Indima Ebucayi Yemithetho Yendawo Ekutholeni Izindlela Zokunakekela Impilo

Ukukwazi ukufinyelela ekunakekeleni impilo kuyinto eyinhloko ekhathaza abantu nemiphakathi emhlabeni wonke. Kodwa ukulula umuntu angakwazi ukuthola ngakho ukunakekelwa kwezokwelapha akuyona nje indaba yomshuwalense noma ukusondelana nesibhedlela. Ithonya elinamandla nelivame ukunganakwa yimithetho yendawo yesifundazwe, imithetho yesifunda, nemithetho kamasipala elawula yonke into kusukela kumuntu okwazi ukusebenzisa imithi kuya kuleyo indawo okumelwe inikezwe kuyo. Lemithetho ingayilungisa indlela yokunakekela noma yokwakha imingcele enzima. Kuzo zombili izikhuthazo zempilo neziguli, kuqonda indlela ithonya lezimiso zendawo elibalulekile ngayo ekuqondiseni isimiso sokwelapha nokukhuthaza ushintsho olubalulekile.

Lesi sihloko sihlola izindlela eziningi lapho imithetho yendawo ithonya khona ukutholakala kwezimiso zempilo, kusukela ekunakekeleni abanakekela abadinga ukunakekelwa kwempilo, ezikhungweni zezokunakekela izakhiwo kuya ezigunyaziswe umshuwalense nasemikhankasweni yezempilo yomphakathi. Sizohlola futhi izinselele ezikhona kulemithetho nendlela amaqembu ezisebenzi zobufundisi asebenzela ngayo ukuziguqula ukuze athole ukunakekelwa okungaguquguquki.

Ukuphonsa Nokuqondisa: Abagcini Bomnikazi Womsebenzi

Enye yezindlela eziqondile kakhulu zokuthonya ukutholakala kwezimiso zendawo zokwelapha ingeyokugunyaza nokugunyaza ochwepheshe bezempilo. Ngokwesibonelo, isifunda ngasinye e-U.S., simisa izimfuneko zaso kodokotela, abahlengikazi, odokotela, abasizakalayo, nezisebenzi zezempilo ezihlangene. Lezi zimfuneko zingahlanganisa izifundo ezithile zemfundo, izikweletu zemfundo, kanye nokuhlola isizinda.

Izimfuneko Ezinezintambo Neze - Geographic Maldis

Kwezinye izifunda, ukuvalwa kwemithetho kulinganisela inani lodokotela abangangena emakethe. Lokhu kunenkinga ikakhulukazi ezindaweni zasemaphandleni noma ezingaphansi lapho udokotela oyedwa obelethisayo noma wezifo zengqondo engase akhonze khona sonke isifunda. Ukuswelakala komhlala-khaya kwamandla eziguli ezihamba amabanga amade noma ukulahlekelwa ukunakekela ngokuphelele. Ukucwaninga kwe- ezempilo yolwazi Hub kubonisa ukuthi cishe 60% we-Oldodoligie Professional Shortgage quares ezimiswe umthetho wombuso kusezindaweni zasemaphandleni, lapho ukuvimbela imilaliso kuyingxenye yengxenye.

Izingqungquthela Ezihlanganisa Abantu Basezweni: Ikhambi Eliyingxubevange

Ukuze kuncishiswe lokhu kuntuleka, izifunda eziningi ziye zajoyina ama-interation esizwe esisodwa, njenge- inqubo ye-Interstate Medical Licensive Compact [[FLT]] noma i-Monist Licensificive Convension Compativect (NLC). Lezivumelwano zivumela abaxhasi abagunyazi bezwe elilodwa eliyilungu ukuba basebenze kwelinye ngaphandle kokusebenza ngokugcwele, inqubo yokulungisa i-intensola ehlukene. Nakuba le nqubo yokulungisa ingandisa ukutholakala kwenkondlo-kathi (indedwa yezinkonzo ze-telehealth , futhi ukukhushuba akuyona indawo yonke, futhi umthwalo wezomthetho uyaqhubeka ukujabulela ukufinyelela ezizweni ezingasebenzangasebenzi. Iziguli ezisezindaweni ezihlangeneyo ngokuvamile zijabulela ukufinyelela ngokushesha, ukuveza indlela yokulungisa isineke.

