Kusamalira Odwala a Khansa Bwino Ndi Kuwunika Kukhumudwa

"Kuzindikiritsidwa koyambirira ndi chithandizo chazovuta zamisala ndikofunikira, komabe kupsinjika ndi zovuta zina zamaganizidwe nthawi zambiri sizidziwika bwino komanso kusalandira chithandizo kwa odwala khansa ya m'mawere," adatero wolemba wamkulu wa kafukufukuyu, Erin E. Hahn, PhD, wasayansi wofufuza. ndi Kaiser Permanente Southern California Department of Research & Evaluation. "Kafukufuku wathu adawonetsa kuti kugwiritsa ntchito njira zoyendetsera ntchito zowunikira kupsinjika kumakhala kothandiza kwambiri ndipo kumapereka chidziwitso cha momwe tingapangire pulogalamu yokhazikika yothandizira odwala khansa athu kukhala ndi thanzi labwino."

Zakhala zovuta m'mbiri kuphatikizira kuyeza kupsinjika kwamalingaliro panthawi yosamalira khansa pomwe odwala amakhala pachiwopsezo chazovuta zamaganizidwe. Ofufuza ochokera ku Kaiser Permanente ku Southern California adafuna kudziwa ngati njira yophatikizira kuwunika kwa kuvutika maganizo mu chisamaliro chachipatala chokhazikika mothandizidwa ndi ofufuza angapangitse kusiyana.

Adalekanitsa magulu a oncology azachipatala m'malo osiyanasiyana m'magulu awiri. M'gulu loyamba, madokotala ndi anamwino adalandira maphunziro okhudza kupsinjika maganizo, kuyankha nthawi zonse pa ntchito yawo, ndi kuthandizira pakupeza njira zabwino zowonjezera kuwonetsetsa kuvutika maganizo mumayendedwe awo amakono. Mu gulu lachiwiri - gulu lolamulira - madokotala ndi anamwino analandira maphunziro okha. Kuwunikira kunachitika pogwiritsa ntchito mtundu wa Patient Health Questionnaire 2, womwe umadziwika kuti PHQ-9.

Odwala onse omwe adapezeka ndi khansa ya m'mawere atsopano omwe adakambirana ndi oncology yachipatala pakati pa Okutobala 1, 2017, ndi Seputembara 30, 2018, adaphatikizidwa mu kafukufukuyu. Ochita kafukufuku adalembetsa mamembala a 1,436: 692 mu gulu lolamulira ndi 744 mu gulu lothandizira. Maguluwa anali ofanana mu chikhalidwe cha anthu ndi khansa.

• 80% ya odwala omwe ali mu gulu lothandizira anamaliza kuyang'anitsitsa kuvutika maganizo kusiyana ndi osachepera 1% mu gulu lolamulira.

• Pakuwunika kwamagulu, 10% adapeza zomwe zikuwonetsa kufunikira kotumizidwa kumagulu azamisala. Mwa iwo, 94% adalandira zotumizira.

• Mwa omwe adatumizidwa, 75% adamaliza kuyenderana ndi azachipatala.

• Kuonjezera apo, odwala omwe ali m'gulu lothandizira anali ndi maulendo ochepa kwambiri a chipatala ku dipatimenti ya oncology, ndipo palibe kusiyana kwa maulendo opita kunja kwa chithandizo chamankhwala, chithandizo chachangu, ndi chithandizo chadzidzidzi.

"Kuyesa kwa pulojekitiyi kunali kopambana kotero kuti, ndi ndalama zochokera ku Care Improvement Research Team, tayambitsa njira zowonetsera kuvutika maganizo m'madipatimenti athu onse a Kaiser Permanente ku Southern California," adatero Hahn. "Tikuphatikizanso zomwe taphunzira mu kuyesako, makamaka kufunikira kofufuza mosalekeza komanso mayankho a momwe ntchito ikugwirira ntchito ndipo tikulimbikitsa magulu athu azachipatala kuti asinthe momwe amagwirira ntchito kuti akwaniritse zosowa zawo."