Ukufikelela kwiinkonzo zonyango lonyango luyinxalenye esisiseko yonyango loluntu olunentlalo-ntle, ukanti abantu abaninzi bahlala apho bayazama ukuqhuba inkqubo entsonkothileyo yabanikezeli, ii-inssurars, kunye neenkqubo zikarhulumente. Iinkqubo zikarhulumente zongingqi zidlala indima ebalulekileyo ekulolongeni ulawulo lwempilo, ukuphembelela indlela abemi abafumana ngayo ingxilongo, ukusuka kwiinkonzo zonyango zongxamiseko. Ukuqonda ezi nkqubo kunceda abantu ukuba benze ukhetho olunolwazi, banciphise imiqobo yokuzinyamekela, baze ekugqibeleni baphucule iziphumo zempilo. Eli nqaku lihlola iindlela ezahlukeneyo zoorhulumente basekuhlaleni ezichaphazela ukufikelela kokhuseleko, iintlobo zeenkqubo ezikhoyo, iingxaki abajamelana nazo, nendlela onokuzixhasa ngayo iinkonzo ezinamandla kwibutho lakho.

Indima Karhulumente Wasekuhlaleni Ekunyamekeleni Impilo

Oorhulumente basekuhlaleni badla ngokuba luludwe lokuqala lwempendulo kwiimfuno zoluntu zempilo. Ukubandakanyeka kwabo kwimpilo kusenokuthatha iintlobo ezininzi, kuquka inkxaso-mali, umgaqo, kunye nelungiselelo lenkonzo elithe ngqo. Ngelixesha urhulumente wengingqi emisela iinkqubo ezibanzi ezifana neMedicare kunye neMedicaid, kwaye amaphondo anika amanyathelo amaninzi empilo, amagunya asekuhlaleni `njengeebhodi zephondo, amabhunga esixeko, kunye namasebe ezempilo kawonke-"ukulungelelanisa imisebenzi yemini-de-yokufikelela ngqo kwabahlali.

Imimandla engundoqo apho oorhulumente basekuhlaleni bachaphazela unyango:

  • [[UMHLA] Ukusasaza amasebe ezempilo ajonge amanyathelo empilo kawonke-wonke, ukujongwa kwezifo, kunye nemfundo yempilo.
  • [[UMTL:0] Ukuphumeza iinkqubo zempilo ezichaphazela ukufikelela kwiinkonzo, njengemithetho yokuhlahlela iikliniki okanye iimfuno zococeko lwevenkile yokutyela.
  • [[UMTL:0] Ukugquma iikliniki zasekuhlaleni kunye neenkqubo zonyango ngerhafu, iminikelo, kunye namaqabane kawonke-wonke.
  • [[UMTL:0] Ukuveza iinkonzo zongxamiseko kunye nokulungiselela intlekele ukuceba ukusingatha izifo ezimandundu, iintlekele zendalo, kunye neziganeko zengxwelerha.
  • [[UMTL:0] Amaziko okunyamekela impilo alawulayo kunye nokuqinisekisa ukuhambelana nokhuseleko nomgangatho womgangatho.

Ngenxa yokuba oorhulumente basekuhlaleni besondelelene nabantu abasebenza nabo, banokuyila iinkqubo zokuhlangabezana neemfuno ezithile zabemi, izithethe nendawo abahlala kuyo. Ngokomzekelo, ingingqi yasemaphandleni isenokunikela ingqalelo kwizenzo zetelemedicies, ngoxa isixeko sasedolophini sisenokuwabeka kwindawo yokuqala amaqela ajongene neengxaki zempilo yengqondo.

Iintlobo zeenkqubo zonyango zorhulumente wasekuhlaleni

Iinkqubo zonyango lwempilo lwasekuhlaleni ziyahluka-hluka kakhulu kwiingingqi ezithile, kodwa ziquka iindidi eziliqela zeenkonzo ezingundoqo ezilungiselelwe ukuphucula ukufikelela. Ukuqonda ezi nkqubo kunika amandla abantu ukuba basebenzise izinto ezikhoyo baze banciphise iingxube zempilo. Ngapha koko ziluhlobo oluqhelekileyo.