Imithetho elinganayo yokuzijwayeza: Ukunika Igunya noma Ukubekela Umthetho Abanikazi Abangaphi

Enye indawo ebucayi yimithetho elawula ukusetshenziswa kwemithi (SOP), echaza ukuthi yimiphi imisebenzi abahlengikazi, abasizi, osokhemisi, nabanye abasebenza nge-physician kliniki abangayenza ngokwabo. Ezindabeni ezinemithetho ye-SOP evimbelayo, abahlengikazi bangase benqatshelwe ekubekeni imithi ethile noma ukuvula imitholampilo yabo ngaphandle kobudokotela. Lokhu kungaveza ukuswelakala komzanyana, ikakhulukazi ekunakekeleni okuyinhloko. Ngokuhlukile, kusho ukuthi, ukuvumela igunya eligcwele labahlengikazi abaqasheli ababhaliswe kakhulu (APNN) ukuba basebenzise inqubo esemthethweni ebhaliswe kakhulu (APNS) baye babona ukuphumelela kokungena kwezindawo ezingaphansi kwezisebenzi, njengoba kufakazelwa [[FLT:] iNhlangano yabalimi [FLT:] . Ukukhetha phakathi kokuvikela nokuhleleka kwempilo okuvamile phakathi kweziguli ezikhona.

Izindinganiso Zobungqabavu: Imithetho Esebenzayo Ethonya Inkonzo

Ngaphandle kwabaqashi ngabanye, imithetho yendawo ibeka izindinganiso ezisebenza ngokuningiliziwe ezibhedlela, emitholampilo, emakhaya asebegugile, nakwezinye izikhungo zezempilo. Lezizindinganiso zihlanganisa yonke into kusukela ezisekelweni ezisemzimbeni nasemishinini kuya ezilinganisweni zezisebenzi nasezinqubweni zokulawula izifo. Nakuba zibalulekile ekuthuthukiseni izinga nokuphepha, zingadala futhi imiphumela engalindelekile ukuze umuntu angene.

Isitifiketi seMiyalo-kaNkanga (CON)

Elinye lamathuluzi okulawula aphikiswana kakhulu umthetho weSitifiketi-sobuNde (CON), kwezinye izizwe odinga izinhlangano zosizo lwempilo ukuze zithole imvume kahulumeni ngaphambi kokwandisa izakhiwo noma ukunikela izinkonzo ezintsha. Abasekeli baphikisa ngokuthi imithetho ye-CON ivimbela ukuhlelwa kwemisebenzi ebizayo nokusetshenziswa kwempilo. Abagxeki baphikisa ngokuthi bavimbela ukuncintisana nokukhetha kwesiguli, ikakhulukazi ezindaweni lapho isibhedlela esisodwa singalawula khona imakethe. Ngokwe-National Conference of Legastillatures[, cishe izinhlelo ze-Congosethi zihlanganisa izinkonzo ezithile zempilo. Ukususa noma ukuyehlisa le mithetho kuye kwaboniswa ukukhuphuzwa kwenani lokuhlinza, izikhungo, ngisho nezibhedlela ezikhungweni ezinwe ngokweminye imiphakathi yezindawo zokusebenza kwezempilo.

Ukulima Nezwe Kusebenzisa Imithetho

Imithetho yendawo ingavimbela futhi ukusungulwa kwezindawo ezintsha zokwelapha. Emadolobheni amaningi, imingcele evimbela ukwakhiwa kwemitholampilo ezindaweni ezihlala abantu noma eziseduze nezikole, ngisho nalapho izindawo ezinjalo zingaba ngcono kakhulu kubantu abathola imali ephansi. Ngokufanayo, izimfuneko zokupaka nokungalinganiswa kwezindawo zingandisa izindleko zokwakha umthola-mpilo omusha, okudumaza ukutshala imali ezindaweni ezigciniwe. Amaqembu amaqembu abazaneni ngokuvamile asebenza namabhodi okuhlela endawo ukuze akhe “ukukhokha izindawo ezilayishiwe kakhulu” ezivumela ukuba kwenziwe imisebenzi engokwempilo ehlobene.

