutho, ukwenza imiqobo yokhuphiso-omatilo-oktam-mali ephezulu evumela uluntu ukuba lufumane uluntu olunezo. Ngokuphikisanayo, izixeko ezihambela phambili ziye zamkela

Ukukhutshelwa kwe-inshorensi yempilo kumgangatho wasekuhlaleni

Nangona umgaqo we-inshorensi usenzeka kakhulu kumgangatho wesizwe norhulumente, imigaqo-nkqubo yasekuhlaleni ingandisa intlawulo ye-inshorensi yempilo ekhoyo ye-inshorensi ye-assurance yabasebenzi basedolophini, inkxaso-mali yamashishini amancinane ukunikela ngeplani, kunye nomanyano olungeyongeniso. Umzekelo, ezinye izintlawulo zisebenzise irhafu yerhafu yasekuhlaleni ukwenza intengiso yempilo esekelwe kwi-[ yabemi abawela kwisithuba semali-mali--yakho.

Iziko lezempilo loLuntu njengeZixhobo zeMigaqo

Iziko lonyango lomanyano olufanelekileyo (FQHC) zixhomekeke kakhulu kwinkxaso karhulumente wasekuhlaleni yomhlaba, izibonelelo, kunye nezibonelelo ezisetyenziswayo. Amabhunga eziXhosa i-FQHC asoloko ebona [ edityaniswe igumbi longxamiseko lokusebenza [ kunye nokulawulwa okungcono kwezifo ezingapheliyo ezifana neswekile kunye noxinzelelo lwegazi. [FLT:]] Izifundo ze-19 kumbuzo we-FLT [[FLT]] Imicimbi yemali ifumanise ukuba ubalo olunemibalo oluphezulu kushishino-ka-kathalo lwezempilo kumaziko onyango lwalunexabiso elisezantsi elinokuthintelwa izibhedleleka ezibhedleleyo ([[[FLTLD:4]]] le miqatha yemiqatha yemiqatha yemali [iexalo]]

Izinyathelo Zokuthatyathwa Kwempilo Kawonke - wonke: Ukusuka Kukutofelwa Umthi Ukusa Kukuhlanjululwa

Amasebe ezempilo asekuhlaleni akwimida ephambili yokuthintela izifo. Igunya lawo .(*///imali efunyenwe kwisixeko, kwiphondo, okanye kwimigaqo-nkqubo yengingqi. Ezi zinyathelo zisuka kumaphulo aqhelekileyo okugoma okanye amaphulo okuphendula ngexesha likaxakeka ukwenzela ukuqhambuka.

Ufundisiso Lokucombulula Ityala: Ukufumana ikhaltyuleyithi Nenkqubo Yesikolo

Iibhodi zesikolo zobulali zinamandla abalulekileyo okumisela iimfuno zokugoma abafundi. Kuluntu olunexabiso eliphantsi lokugoma, iinkqubo ezifuna ukugonywa kwemichiza yababekho ezikolweni zingqineke zisebenza kakhulu. Noko ke, zikwajongene nokhuphiswano olusuka kubafuni-mali. Iibhodi zesikolo ezigcina imigaqo-nkqubo yokukhulula (ukuphelisa ukukhulula kwezonyango) kuphumele kwinkcaso yemijelo-yo) iphumele inkcaso ephezulu, njengoko kungqinwa yimeko yomgangatho karhulumente waseCalifornia elandela umthetho ( CDC data).

