Kupititsa patsogolo Miyoyo ya Odwala a Medicare omwe Ali ndi Matenda a Impso Tsopano

Written by mkonzi

Mapulogalamuwa amafuna kuchepetsa kukula kwa matenda a impso ndikuwonjezera mwayi wopeza dialysis kunyumba ndi kupatsirana impso.

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DaVita Integrated Kidney Care (DaVita IKC) - pamodzi ndi madokotala pafupifupi 1,000 a impso, opereka chithandizo, opereka chithandizo chamankhwala ndi madokotala apamwamba - lero alengeza kukhazikitsidwa kwa mapulogalamu 11 opereka chithandizo chamtengo wapatali ku US, omwe akuyembekezeka kufika pafupifupi 25,000 impso. odwala. Zolinga zamapulogalamuwa ndikuthandizira kuchepetsa kufalikira kwa matenda a impso (CKD) komanso kuthandiza odwala ambiri omwe ali ndi vuto la impso kuti azitha kuyika impso ndi dialysis m'nyumba zawo.     

Mapulogalamuwa ndi gawo lachitsanzo chatsopano cha boma cha Voluntary Kidney Care Choices (KCC)—chiwonetsero cha chisamaliro choyenera chomwe chinayamba pa Jan. 1, 2022, ndipo chidzagwira ntchito kwa zaka zisanu. DaVita IKC ndi othandizana nawo akutenga nawo gawo mu njira ya Comprehensive Kidney Care Contracting (CKCC) mkati mwa KCC.

Mofanana ndi ziwonetsero zachisamaliro zakale za boma, CKCC imalola malo a dialysis, nephrologists ndi othandizira ena azaumoyo kuti apange mabungwe osamalira impso omwe amayang'anira chisamaliro cha odwala Medicare. Chomwe chimapangitsa chiwonetsero cha CKCC kukhala chapadera ndikuti chimalimbikitsa ndalama zothandizira kusamalira odwala a Medicare omwe ali ndi CKD magawo 4 ndi 5, kuti achedwetse kuyambika kwa dialysis komanso kulimbikitsa kupatsirana kwa impso.

CKD imakhudza pafupifupi 1 mwa 7 (37 miliyoni) akuluakulu aku US. Tsoka ilo, anthu ambiri omwe ali ndi CKD sadziwa kuti impso zawo zikuchepa. Pakalipano, pafupifupi 50 peresenti ya anthu omwe anapezeka ndi matenda a impso "amawonongeka" mu dialysis-kuyambitsa chithandizo popanda chenjezo pakagwa mwadzidzidzi.[2] Kuwonongeka sikumangoyambitsa kupsinjika kwakuthupi ndi m'maganizo kwa odwala komanso kumawononga, pafupifupi, $ 53,000 yowonjezera pa wodwala m'chaka choyamba cha chithandizo cha dialysis.

Zina, mapulogalamu a chisamaliro chofananira chamtengo wapatali agwira ntchito bwino kwambiri pa anthu osowa kwambiri, okwera mtengo, monga omwe ali ndi CKD ndi matenda a impso omaliza (ESKD). Mapulogalamu oterowo amapatsa mphamvu odwala, madotolo ndi magulu osamalira odwala kuti athandizire kuchedwetsa kupitilira kwa CKD poyang'anira bwino zinthu zoopsa monga matenda a shuga ndi matenda oopsa - zomwe zimayambitsa ESKD.

Kwa odwala omwe ali mu pulogalamu ya CKCC, DaVita IKC ndi ogwira nawo ntchito akuyang'ana kwambiri kugwirizanitsa bwino zosowa zawo za impso ndi zopanda impso, komanso kukonza njira zothandizira kuti azikhala ndi thanzi labwino komanso atuluke kuchipatala. Ndipotu, kuchepetsa kugonekedwa m’zipatala sikumangopatsa odwalawa nthawi yochulukirapo yochita zomwe amakonda komanso kumachepetsa mtengo wa chisamaliro chonse—chizindikiro cha pulogalamu yachisamaliro yachipambano.

Chifukwa mapulogalamuwa adzafikira odwala osiyanasiyana a Medicare m'matauni angapo, DaVita IKC ikuwonanso mwayi wopitiliza kuthandizira kupanga thanzi labwino mkati mwa kuwaika ndi chisamaliro cha impso mokulirapo.

Ndi kukhazikitsidwa kwa mapulogalamu ake a CKCC, DaVita IKC ikuyembekeza kuchulukitsa kuwirikiza kawiri chiwerengero cha odwala omwe amalandira chithandizo cha impso chophatikizana m'chaka choyamba chokha. Kuphatikiza pa mapulogalamu ake ambiri osamalira odwala omwe ali ndi mapulani azaumoyo ku US, izi zimathandizira kupititsa patsogolo cholinga cha DaVita IKC chopereka ubwino wa chisamaliro chophatikizika cha impso kwa odwala onse.

Kutenga nawo gawo kwa DaVita m'mapulogalamu opereka chithandizo chamtengo wapatali kumatsimikizira kudzipereka kwake pakugwirizanitsa ndikuwongolera zochitika ndi chisamaliro pagawo lililonse ndikukhazikitsa ulendo wosamalira impso za wodwala. Pakali pano, DaVita imayang'anira odwala kuchokera ku CKD kupita ku ESKD kupyolera mwa kuwaika, ndipo amatero mosasamala kanthu kuti wodwala amachizira kunyumba, m'chipatala kapena m'modzi mwa malo ake odwala kunja.

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mkonzi

Mkonzi wamkulu wa eTurboNew ndi Linda Hohnholz. Amakhala ku eTN HQ ku Honolulu, Hawaii.

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