Ukulungiselela Okuphuthumayo Nendlela Yokusebenza

Imithetho egunyaza ukulungiselelwa kwesimo esiphuthumayo, njengokuthola imishini yokuphehla i-actrane evimbela ukushisa, izinto zokuqeda izifo, noma amandla okuphuma, ingathinta futhi. Nakuba lemithetho ibalulekile ekuvikeleni umphakathi, izindleko zokuvuma zingavinjelwa ezibhedlela ezincane zasemaphandleni. Kwezinye izimo, izibhedlela ziye zaphoqelelwa ukuba zivale iminyango yazo ephuthumayo noma amagumbi okubelethisa ngenxa yokuhluleka ukuhlangabezana nezindinganiso ezilungisiwe, zishiye zonke izindawo ngaphandle kwezinkonzo zosizo ezidingekayo. Ukulinganisela phakathi kokuphepha nokuzigcina kuyingozi kuyinto ebucayi abaqondisi okumelwe bahambe ngokucophelela.

Imishuwalense: Indlela Imithetho Yendawo Efukulwayo Neyokuzikhethela

Izimiso zomshuwalense wendawo zingesinye isixha esinamandla esithinta ukutholakala kwempilo. Iminyango yomshuwalense kahulumeni yengamela ukuxazululwa kwezinkampani zemali, ivumela amazinga agunyaziwe, futhi ichaza izinzuzo ezigunyaziwe.

Izinzuzo Zempilo Ezibalulekile Nezinkonzo Ezivimbelayo

Ezingeni likahulumeni, izishaya-mthetho eziningi ziye zamisa imithetho efuna amasu empilo okuhlanganisa izinkonzo ezithile zempilo . njengokunakekela ingqondo, ukuvimbela inzalo, noma izakhi zomzimba zaminyaka yonke. (ngaphandle kokukhokha izindleko. Nakuba le mithetho inweba ukufinyelela ekunakekeleni okubalulekile, zinganyusa futhi izindleko, okungase kuphumele abantu abaphansi abangakufanelekeli ukukhokhelwa ngemali. Ubunzima phakathi kwenkokhelo ebanzi nemali buyisihloko esiphindaphindwayo esisekelwe kumthetho womshuwalense. Ukuhlolwa kwe-[FLT: 0] Kaiser Family Foundation[] kubonisa ukuthi ngemithetho edingekayo kakhulu engokwempilo ngokuvamile inzuzo engcono kakhulu kunciphisa amazinga athelekayo kodwa futhi isilinganiso esiphezulu.

Imithetho yenethiwekhi yokujezisa

Izimiso zendawo zinquma futhi indlela izinkampani zomshuwalense okumelwe zakhe ngayo imifelandawo yazo. “Izindinganiso zezokungatholi mvume” zifuna ukuba amasu ahlanganise odokotela abayinhloko, odokotela, nezibhedlela phakathi nebanga elilinganiselwe futhi zilinde isikhathi. Ezindabeni ezinemithetho eqinile yezokuvimbela izinhlelo zekhomputha, iziguli ziyakwazi ukufinyelela kangcono ekunakekeleni amanethisi futhi zikwazi ukukhokha izikweletu ezimbalwa ezidiwe ngamanethi. Ngokuphambene, izindinganiso ezibuthakathaka noma ezingaphoqelelwe zingaholela ekukhetheni “imidanti yeziguli ezibekezelelwe, ikakhulukazi ezindaweni zasemaphandleni lapho kunamakhaya lapho kunamakhaya. Abaphathi bemithetho iyaqhubeka belungisa izindleko zokulawula izindleko zokungena.