IKLASTA YASEMHLABA

Iikliniki zezempilo zoLuntu, ezidla ngokuxhaswa okanye ezisetyenziswa ngoorhulumente basekuhlaleni, zinikela iinkonzo zempilo eziyimfuneko kubemi abangaphantsi kwexabiso. Ezi kliniki zinika isikali somrhumo esityibilizi esisekelwe kwingeniso, ziqinisekisa ukuba nabemi abangakhange bafumane inkxaso okanye abangenazo iindleko. Iinkonzo ziquka:

  • [[UMTHL:0] Inkathalo engundoqo kwiimeko ezibukhali nezingapheliyo.
  • Inkathalo egoqweyo kunye novavanyo lwezifo ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile kunye nomhlaza othile.
  • I-Immunitions kubantwana nakubantu abadala, kuquka umkhuhlane kunye ne-COVID-19 yezogonyo.
  • Imfundo engundoqo nonyuselo kwimixholo enjengesondlo, umthambo, kunye noqheliselo olukhuselekileyo lwesondo.
  • Iinkqubo zokulawula isifo seChronic zoxinzelelo lomoya, isifo sentliziyo, kunye nezinye iimeko ezinde zexesha elide.

Ezinye iikliniki zinika amazinyo, amehlo, kunye nokuziphatha konyango phantsi kophahla, zinika umguli imodeli yekhaya lonyango. Ngokutsho kwe- Nationalal Association of Community Health Centers, amaMelika angaphezu kwezigidi ezingama-30 axhomekeke kumaziko ezempilo yoluntu, amaninzi awo axhomekeke kwinkxaso yemali karhulumente wasekuhlaleni.

Iphulo Lempilo Kawonke - wonke

Oorhulumente basekuhlaleni badla ngokusungula amaphulo oluntu empilo ukucombulula iingxaki ezithile zempilo. La maphulo adla ngokusetyenziswa kulwazi olunee-data, ahlasela ezona ngxaki zicinezelayo ezichazwa lisebe lezonyango.

  • Ukunqanda ukutyeba nokutyeba kakhulu ngenyathelo elifana nereyithingi yamafama, iinkqubo zesikolo, kunye nokunika amagama ngokutya okusempilweni.
  • Iinkqubo zokukhupha itobacco coses ezinika iziqwenga zentshongo, ululeko, kunye nemithetho yomsebenzi engenamsi.
  • [[UMTL: 0] Ukuthintelwa kokuxhatshazwa kokuziphatha kakubi kuquka amayeza agunyazisiweyo athatha iziganeko ezibuya umva, usasazo lwe-naloxone, kunye nemfundo ngomngcipheko we-opioid.
  • [[Ulwazi lwempilo yengqondo] ukubonelela ngempilo yengqondo ukucutha ihlazo nokukhuthaza izinto ezikhoyo ezifana nemigca eshushu enzima kunye namaziko okuhamba.

ISebe leMicimbi yeNkcubeko neMidlalo

Urhulumente wasekuhlaleni umisela iinkqubo ezinikezelwayo koomama, iintsana nabantwana ezifuna ukunciphisa ukufa kwabantwana, zikhuthaza ukukhulelwa okusempilweni, ziqinisekisa nokukhula kwabantwana besebancinane.

  • ukubeleka nokunyamekela emva kokubeleka komntu ofumana amabhinqa aphantsi ngokutyelela abongikazi ekhaya okanye amaqabane ekliniki.
  • Amabhinqa, iintsana, kunye nabantwana (WIC) iinkqubo zokutya okunesondlo ezinika ukutya okunempilo nenkxaso yokuncancisa ibele.
  • [[UMTL:0] uhlolo lokuqala lokungenelela ukwenzela ukulibaziseka kokuphuhliswa, ubuautism, kunye neengxaki zokuva okanye ukubona.
  • [ Amaziko ezempilo asekelwe kwimfundo ephezulu anika uhlolo olukumgangatho ophezulu womntwana, imidlalo, kunye nokucetyiswa ngengqondo.