Impilo Yokusingqongileyo: Ilothe Yokukhuselwa Kwezilwanyana Namanzi

Umthetho olawula uhlolo lwezindlu, ulungiso lwepeyinti ekhokelayo, kunye novavanyo lwamanzi luphantse lube lwenzeka phantse yonke indawo. Emva kwengxaki yamanzi eFlint, izixeko ezininzi zadlulisela imithetho efuna ukuvavanywa kwesikhokelo sokukhokela [ kwizikolo kunye namaziko okunyamekela imihla. Ezinye zidale iinkqubo zokubhalisa intloko-zinyo] [[[FLT]] ezibopha ukutshintsha imvume yokudlulisa impilo nokhuseleko. Le migaqo, ngexa ikhuphiswa ngumnini-ndlu, inciphisa ngokuthe ngqo ukuchaphazeleka kobuntwana . [[FLT:]] unobangela othe ngqo] wokwenza utshintsho nokwenza okuzinzinyana.

Ukuthintelwa Kwezifo Okungamagulo Nokukhuthazwa Kwempilo

Oorhulumente basekuhlaleni banokusebenzisa iinkqubo ezibangela izifo ezingapheliyo ezifana nokutyeba ngokugqithiseleyo, isifo sentliziyo, kunye nesifo seswekile sohlobo lwesi - 2 iStrategies ziquka ezi zinto:

  • Imfuno zeMenu ezichazayo kwivenkile yokutyela yamatyathanga ukwazisa i icolorie
  • uluvo lwamafutha oluvaliweyo [ kwiivenkile zokutyela nakwiikhefi zesikolo (njengoko kubonwa kwiSixeko saseNew York neBaltimore)
  • Izixhobo ezikwiziselo ezineswekile ezinengeniso emiselwe imfundo yokuzondla
  • Imigaqo-nkqubo epheleleyo yezitrato efuna iindledlana zebhayisekile, iindlela ezihamba ecaleni, kunye neendlela ezikhuselekileyo zokunqumla kuphuhliso olutsha

Ezi ndlela zisekelwe kukuqonda ukuba ukuziphatha komntu kumiliselw'imekobume eyakhelweyo kwaye imekobume ixhomekeka kakhulu kwinkqubo yasekuhlaleni.

Ukukhuthaza Ubomi Obusempilweni Ngokuyila Nokuzilungisa Ngoomatshini Abasedolophini

Ukuma kobume bengingqi `ipaki, iivenkile zayo zokutya, iindlela zayo zokuhamba-hamba/ezingengozi. Yimveliso yamashumi eminyaka egqitywe zigqibo, inkxaso-mali, nemigaqo-nkqubo yokusebenzisa umhlaba. Oorhulumente basekuhlaleni ababeka phambili impilo kwezi zigqibo bangenza imekobume apho ukhetho olusempilweni lulula khona.

Ukufumana ukutya: Ukuzikhusela Kwintlango Neentunja

Ukutya okukhoyo okuziintlango--awu kunamathuba amancinane okufumana imveliso entsha, efikelelekayo, isoloko ibangelwa iziphumo zokufumana indawo engaphantsi kwexabiso lemali ezidimazisa izitore ezithengisa ivenkile ezifumana ukutya okuncinane. Ngokuchaseneyo, ezinye izixeko ngoku zisebenzisa indawo yokuhlala ukutsala iivenkile ezinkulu ukuya kwindawo ezingaphantsi kwenkonzo, ukunikezela ngeebhonasi okanye irhafuthelo. Abanye baye bagqithisa imithetho elinganisela ubunzima bezinto eziphumayo ezingxangxangxa okanye ezifuna iinketho ezisemfakelweni ezisembini. Umzekelo, uMineapolis uhlalo lwazo olubanzi lokufikelela kwizinto ezikhoyo. [FFFFFF:]

Ipaki Nokuzonwabisa: Asiyondawo Eluhlaza Nje

Iipaki kunye namasebe ezokuzonwabisa alawula kungekuphela nje imikhondo namasimi kodwa kwanonkqubo echaphazela umsebenzi womzimba. Imithetho eqinisekisa ukunikezelwa ngokulinganayo kwemali yepaki kumacala engingqi anganciphisa ukwahluka-hlukene kwezemali efumaneka kwi-okthoni. Ufundo lweLos Angeles County lufumanise ukuba imimandla enesixa esiphezulu sepaki inemigangatho esezantsi yokutyeba eliphezulu kunye ne-swekile, kwanasemva kokulungelelanisa oothunywa bemeko bezemali yezemali (] i-Health &pamp; indawo ye-[FLT]]]).