IPhalatho Le - Telehealth Nemithetho Yokubuyiselwa

Isifo se-COVOVAD-19 sandisa ukuthathelwa ukwamukela isiguli esisemigqeni yombuso, kodwa ikusasa laso lixhomeke kakhulu ezimisweni zikahulumeni. Imithetho yenguqu idinga abakhokhi ukuba bakhokhele izinkonzo ze-telealth ngesilinganiso esifanayo nasezindaweni ezikude noma ezihambayo, kuyilapho imithetho ye-imfihlelo kahulumeni inquma ukuthi udokotela angamela iziguli ezisemigqeni yesifundazwe. Kusukela ngo-2025, amazwe amaningi afaka imithetho yesikhashana noma ehlala njalo, andisa kakhulu ukufinyelela kweziguli ezimweni ezikude noma ezimikhawulweni emile. Nokho, ukusetshenziswa kwemithetho enqamula ezindaweni ezihlukene kudala ubunkimbini obuyinkimbinkimbi bezindawo futhi anganqamula i-telethth, ikakhulukazi ngenxa yokunakekelwa okukhethekile.

Izinyathelo Ezithatha Izindawo Zezempilo Zomphakathi: I - Grassroot Isabela Ekulawuleni Izithiyo

Izimiso zendawo eziwukungalingani komphakathi ezifuna ukuvala amagebe ashiywe isimiso sezempilo esingokomthetho. Lezi zinyathelo ziqalwa ngokuqaphela ukuthi iziphakamiso zokulawula azinakushintshwa ngokushesha ngaso sonke isikhathi, kodwa kudingeka isinyathelo esisheshayo ukuze kusizwe abantu abasengozini.

Imishini Yempilo Ehambayo Nezinhlelo Zokuxazulula Impilo

Ngenxa yezinselele zokulungisa izindawo zokuhlala nezokulungisa izakhiwo, imiphakathi eminingi iye yasungula ama-mouse aletha ukunakekela okuyinhloko, izinkonzo zamazinyo, kanye nokuhlola impilo ngokuqondile ezindaweni ezihlala kuzo. Lamaqembu asebenza ngaphansi kwezimiso ezithile ezikhethekile zezimiso . njengamandla omthola-mpilo esikhashana agunyaziwe noma ama-admini agunyaziswe izibhedlela . okuwenza akwazi ukunikeza ukunakekela ngaphandle kokwakha izitini nezindawo zokulala. Ngokwesibonelo, iMabala lezempilo [[FLT: 0] izincwadi ezinjalo ezingamakhulu ezinhlelo ngaphandle kwe-U.S. ezithuthuke kakhulu ukutholakala kwezindawo ze-zokwelapha ezingaphansi kwezindawo ezisebenzela emapulazimini nasemaphandleni.

Izisebenzi Zezempilo Zomphakathi Nokuqashelwa Kwazo

Okunye ukuthambekela okukhulayo ukusetshenziswa kwezisebenzi zezempilo zomphakathi (CHWs) ukuvala igebe phakathi kweziguli nesimiso sokunakekela impilo. Ezinye izifundazwe ziye zasungula izinhlelo zokuqinisekisa nge-CHWs, zizenza zikhokhelwe nge-Medicaid ngokunikeza imfundo yezempilo, ukunakekela, nokusekela komphakathi. Lokhu kuqaphela okulawulayo kuye kwathuthukisa ukuphumelela kokungenela komphakathi, ikakhulukazi ekulawuleni izifo ezingamahlala-khona nempilo. Nokho, emazweni angenazo izimo ezinjalo, i-CCHWS ivame ukusebenza ngokunikeza imali elinganiselwe, inciphisa ukufinyelela nokuzisekela kwazo.

Ukukhuthazelela Izinselele Nezithiyo Eziqubukayo

Naphezu kwentuthuko eyenziwa ngezinyathelo zokuthatha isinyathelo nokuqondisa izinguquko, abantu abaningi baseMelika basabhekana nezithiyo ezinkulu ekutholeni ukunakekelwa kwezempilo ezisekelwe emithethweni yendawo.