Impilo yengqondo kunye nokusetyenziswa

Njengoko impilo yengqondo isiba yinto ephambili kwilizwe lonke, oorhulumente basekuhlaleni bandisa iinkonzo ngaphaya kweekliniki zemveli. Amaqela okungenelela ngengxaki yeengxaki zenkxwaleko, amaziko empilo yengqondo ahambayo, kunye neenkqubo zokuthomalalisa iintolongo ziya zixhaphaka. Ezinye izibalo zezonyango zengqondo ziye zaseka iinkundla zezonyango ukuze zidibanise izaphuli-mthetho kunyango kunokuba zivalelwe. Ezi nkqubo zixhomekeke kwiimali zenkcitho zasekuhlaleni, ngokufuthi ezongezelelwa yimali karhulumente nemali karhulumente.

Ukuthintelwa Nezifo Ezingamahlalakhona

Kwakhona oorhulumente basekuhlaleni bafaka iinkonzo zokuhlasela izifo ezingapheliyo ezinjengesifo seswekile, isifo sentliziyo kunye noxinzelelo lwegazi oluphezulu. Ezi zenzo zisenokuquka ukuxilongwa kwe-fusion yasimahla kumaziko abantu, ukuhamba ngee-glade, ukupheka, kunye nokuzikhusela kwizifo zeswekile. Ngokugxininisa ekuthinteleni, oorhulumente basekuhlaleni banokunciphisa iindleko zempilo ezithe rhoqo baze baphucule nomgangatho wobomi.

Indlela Iinkqubo zikarhulumente Wasekuhlaleni Eziphuculwa ngayo

Iinkqubo zikarhulumente wasekuhlaleni zenzelwe ukunyusa ukufikelela kwiinkonzo zezamayeza ngokucombulula imiqobo eqhelekileyo. Ezi zenzo zinokukhokelela kwiziphumo zempilo eziphucukileyo kumalungu oluntu, ingakumbi lawo angakhange afumaneke okanye ahlala kwiindawo ezigciniweyo. Nazi iindlela eziliqela iinkqubo zasekuhlaleni ezenza umahluko.

Iinkqubo zoncedo lwemali

Inkcitho yoorhulumente abaninzi basekuhlaleni banikela iinkqubo zemali ukuze bancede abemi balapho bafumane iinkonzo zonyango. Ezi zinto zingaquka:

  • [[UMTL:0] Imali yesikali [ kwizigulana ezifumana imali ephantsi kwikliniki zikawonke-wonke, ngokusekelwe kubungakanani bendlu kunye nengeniso.
  • Imali ye-inshorensi yempilo ukunceda abemi balapho bathenge ngentengiso okanye nge-Medicaid yentengiso.
  • [[[UMTL:0] uncedo lwemali kwiimfuno ezingxamisekileyo zezonyango, ezifana nokuvala indleko yesibhedlele okanye ugqirha xa ummi ejongene nengxaki ngequbuliso.
  • [[UMKROFU]] Irhafu ekhululekileyo [ kwizibhedlele ezingafumani ngeniso ukutshintshiselana ngenkxaso yoluntu.

Iinkonzo zothutho

Ukunqongophala kwezinto zokuhamba ezinokuthenjwa kunokwenza abantu bangahlali behleli, ingakumbi kwiindawo ezisemaphandleni okanye ezithe xhaxhe kwimimandla yedolophu.

