Mu minsi ya mbere y’icyorezo, Komisiyo ishinzwe gutanga impushya za Leta yaretse ibihano kandi iha abaganga umudendezo wo gutanga serivisi z’ubuvuzi busanzwe ku barwayi, aho bari hose

Mu minsi ya mbere y’icyorezo, komisiyo ishinzwe gutanga impushya za Leta yaretse ibihano kandi iha abaganga umudendezo wo gutanga serivisi z’ubuvuzi busanzwe ku barwayi, aho bari hose.Igihe abantu babarirwa muri za miriyoni bavurirwaga mu rugo amahoro mu gihe cy'icyorezo gikabije, byagaragaye ko agaciro ka telemedisine kagaragaye, ariko komisiyo ishinzwe gutanga impushya za Leta ubu yagarutse mu mitekerereze ya Luddite.
Mu gihe leta zorohereza ibikorwa nko gusangirira mu ngo no gutembera mu ngo, komite zishinzwe gutanga impushya zo muri leta esheshatu n’akarere ka Columbia zafunze neza imipaka y’abaganga bakora imiti y’ubuvuzi hanze y’igihugu, kandi biteganijwe ko abantu benshi bazakurikiza iyi mpeshyi.Tugomba gutangira gutekereza ku buryo bwo gushyigikira no gutunganya telemedisine mu bundi buryo, kugira ngo itangwe n'ubwishingizi, ishobora gukoreshwa n'abaganga, kandi ntibizatera ibibazo bitari ngombwa abarwayi.
Bridget amaze imyaka irenga 10 ari umurwayi mu ivuriro ryanjye.Yatwaraga isaha imwe avuye ku kirwa cya Rhode kugirango ajye gukundana.Afite amateka yindwara nyinshi zidakira, harimo diyabete, hypertension, na kanseri yamabere, ibyo byose bisaba ko umuntu asurwa kwa muganga buri gihe.Mu gihe cy'icyorezo, gutembera muri leta no kwinjira mu kigo nderabuzima ni akaga gakomeye ku barwayi bafite ibibazo.Telemedisine, hamwe no gusonerwa imyitozo mu kirwa cya Rhode, byatumye nshobora kugenzura umuvuduko w'amaraso igihe yari mu rugo amahoro.
Ntidushobora kubikora ubu.Nabwirijwe guhamagara Bridget kugira ngo ndebe niba yakwemera kuva mu rugo rwe mu kirwa cya Rhode kugera kuri parikingi ku mupaka wa Massachusetts kugira ngo twakire gahunda yacu iri hafi.Icyamutangaje, nubwo ari umurwayi wanjye wamenyekanye, umukoresha wanjye ntagishoboye kunyemerera kumubona binyuze kuri telemedisine mugihe ari hanze ya Commonwealth ya Massachusetts.
Hariho ibyiringiro, ariko birashobora gutinda.Abaganga n’abandi bafatanyabikorwa bagiye batanga ibitekerezo ku ishami ry’ubwishingizi bwa Massachusetts ku buryo bwo kugenzura imiti y’ubuvuzi, ariko biteganijwe ko ubushakashatsi buzakomeza nibura kugeza kugwa, igihe butazaba mu rwego rw’ubuzima bwo mu mutwe cyangwa gucunga indwara zidakira .
Ndetse urujijo kurushaho ni uko izi mpinduka zihuse zizagira ingaruka ku masosiyete y’ubwishingizi ya Massachusetts gusa, harimo na MassHealth.Ntabwo bizagira ingaruka ku nkunga y’ubwishingizi bw’ubuvuzi kuri telemedisine, ifitanye isano n’ibihe byihutirwa.Ubuyobozi bwa Biden bwongereye ubuzima bw’abaturage kugeza ku ya 20 Nyakanga, ariko benshi bemeza ko buzakomeza kugeza umwaka urangiye.
Telemedisine yabanje kwishyurwa n'ubwishingizi bw'ubuvuzi kandi yari ikwiriye abarwayi bo mu cyaro aho batabonye uburyo buhagije bwo kwivuza.Aho umurwayi aherereye ni ishingiro ryo kumenya ibyangombwa.Mu rwego rwo guhangana n’ibihe byihutirwa by’ubuzima rusange, Medicare yaguye cyane ubwishingizi bwayo kugira ngo abaganga batange imiti ku barwayi bose.
Nubwo telemedisine yarenze iyi mbogamizi, aho abarwayi babaye ingirakamaro, kandi uruhare rwayo mu kwemererwa no gukwirakwizwa byahozeho.Noneho umuntu wese arashobora kuyikoresha kugirango yerekane ko aho umurwayi aherereye atakiri umwanzuro wo kumenya niba ubwishingizi bukubiyemo telemedisine.
Ikigo cya Leta gishinzwe gutanga impushya zo kwa muganga gikeneye guhuza nuburyo bushya bwa serivisi zita ku buzima, kandi abarwayi benshi bizeye ko telemedisine ikiri amahitamo.Kubaza Bridget gutwara imodoka kumurongo wa leta gusura byukuri ni igisubizo gisekeje.Hagomba kubaho inzira nziza.
Gushyira mu bikorwa uruhushya rw’ubuvuzi rushobora kuba igisubizo cyiza, byibura kuri telemedisine.Ariko leta irashobora kudakunda ibi, nubwo ari igisubizo cyiza kandi cyoroshye.
Gukemura iki kibazo mu mategeko bisa nkaho ari amacenga kuko birimo sisitemu yo gutanga uruhushya rwa muganga muri leta 50 n'akarere ka Columbiya.Buri wese muribo agomba guhindura amategeko yimpushya kugirango agere kuriyi ntego.Nkuko icyorezo cyabigaragaje, biragoye ko leta zose uko ari 50 zisubiza ikibazo cyingenzi mugihe gikwiye, kuva kwambara byanze bikunze masike kugeza gufunga kugeza byoroshye gutora.
Nubwo IPLC itanga amahitamo ashimishije, ubushakashatsi bwimbitse bugaragaza ubundi buryo butoroshye kandi buhenze.Igiciro cyo kwinjira mumasezerano ni $ 700, kandi buri ruhushya rwa leta rwinyongera rushobora kugura $ 790.Kugeza ubu, abaganga bake ni bo babikoresheje.Nuburyo bwa Sisyphean bwo guhanura uruhushya rwa leta nshobora gukenera kubona kubarwayi bari mu biruhuko, gusura abavandimwe, cyangwa kujya muri kaminuza-birashobora kubahenze kuriha ibi.
Gukora uruhushya rwa telemedisine gusa birashobora gukemura iki kibazo.Ibi ntabwo byunvikana.Nyuma y’ubushakashatsi bwerekanye ko ikiguzi cyo gusaba abashinzwe ubuzima kwemererwa mu zindi ntara cyaruta inyungu zose, Ubuyobozi bw’abasirikare bumaze kubikora, butanga ikoreshwa hakiri kare abatanga imiti.
Niba leta zibona ibyiringiro bihagije byo kureka impushya zemewe, noneho zigomba kubona agaciro ko gukora impushya za telemedisine gusa.Gusa ikintu kizahinduka mumpera za 2021 nuko ibyago byo kwandura COVID byagabanutse.Abaganga basonewe ubuvuzi bazakomeza kugira amahugurwa hamwe nimpamyabumenyi.