Ho Ntlafatsa Bophelo ba Bakuli ba Medicare ba nang le lefu la liphio Hona joale

ngotsoeng ke mohlophisi

Mananeo a ikemiselitse ho liehisa tsoelo-pele ea lefu la liphio le ho eketsa monyetla oa ho fumana dialysis lapeng le ho fetisetsa liphio.

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Tlhokomelo e Kopanetsoeng ea liphio ea DaVita (DaVita IKC) - hammoho le lingaka tsa liphio tse ka bang 1,000, bafani ba transplant, ba fanang ka tlhokomelo ea bakuli le lingaka tse tsoetseng pele - kajeno ba phatlalalitse ho qalisoa ha mananeo a 11 a tlhokomelo ea boleng ho pholletsa le US, a lebelletsoeng ho fihlela liphio tse hakanyetsoang ho 25,000. bakuli. Lipheo tsa mananeo ke ho thusa ho liehisa tsoelo-pele ea lefu la liphio le sa foleng (CKD) le ho thusa bakuli ba bangata ba nang le bothata ba liphio ho fihlella li-transplant tsa liphio le dialysis malapeng a bona.     

Mananeo ana ke karolo ea 'muso o mocha oa boithaopo oa Khetho ea Tlhokomelo ea Liphio (KCC)-e leng pontšo ea tlhokomelo ea boleng e qalileng ka la 1 Pherekhong 2022, 'me e tla nka lilemo tse hlano tsa ts'ebetso. DaVita IKC le balekane ba eona ba kenya letsoho khethong ea Comprehensive Kidney Care Contracting (CKCC) ka hare ho KCC.

Ho tšoana le lipontšo tsa 'muso tsa nakong e fetileng tsa tlhokomelo ea boleng, CKCC e lumella litsi tsa dialysis, nephrologists le bafani ba bang ba tlhokomelo ea bophelo bo botle ho theha mekhatlo e ikarabellang e shebaneng le liphio ho laola tlhokomelo ea bakuli ba Medicare. Se etsang hore pontšo ea CKCC e be e ikhethang ke hore e matlafatsa ts'ehetso ea lichelete ho laola tlhokomelo ea bakuli ba Medicare ba nang le CKD mekhahlelo ea 4 le ea 5, ho lieha ho qala ha dialysis le ho susumetsa phetisetso ea liphio.

CKD e ama hoo e ka bang motho a le mong ho ba 1 (limilione tse 7) ba batho ba baholo ba US. Ka bomalimabe, batho ba bangata ba nang le CKD ha ba tsebe hore mosebetsi oa liphio oa bona oa fokotseha. Hajoale, ho hakanngoa hore karolo ea 37 lekholong ea batho ba fumanoeng ba e-na le bothata ba liphio ba "thula" ho dialysis-ho qala kalafo ntle le temoso maemong a tšohanyetso.[50] Ho senyeha ha ho bake feela khatello ea kelello 'meleng le maikutlong ho bakuli empa hape ho bitsa, ka karolelano, $2 e eketsehileng bakeng sa mokuli ka selemo sa pele sa phekolo ea dialysis.

Tse ling, mananeo a tšoanang a tlhokomelo ea boleng a sebetsa hantle haholo-holo ho bakuli ba hlokang, ba theko e phahameng, ba kang ba nang le CKD le lefu la liphio la ho qetela (ESKD). Mananeo a joalo a matlafatsa bakuli, lingaka le lihlopha tsa tlhokomelo ho thusa ho liehisa tsoelo-pele ea CKD ka ho laola hamolemo maemo a kotsi a kang lefu la tsoekere le khatello ea mali-e leng lisosa tse peli tse ka sehloohong tsa ESKD.

Bakeng sa bakuli ba lenaneong la CKCC, DaVita IKC le balekane ba eona ba tsepamisitse maikutlo ho hokahanya litlhoko tsa bona tsa liphio le tse seng tsa liphio, hammoho le ho ntlafatsa mehato ea ho thusa ho boloka bophelo bo botle le ho tsoa sepetlele. Ha e le hantle, ho fokotsa ho kena sepetlele ha ho fe feela bakuli bana nako e eketsehileng lapeng ba etsa seo ba se ratang empa hape ho ka fokotsa litšenyehelo tsohle tsa tlhokomelo—e leng letšoao la lenaneo leha e le lefe le atlehileng la tlhokomelo e thehiloeng boleng.

Hobane mananeo ana a tla fihlela palo e fapaneng ea bakuli ba Medicare libakeng tse ngata tsa litoropo, DaVita IKC e boetse e bona monyetla oa ho tsoela pele ho thusa ho hlahisa tekano ea bophelo bo botle ka har'a phetisetso le tlhokomelo ea liphio ka bophara.

Ka ho thakholoa ha mananeo a eona a CKCC, DaVita IKC e lebelletse ho feta palo ea bakuli ba fumanang tlhokomelo e kopaneng ea liphio selemong sa pele sa tšebetso feela. Ntle le mananeo a mangata a tlhokomelo e thehiloeng ho boleng le merero ea bophelo bo botle ho pholletsa le US, sena se thusa ho ntšetsa pele sepheo sa DaVita IKC sa ho fana ka melemo ea tlhokomelo e kopaneng ea liphio ho bakuli bohle.

Ho kenya letsoho ha DaVita mananeong a tlhokomelo e thehiloeng ho boleng ho hatisa boitlamo ba eona bohle ba ho kopanya le ho ntlafatsa ka mafolofolo phihlelo le tlhokomelo boemong bo bong le bo bong le ho beha leeto la tlhokomelo ea liphio tsa mokuli. Hajoale, DaVita e laola bakuli ho tloha CKD ho ea ho ESKD ka transplantation, 'me e etsa joalo ho sa tsotelehe hore na mokuli o ea dialyse lapeng, sepetlele kapa ho se seng sa litsi tsa eona tsa bakuli ba kantle.

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mohlophisi

Mohlophisi e moholo oa eTurboNew ke Linda Hohnholz. O lula ntlong e kholo ea eTN e Honolulu, Hawaii.

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