  • Iinketho zothutho ngqo kujongo lwezamayeza , ezifana neendawo ezihamba ngebhasi ezicuthiweyo okanye iparatransit kubantu abakhubazekileyo.
  • Imisebenzi yesithuthi sothutho esikhululekileyo kwiikliniki nezibhedlele, isoloko iqhutywa ngamasebe ezempilo okanye inxulumene neenkampani ezibamba abantu.
  • [[UMTL: 0] Izithuthi ze-Medicaid iinkqubo ezilungelelanisa izithuthi zezamayeza (NEMT) ukwenzela abamkeli abafanelekileyo

I-Telehealth kunye nokufumaneka kwamanani

Isifo se-COVID-19 sikhawulezisa ukusetyenziswa kwe-telehealth, kwaye oorhulumente basekuhlaleni baye banendima ephambili ekunyuseni ukufumaneka kwamanani. Iinkqubo ziquka:

  • [[FLT: 0] izibonelelo zebhanki ezingaphandle zinika ukuzisa i-intanethi enesantya esiphezulu kwimimandla yasemaphandleni kunye neendawo ezifumana imali ephantsi.
  • IPublic Wi-Fi hopset kumathala eencwadi, amaziko oluntu, kunye neepaki ukulungiselela utyelelo olucacileyo lwagqirha.
  • [[UMTL: 0] Umqulu wesixhobo obolekisa iinkqubo ovumela abemi ukuba baboleke amacwecwe okanye ii-laptops ukwenzela ukhangelo lwe-telehealth.

Ngokutsho kwe [[QL:0] Izibambo zokuthintela Izifo nokukhusela , i-telehealth ingaphucula ukuqhubekeka kokhathalelo kwaye inciphise ukuphoswa kwemibutho, ingakumbi ukunqanda izifo ezingapheliyo.

I-Clinics ehambayo kunye neeNkonzo ze-Pop-Up

Bambi oorhulumente basekuhlaleni basebenzisa amaziko empilo ahambayo ukuya kwimimandla engaphantsi kwe-odolokhwe, kwizikolo nakumagumbi aphezulu. La makliniki ahambayo anika ii-steomics, ii-steaces STD, uvavanyo lwe-SD, kunye nemfundo yempilo. Iinkonzo zePop-up ziyakwazi ukunikezela ngemitshiza yomkhuhlane okanye i-COVOID-19 xa kuqhambuka, kufikelelwa kubantu abangayi kwikliniki emiselweyo.

Ukufikelela kulwimi kunye nokhuphiswano lwenkcubeko

Oorhulumente basekuhlaleni baya beqonda ukuba imiqobo yolwimi iyayithintela indlela esebenzayo yokunyamekela impilo.

  • [[UMTHETHO: 0] iinkonzo zokukhupha ngeelwimi ezininzi kwiikliniki nasesibhedlele.
  • [[UMTL:0] Izixhobo zempilo eziguqulelweyo kubathethi abangeyosiNgesi.
  • Uqeqesho lokukhuphisana oluthe xhaxheyo kubanikezeli bonyango ukuphendula iinkolelo zomguli noqheliselo olwahlukeneyo.
  • Iinkqubo zomsebenzi wezempilo oququzelelayo eziqesha abasebenzi abathetha iilwimi ezimbini ukukhangela izigulana kwinkqubo.

Iingxaki Ezijamelene Nenkqubo Yonyango Lorhulumente Wasekuhlaleni

Ngoxa iinkqubo zikarhulumente zidlala indima ebalulekileyo ekufumaneni unyango, zikwajongene nocelomngeni olubalulekileyo olunokuphazamisa ukuphumelela kwazo.

Ukunqongophala Kwemali

Olunye ucelomngeni oluzingisileyo kukufumana imali eyaneleyo. Urhulumente usebenza ngoqingqo-mali olungqongqo, ngokukhuphisana kweemfuno zezikolo, ukhuseleko noncedo loluntu. Oku kunokukhokelela:

  • iinkonzo eziye zarhoxiswa kwiikliniki zezempilo zoluntu, njengeyure ezimfutshane, abanikezeli abambalwa, okanye ukuvalwa kweendawo zesatellite.
  • [[UMTL:0] Iphulo loluntu lonyango oluncinci [, elithintela ukufikelela kwimiba ebalulekileyo efana nokugonywa okanye ukuxilongwa komhlaza.
  • [[UMTL: 0] Amaxesha okulinda izigulana ngenxa yokusebenzisana ngaphantsi kunye nezithuba ezisikelwe umda.
  • [[UMTL: 0] Uxhomekeko kwinkxaso-mali engaguquguqukiyo enikayo engenakuhlaziywa, ebangela imiphazamiso kwinkqubo.

