Ho bula litsela tsa puisano ho ntlafatsa tlhokomelo ea bakuli
Phapanyetsano ea litaba tsa bophelo bo botle (HIE) ke phapanyetsano ea polokelo ea elektronike e sireletsehileng ea tlhahisoleseling ea bophelo bo botle har'a mekhatlo e meng e fokolang ea bophelo bo botle. Sepheo sa HIE ke ho lumella lingaka le bakuli hore ba fumane boitsebiso ba bohlokoa bo botle ba bophelo bo botle, ka nako e nepahetseng sebakeng se nepahetseng, e le ho fana ka kapa ho fokotsa tlhokomelo e molemo ka ho fetisisa. HIE e thehoa ha marang-rang a mekhatlo a latela litekanyetso tse amohelehang ho arolelana tlhahisoleseding ea bophelo bo botle ba elektroniki
Lipetlele, litleliniki, li-pharmacy le li-laboratory li ka kopanngoa le HIE sebakeng sa naha, mmuso, kapa sa naha.
Kantle ho HIE, tlhahisoleseding e koaletsoe tlalehong ea bophelo bo botle ba elektronike (EHR) kapa mekhoa e meng ea tlhahiso-leseling, e leng se etsang hore ho be thata ho lingaka hore li fumane boitsebiso bo mabapi le bakuli ba fumaneng tlhokomelo ea bophelo mekhatlo e mengata. HIE e lumella bafani ba tlhokomelo ea bophelo mekhatlong e fapaneng ho sheba le ho arolelana tlhahisoleseding ea bophelo bo botle ba mokuli (mohlala, matšoao a bohlokoa, liphello tsa teko, meriana) sebakeng sa tlhokomelo. Bakuli ba ka boela ba sebelisa HIE ho laola phallo ea boitsebiso ba bona ba bophelo bo botle.
HIE e sebetsa neng?
Ho na le maemo a 'maloa moo ho fihlella lits'ebeletso tsa tlhokomelo ea lits'ebeletso tsa bongaka ho tla ba molemo ho bafani ba tlhokomelo ea bakuli le bakuli:
- Mokuli o fetisetsoa sepetlele se seng ho ea ho se seng
- Mokuli o romelloa lefapheng la tšohanyetso ka mor'a hore a be le liteko tse entsoeng tleliniking
- Mokuli o tsoa sepetlele 'me o lateloa tleliniking
- Mokuli o falla ho pholletsa le toropo 'me o fumana mohlokomeli e mocha oa tlhokomelo ea motheo
Nakong ena ea phetoho ea tlhokomelo, mokuli o tla ba le tlhahisoleseding ea bophelo bo botle bo bolokiloeng ho EHRs ea mohaho oa pele o tla ama mofuta oa tlhokomelo e fanoang setsing sa bobeli, haeba feela bafani ba khona ho e fumana. HIE e etsa hore sena se khonehe.
Melemo ea HIE
Ho arolelana le nako ka nako e nepahetseng ho ka thusa thuso ea lingaka le bakuli ho etsa liqeto tse molemo ho fihlela tlhokomelo. Melemo e khethehileng ea HIE e kenyelletsa:
- Qoba li-readmissions tse sa hlokahaleng
- Qoba ho hlahlojoa hape. Haeba lingaka li ka bona liphello tsa liteko tsa moraorao, li ne li ke ke tsa hlophisa liteko hape
- Tlhokomelo e phahameng ea boleng bo phahameng.
Ka mohlala, phuputso e entsoeng ke James Bailey le basebetsi-'moho le eona e bontšitse hore ha basebeletsi ba tlhokomelo ea bophelo lefapheng la tšohanyetso ba sebelisa HIE ho fumana litlaleho tsa bakuli ba nang le bohlooho, ba ne ba se na monyetla oa ho etsa lipatlisiso tsa theko e boima (mohlala, CT scans) 'me ba ne ba ka latela bopaki- tataiso e thehiloeng bakeng sa tsamaiso ea hlooho.
Mefuta ea HIE
Ho na le mefuta e meraro e ka sehloohong ea HIE:
- Tsamaiso ea Exchange e lumella bafani ba tlhokomelo ea bophelo bo botle ba tsebang le ba tšepanang ho romela le ho amohela tlhahisoleseding ka mokuli. Bafani ba boetse ba sebelisa mofuta ona oa phapanyetsano ho tlaleha litekanyetso tsa boleng kapa dintlha tsa ente.
- Lipotso-based Exchange li lumella bafani ho fumana le / kapa ho kopa tlhahisoleseding ka mokuli a tsoang mehloling e meng.
- Consumer Mediated Exchange e lumella bakuli ho fumana le ho laola boitsebiso ba bona ba bophelo bo botle. Ba ka arolelana boitsebiso le bafani ba bona ba tlhokomelo ea bophelo.
Tumello ea mamello bakeng sa HIE
Li-HIE li na le litokisetso tse fapaneng tsa ho lumella bakuli hore ba laole hore na le joang boitsebiso ba bona bo fumanehang bakeng sa ho arolelana mekhatlo ea tlhokomelo ea bophelo:
- Khetha ho: Ho sa feleng ke hore tlhahisoleseding ea bophelo bo botle ha e sa arolelanoe. Bakuli ba tlameha ho hlalosa ka tieo takatso ea bona ea ho arolelana boitsebiso bohle ba bona kapa karolo ea eona feela
- Khetha ho tsoa: Ntho e sa lekanyetsoang ke hore tlhahisoleseding ea bophelo bo botle ea mokuli e fumaneha ho arolelana. Haeba ba lakatsa ho thibela ho arolelana tsohle kapa karolo ea boitsebiso ba bona, bakuli ba tlameha ho hlalosa takatso ena ka mafolofolo
- Ha ho tumello: Litaba tsa bophelo bo botle li fumaneha ho arolelana, 'me bakuli ba sitoa ho ikhethela.
Tekanyetso eo HIE e finyellang ho kopanngoa ho eona e tla ba le tšusumetso e kholo ea bohlokoa har'a lingaka le bakuli. HIE e kopanetsoeng ka ho feletseng e na le bokhoni ba ho ntlafatsa tšireletseho, boleng, bokhoni, le litšenyehelo tsa tlhokomelo ea bophelo bo botle.
Ho aha HIE ea setereke, naha le naha ho hloka mehloli e mengata hammoho le ho sebelisana ha batho ba bangata ba amehang.
Lisebelisoa:
Bailey JE et al. Na phapanyetsano ea tlhahisoleseding ea bophelo bo botle e fokotsa ho hlola mokokotlo le ho ntlafatsa boleng ba tlhokomelo ea hlooho lefapheng la tšohanyetso? J Gen Intern Med 2013; 28 (2): 176-83. E fihliloe ka la 6 June, 2014.
Ofisi ea Mohokahanyi oa Sechaba oa Theknoloji ea Boitsebiso bo Botle ba Bophelo. HIE ke eng? E fihliloe ka la 5 June, 2014.
Tsamaiso ea Bophelo le Litšebeletso tsa Ts'ebeletso. Phetoho ea tlhahisoleseding ea bophelo bo botle ke efe? E fumaneha ka la 5 June, 2014.