Izinto Zokuthutha Ezisebenzayo: Imigca Esecaleni, IBike Lanes, Nokhuseleko

Imithetho exhasa intsebenziswano yezitrato ezipheleleyo. Izithuthi zezithuthi zezithuthi ezilungiselelwe bonke, hayi imoto nje kuphela. "iinqanawa eziye zamkela imigaqo epheleleyo yezitrato zibona imilinganiselo ephezulu yokusebenza kwengozi kunye nemigangatho esezantsi yengozi yabahamba ngenyawo. Isebe lezothutho lasekuhlaleni liyakwazi ukuzalisekisa imilinganiselo yokuzola ngokwesantya [ njengesantya semingxp kwaye inyusa ii-payss, ezinciphisa ingozi ezinxulumene nengozi. Le migaqo ifuna iimeko zezobupolitika ukuze yoyise ukuchasana kwimigxobho ephakathi yenqwelo-mafutha, kodwa inika ingeniso engundoqo yempilo.

Imithombo Yempilo Yengqondo: Ukuqhekeka Nokukwazi Ukwakha

Impilo yengqondo iye yaphazanyiswa ngokwembali kumgangatho wasekuhlaleni, kodwa ukutshintsha-tshintsha kwenkqubo kwakutshanje kuyatshintsha. Oorhulumente basekuhlaleni bayaqonda ukuba impilo entle yengqondo ibalulekile kwimpilo-ntle yoluntu ngokubanzi nokuba ukugula ngengqondo okunganyangwanga kubangela ukungabi namakhaya, ukusebenzisa kakubi iziyobisi, kunye neendleko zenkonzo zongxamiseko.

Iinkqubo zokuguqulela nokuhlasela

Izixeko ezininzi zamkela imodeli eyimodeli exhobisayo ebonisa ukuba amapolisa amabini anamagosa engqondo xa esabela kwiminxeba yamanqam. Ezi nkqubo, ezisoloko zisekwa ngamasiko asekuhlaleni, zijolise ekuphambukiseni abantu abavalelwe entolongweni baye kunyango. Umzekelo, inkqubo ye-CAHOOTS e-Eugene, e-Oregon, ibonise ukuba amaqela ahambayo emelwayo anokukwazi ukusingatha ngokukhuselekileyo iingxaki ezininzi zempilo yengqondo ngaphandle kokubandakanyeka kwamapolisa, ukunciphisa ukuhlaziselwa nokubanjwa kwezibhedlele. Imigaqo-nkqubo yasekuhlaleni exhasa la maqela nokuseka unxulumano kunye namagumbi empilo engqondo entlalweni yabantu iyayilwayo ukuze aphumelele.

ISebe lezempilo yengqondo elisekelwe esikolweni

Izithili zesikolo, eziluhlobo lukarhulumente wasekuhlaleni, zinegunya lokwabela abacebisi besikolo, izazi zokusebenza kwengqondo, kunye nabasebenzi bentlalo. Imithetho egunyazisa i-dedentified-toreator-presences [ izinga lokunika izicwangciso-mali [] (umz., omnye umcebisi kubafundi abangama- 250) uqinisekisa ukuba inkxaso yengqondo ifikeleleka kwangoko. Ezinye isithili iye yadlula yonke imigaqo yempilo yengqondo ekhuselwayo, nangona ezi zihlala ziphikisana kwaye zifuna ukwenziwa ngononophelo ukuze ziphephe ukuchaza abafundi. Xa kusenziwa kakuhle, iinkonzo zemfundo ezisekelwe kwimfundo yengqondo zinciphisa umthwalo kwiminyango yoovimba bezonyango kwaye ziphucul iziphumo zemfundo.