Ngokomzekelo, isebe lezempilo lengingqi lingaxhomekeka kakhulu kwiminikelo yorhulumente evela kwiSebe lezeNgqesho zezezempilo kunye neSebe leNkonzo (HRSA). Xa ezi zibonelelo zicuthiwe okanye zilibazisiwe, iinkqubo zasekuhlaleni kufuneka zisoloko zilinganisele emva okanye zivale ngokupheleleyo. Intlangano yesizwe yeSizwe yoMasigqeba sobuGcisa neSixeko soBugqeba [] iingxelo zokuba amasebe empilo asekuhlaleni aye abona ukuhlahlela okuvela kwemiqathango.

Izithinteli-nkqubo zomgaqo-nkqubo

Iinkqubo zonyango lwempilo zasekuhlaleni zisenokudala imingeni. Imithetho yokwaphulwa kwemeko-ntle maxa wambi ilinganisela amandla ezixeko kunye nobalo lwemiqathango yempilo yasekuhlaleni, njengerhafu yesoda okanye imiyalelo yokufihla isigqubuthelo. Ngaphezu koko, imithetho ayinakusoloko ihambelana neemfuno zoluntu, nto leyo ekhokelela:

  • [[NT.:0] Iimpendulo ezingoneleyo kuvela kweemeko zempilo , ezifana nokusetyenziswa kakhulu kweopioid okanye ukuqhambuka kwezifo ezasulelayo.
  • Ukufumaneka okucwangcisiweyo kwabemi abasezantsi , kuquka abaphambukeli abangabhalwanga abanokoyika ukusebenzisa iinkqubo zikawonke-wonke.
  • Ukuqhelaniswa nokusetyenziswa kwendlela entsha yonyango , njengemodeli ezisekelwe kwixabiso lebhaso okanye impilo edityanisiweyo.
  • Iteyipu ebomvu ecacileyo ebambezelekayo yovumelwano lweekliniki ezintsha okanye ulwandiso lwenkonzo.

Ubunzima bomsebenzi

Iinkqubo ezininzi zikarhulumente wasekuhlaleni zizama ukubhatala nokugcina iingcali zezonyango, ingakumbi kwiindawo ezisemaphandleni.

  • imigama emide ehambayo kwizigulana ezifuna ukhathalelo olukhethekileyo.
  • [[UMTL:0] Ukwenyuswa kokuthembela kwi-locum shumi (umsebenzi wexeshana), okunokuthi kunciphise ukuqhubekeka kokhathalelo.
  • [[UMTL:0] Ujiko oluphezulu lwexabiso , luphazamisa uzinzo lwenkqubo kunye nokuthembana komguli.

Ukuthanda Kwezobupolitika Nento Oyifunayo Entlalweni

Kwaneenkqubo ezicwangciswe kakuhle zingasilela ukuba azinankxaso kwezobupolitika okanye aluntu luthenge ngaphakathi. Amagosa asekuhlaleni anyuliweyo asenokubeka ezinye imibandela kwindawo yokuqala, kwaye abemi basekuhlaleni basenokungazazi iinkonzo ezikhoyo. Ukwakha uluntu kuya kufuna ukufikelela okungaguquguqukiyo, unxibelelwano olucacileyo, kunye neziphumo ezinokuchaphazeleka.