Izindleko Zokubambisana “Nomthwalo Oqondisayo”

Abagcini bezokunakekelwa kwezempilo bavame ukucaphuna izindleko eziphakeme zokulalela njengendlela yokuvimbela ukunikezwa kwezinkonzo ezisesimweni esiphansi. Imikhuba emincane nezibhedlela zasemaphandleni zithwala ingxenye enkulu yalomthwalo, njengoba kumelwe baqashe izikhulu ezilalelayo, bathenge izimiso ze - IF jown ukuze babike, futhi bakhokhele imfundo eqhubekayo. Lapho izindleko zokujezisa ziba ezingenakulawulwa, iziqinisi ziqinisa, zivala, noma ziyeke ukwamukela izinhlobo ezithile zomshuwalense (* zonke) ezinciphisa ukufinyelela kwesiguli. INhlangano yesibhedlela ilinganisela ukuthi ukuvuma okungalawuleki, ngokwesilinganiso, 25% yemali yokusebenza kwesibhedlela, imali engenziwa ngokunakekela okuqondile.

Ukungalingani Ezindaweni Zasemaphandleni Nezangaphansi Kwamandla

Izimiso zendawo ngokuvamile zinemiphumela emibi ngokungenakulinganiswa emiphakathini yasemaphandleni naleyo ethola imali encane. Ngokwesibonelo, umthetho kahulumeni ofuna ukuba yonke imitholampilo ibe nodokotela phakathi nawo wonke amahora okuhlinza kungenzeka edolobheni kodwa ungakwazi edolobheni elinodokotela oyedwa kuphela wengxenye. Ngokufanayo, imingcele edinga ukuhambelana nodokotela we-teleheals ngaphambi kokuba i-metal ikwazi ukwenza izihluthu zezokuhamba ezengeziwe zeziguli eziphila kude nokunakekelwa okukhethekile. Umphumela yisimiso sokuhamba esinezingxenye ezimbili eziphila ngokulandelana nomthetho lapho kugcinwa khona ngokuphakamelwa kwempilo yokuhlala ezweni ngokungenaphutha.

Ukukhululeka Nenkinga Yokusebenza

Inselele ekhulayo yindaba yokuncishiswa kwemithetho yendawo. Ezinye izifundazwe ziye zamisa imithetho evimbela amadolobha kanye nezilinganiso ekumiseni imithetho yazo siqu yokunakekela impilo, njengokukhokha izimfuneko zekhefu eligulayo, izilinganiso ezilinganiselwe zezisebenzi, noma iziqondiso zempilo yomphakathi. Nakuba abasekeli bephikisa ukuthi ukuhlengwa kwangaphambi komthetho kudala ukungaguquguquki, abagxeki bayivimbela ukusungulwa kwezindawo futhi bavimbela imiphakathi ukuba ibhekane nezidingo eziyingqayizivele zendawo. Lokhu kulawula i-accondrea - of - war kungashiya izakhamuzi ezindaweni ezithinteke kakhulu futhi kungatholi mandla okuzivikela kakhulu futhi kungatholanga kakhulu ukunakekelwa.

Ukuqondisa Nendlela Yokuqondisa

Intuthuko enengqondo ekutholeni impilo idinga ukugunyazwa okuqhubekayo ukuze kushintshwe izimiso ezidala imigoqo. Amaqembu okufunda eziguli, amaqembu ochwepheshe, nezinhlangano zomphakathi konke kufeza izindima ezibalulekile ekufuneni ushintsho emazingeni endawo, ezwe, nawamazwe.

Imizamo Yokushaya Imithetho Neyokushaya Indiva

Amaqembu okufunda asebenza ukusungula nokusekela umthetho onwebeka isilinganiso semithetho yezobuchwepheshe bezobuchwepheshe, i-interance i-operans compacts, futhi isusa izimfuneko ezidingwayo ezidingekile. Futhi asekela ukuxhaswa kwezimali ezikhuliswa izikhungo zezempilo zomphakathi nezinhlelo zezempilo ze-mouse. Izindaba eziphumelelayo zihlanganisa ukwanda kwamuva kwemithetho ye-teleheath parality ezizweni ezingaphezu kwama-20 kanye nokudlula kwe-interstate Medical Licenfivel Convention, manje okuhlanganisa izigaba ezingu-38 nezindawo. Le midlalo ibonisa ukuthi ukuphikelela kwe-adings mentalvocacy kungabuyisela i-tradingssssssswood reverticed revertiverticed revertimes.