Ukuhlisa ukuxinana ngemibutho yoluntu neenqanawa zobudlelane

Oorhulumente basekuhlaleni bangaxhasa [[FLT: 0] amaphulo-sigma athe aqhelekile abonisa ukuba ukufuna uncedo kwiingxaki zempilo yengqondo. Izixeko ezifana neSan Francisco zisebenzise izibhengezo zenkonzo kawonke-wonke, izibhengezo, iibhodi zokubhengeza, kunye nezonxibelelwano lwezentlalo-ntle ukuvavanya uphando. Ipoli efuna imfundo yempilo yengqondo kwibanga eliphezulu nakwizifundo zemfundo ephakamileyo kwakhona inceda ekulungiseni incoko eqhelekileyo malunga nodandatheko, ixhala, kunye nokuthintela ukuzibulala.

Ukuthetha Ngempilo Engacalucalulanga: Amapolisa Angqubanayo

Umahluko wempilo awungongenakuphepheka, ziziphumo zenkqubo yembali neyangoku eziye zacwangcisa amaqela athile. Oorhulumente basekuhlaleni baya bamkela [[FLT: 0] umlinganiselo wendlela yokubona i-lens ukuqwalasela yonke imigaqo-nkqubo, ukusuka kwindlu ukuya kwizithuthi ukuya kuphotho.

Ukungalingani Kobuhlanga

Ezinye izixeko ngoku zifuna iziphumo ezithe ngqo zeziphumo ezinkulu zenkqubo, ukuvavanya indlela eziza kuchaphazela ngayo amaqela ahlukeneyo eentlanga namaqela eentlanga. Umzekelo, phambi kokuvuma isibhedlele esitsha, isixeko singahlola ukuba indawo yesakhiwo kunye neenkonzo ziza kufikelela kuBlack, Latino, kunye noluntu lwama-Inoral. Esi sixhobo sinceda ekuthinteleni imigaqo ekwandiseni iingxaki.

Ubandakanyeko Loluntu Nendalo

Imithetho eyilelwe ngaphandle kolwazi oluseluntlukweni idla ngokusilela ukucombulula iimfuno zokwenene. Oorhulumente bongingqi abafak ’ isandla kwi- umanyano olukwibhodi zombutho , iiholo zedolophu, kunye neenkqubo zoqingqo-mali zolwaluko lwenkcitho zidala iinkqubo zempilo eziyimfuneko nezisetyenziswa ngcono. Umzekelo, inkqubo yokutshaya inkqubo edityanisiweyo emiselwe nabemi bongingqininiswe phantsi kwengeniso iqheleke kakhulu ukuthetha nabaxinezekileyo njengezindlu ezixenga kakhulu.

Ukuxhasa Izixhobo Zokunyamekela Impilo

Imisinga yengeniso eyahlulelweyo ingaqinisekisa ukuba iinkqubo eziqwalaselweyo zixhaswa ngemali. Iindlela ezinokukhethwa ziquka irhafu enetoliki edityanisiweyo ngokukhethekileyo kwimisebenzi yempilo. , irhafu yerhafu yerhafu , kwaye irhafu efunekayo [[FLT] ibandakanya irhafu yerhafu yerhafu yezonyango. [Boulder, Colorado], usebenzisa ingeniso yayo yerhafu ukuxhasa i-entenkingi, imfundo yezempilo, kunye neenkqubo zempilo ze-eququququ zichaza indlela ebuntwaneni, izondlo, kunye nayo yonke ingeniso engokwemali ekhoyo.

Ukutshintsha Izithethe Nokuzivumelanisa Nezimvo Zokuphuculwa Okuqhubekayo

Inkqubo ilungile kuphela njengoko izalisekiswa kunye neziphumo zayo. Urhulumente wasekuhlaleni ufuna iinkqubo ezomeleleyo zokulandela imiqathango yempilo kunye namaqhinga okulungisa ngokufanelekileyo. Oku kufuna ingqokelela yesiseko sogcino-lwazi, ngokufuthi kunxulumene neeyunivesithi okanye namasebe ezempilo.