Ukusetyenziswa kweSebe loLuntu eliLungiselelweyo

Amalungu oluntu angenza indima esebenzayo ekulungiseni iinkqubo zonyango lwasekuhlaleni. Ngokunxulumana norhulumente wasekuhlaleni, abemi balapha banokunceda ukuqinisekisa ukuba iinkqubo zihlangabezana neemfuno zokwenene kwaye zikhusele ubuncwane obufunekayo ukuze ziphumelele. Nanga amaqhinga amaninzi asebenzayo okukhuthaza ubugqwirha:

  • Amathuba okubalaselisa iintlanganiso zikarhulumente zasekuhlaleni ukuvakalisa inkxalabo kunye namacebiso ngexesha lamagqabaza kawonke-wonke. Ibhunga lesiXeko neentlanganiso zebhodi yengingqi yengingqi ngamathuba okuqwalasela izithuba zokhathalelo okanye ukucebisa amanyathelo amatsha.
  • Iparicipate kwimpilo-ntle yoluntu kunye neetshati eziqukiwe lisebe lakho lezempilo. Ezi ziganeko zisoloko ziquka uphando kunye namaqela agxininisayo aphembelela uyilo lwenkqubo.
  • Ikomputha nemibutho yezonyango yasekuhlaleni efana namaziko empilo yoluntu, izibhedlele, kunye namaqela angeyongeniso achaza ingeniso ukunyusa umyalezo wakho.
  • Ukufumana kuphando loluntu ukwazisa uphuhliso lwenkqubo. Amasebe amaninzi ezempilo aqhuba impilo yoluntu zifuna iiAssessment (CHNAs) rhoqo kwiminyaka emithathu, kunye negalelo elisuka kubemi elikwimo ezisemgangathweni ezizodwa.
  • Jonganisela abameli bakho abanyuliweyo ngoonobumba, ii-imeyili, okanye umnxeba ukuxhasa inkxaso ethile yemali okanye utshintsho lwenkqubo.
  • Ukurhoxa okanye ukwenza ibhunga lokwalathisa umguli elinika ingxengxezo eqhubekayo kumasebe ezempilo asekuhlaleni.
  • [[UMTL:0] Yabelana ngebali lakho nge-media yobulali okanye nge-media yentlalo-ntle yoluntu ukuqinisekisa imfuneko yokufikelela konyango olungcono.

Ukuphumelela kokusebenza ngokunempumelelo kudla ngokuqala kwiqela elincinane labemi abazinikeleyo. Umzekelo, emva kokuba abemi basembindini wengingqi ephakathi kuthelekelelwa kudala belindele ukumiswa kwempilo yengqondo, iqela labameli besebenza nebhodi yengingqi ukuxhasa iyunithi entsha ebangela iingxaki. Kwiminyaka emibini, ukutyelela kwegumbi longxamiseko kwiingxaki zempilo yengqondo ehla ngama-30%. Amabali afanayo abonisa ukuba xa uluntu luthetha, oorhulumente basekuhlaleni banokusabela ngokunempumelelo.

Isiphelo

Ukuqonda indlela iinkqubo zikarhulumente wasekuhlaleni ezichaphazela ngayo ukufikelela kwiinkonzo zonyango kubalulekile kuye nabani na ohamba phambili kwinkqubo yezonyango. Ngokusuka kumakliniki oluntu kunye namaphulo empilo kawonke-wonke ukuya kwiinkonzo zothutho kunye namanyathelo okulungisa i-tekthali, ezi nkqubo zigcwalisa iikhefu ezibalulekileyo ze-inshorensi kunye neenkqubo zezezonyango ezingasentlalo-ntle ezingagungqiyo. Noko ke, iimali ezisikelweyo, imiqathango, ukunqongo-mthetho, ukunqongophala kwabasebenzi, kunye neziphenduva zezopolitiki zingenza buthathaka. Ngokuqonda indima yezi nkqubo zonyango kunye neengxaki abajamelene nazo, amalungu oluntu anokuba ngaba ngabameli abanolwazi lwendawo ekuhlaleni. Nokuba ufuna ukunyanyekelwa okanye ukufuna ukunceda abanye, ukuhlala uthelekelelo lwezigqibo lwempilo lwezonyango lwezo zasekuhlaleni kuxhomekeke kwimeko.