Izimpande Ezinomsila Zihlela Futhi Ziqaphele Umphakathi

Emphakathini, ukuhlela imizamo isiza izakhamuzi ukuba ziqonde indlela imithetho yendawo ethinta ngayo izindlela zazo zokunakekela impilo. Imihlangano yasedolobheni, izicelo, nemikhankaso yemithombo yezindaba ingacindezela izikhulu zendawo ukuba ziphinde ziphinde zihlole imithetho yezindawo, izindinganiso zezakhiwo ezivuselelwe, noma zifake isicelo sokuba abavunikazi bamazwe ukuba bahlole izimo ezintsha zokunakekela. Ngokwesibonelo, ukuphoqelelwa kwezinhlelo zomphakathi zezisebenzi zokusiza abashayeli bezenhlalakahle (jective fit) lapho amahrea emakhaya anikeza khona izinguquko zokunquma imithetho yezimiso nemithetho yokukhokhela izindleko. Lezi ziqhutshwa ngokuyinhloko ngokuhlanganiswa kwezimiso zezokunakekela izimo ezimishayo zempilo yasemaphandleni kanye nabasekeli abaneziguli ababekezela.

Isiphetho: Ekusebenzeni Okunokulingana

Izimiso zendawo azinamininingwane yokuphatha engathathi hlangothi; zingabanqanda ngamandla abakwaziyo ukungena ekunakekeleni impilo, lapho, futhi kukhokhelwa khona. Kusukela ekufuneni iziqondiso ze-information nasezikhungweni zezezempilo zomphakathi, imithetho ebekwe yimibuso namasipala ihlela indawo yokunakekela impilo ngezindlela ezijulile. Nakuba imithetho eminingi ifeza izinjongo ezibalulekile, ingadala futhi izithiyo ezingahlolwanga kahle ezilimaza umphakathi osengozini ngokungenakuqhathaniswa.

Abanikazi bemali neziguli ngokufanayo kumelwe bahlale benolwazi ngezindawo ezilawulwayo abahamba kuzo. Ukuqonda indinganiso yezilinganiso, imithetho ye-athomu, imigangatho ye-metal, iziqondiso ze-nethinethi, nemithetho yokuhlela kunganika abantu amandla okwenza izinqumo ezingcono nokusekela izinguquko ezidingekayo. Okwamanje, imizamo eqhubekayo yamaqembu afundisayo, izinhlangano zobuchwepheshe, nemifelandawo ehleliwe edingekayo ukuze kuncishiswe izinguquko ezinciphisa imithwalo ebekelwe imingcele ngesikhathi sokulondoloza isivikelo esifanelekile. Umgomo uwukulungisa kabusha izinto ezidinga ukuthuthukisa, usekela ukufinyelela okunganqamuki, futhi uqinisekisa ukuthi ukunakekelwa okuphezulu akulona ilungelo elibekelwelwe yilabo abaphila ekhophi i-zi.

Njengoba ukunakekelwa kwezempilo kuqhubeka kushintsha-shintsha ngobuchwepheshe, ukushintsha kwenani labantu, kanye nezinguquko zezimiso − izimiso zendawo ziyohlala ziwusizo olubalulekile ekulolongeni. Inselele yabenzi bezimiso, odokotela, neziguli kumelwe isebenze ndawonye ukuze kukhishwe imithetho enikeza isithakazelo somphakathi ngaphandle kokuba izithiyo zokunakekela. Ngokulungisa inguquko enengqondo futhi iqhubeke, kungenzeka ukwakha isimiso sokunakekela impilo lapho imithetho yendawo ithuthukisa khona ikhono lomuntu ngamunye lokuthola ukunakekelwa akudingayo kunokuba iphazamise ukunakekelwa.