Iziphumo zempilo (HIA)

IHIA sisixhobo esihlola iziphumo zempilo zenkqubo okanye umsebenzi ocetyiswayo ngaphambi kokuba uphunyezwe. Oorhulumente abaninzi basekuhlaleni ngoku bafuna iHIA kwizigqibo ezinkulu zokusebenzisa umhlaba okanye izicwangciso zokuthutho. Umzekelo, iHIA yendlela entsha ingabonisa ukuba inganyusa ungcoliso lomoya kwingingqi yesikolo ekufutshane, nto leyo ekhokelela ekuyileni iinguqu ezikhusela imiphunga yabantwana. Ngoxa i-HIA ingabophi, inika ubungqina obungatshintsha uluvo lukawonke-wonke kunye nezinto eziphambili kwezobupolitika.

Imisebenzi

Amasebe ezempilo asekuhlaleni angamkela izibonisi zebhodi yedash]. Ukulungisa izinto ezifana nenani logonyo lomntwana, amaqondo onyango lwe-asma, kunye notyelelo longxamiseko lwengqondo, nokubona ukuba iinkqubo ziyasebenza kusini na. Xa inkqubo ingaphumeleli ukudibana namaxhoba ayo, iinkokeli zasekuhlaleni kufuneka zilungiselele okanye zilungise iinguqulo [[. Umzekelo, ukuba isitore esisekona esiphilileyo asiphumeleli ekuveliseni ukuthengisa, inkqubo ingaphinda ifakwe kwimiboniso yokupheka okanye izihlomelo ezithengwayo.

Uphando loLuntu noluNcedisiweyo

Ngaphezu kogcino-lwazi olubanzi, oorhulumente basekuhlaleni kufuneka baphulaphule abemi. Uhlolisiso loluntu oluthe rhoqo, amaqela agxininisayo, kunye neentlanganiso zokuphulaphula zinika ingqiqo ekwiqondo apho amanani engenakubanjwa kuphela. Imithetho ekwi- ekhutshwe ngamalungu oluntu [ iqheleke kakhulu ukuthathwa njengefanelekileyo nokuvelisa iinzuzo ezizinzileyo.

Isiphelo: Umsebenzi Oqhubekayo Wokwakha Abemi Abanempilo Entle

Iinkqubo zoluntu azimi ndawonye; zikho iingxelo ezikhoyo ezifuna ingqwalasela eqhubekayo, ukusetyenziswa kobuchule, kunye nohlengiso. Ukusuka kwibhodi evumela umyezo woluntu ukuya kwibhunga lesixeko apho imali ihambayo kwiqumrhu lempilo yengqondo, zonke izigqibo zithumela umyalezo malunga nokuba ngoobani abaphi na abafanelekileyo, imigaqo-nkqubo esekelwe kubungqina ekhoyo ibone inkqubela eqhubekayo: umgangatho osezantsi wesifo esinganyangekiyo, ububanzi bobomi, ukuhlaziywa kweminyaka ephezulu, ukuhlaziywa kwempilo. Kodwa ezi nzuzo ziyawohloka. Uqingqo-mali iyawohloka, iinguqulo kwimigaqo yezopolitiki, kwaye iingxaki ezingalindelekilenga zinokuyitshabalalisa ngokukhawuleza. Isifundo esingundoqo sisithi [FLDLD:] esibonwa sihonjiswe kwindawo engcono yembutho-yo, i-ethelekele abahlali, abaxhasi bendlela yolwazi olulungele ukufikelela kwisivumelwano sempilo, abamele ukutshintsha ibhunga kwibhunga lokuziko, ibhunga elingulonke, ibhunga elingulo, elingulo liqala