Kolu luhlu lwe-Prioritizing Equity, funda malunga nembali kunye nokungalingani kwangoku kwimfundo yezonyango, ingqesho, kunye namathuba obunkokeli.
Uluhlu lwevidiyo ye-Prioritizing Equity luphonononga indlela ulingano kukhathalelo lwempilo olubumba ngayo ukhathalelo ngexesha lobhubhani we-COVID-19.
Umgangatho wokhathalelo awumiselwanga ngendlela onikezelwa ngayo, ngoko ke iinkonzo zempilo kufuneka zigcinwe ngokwemigangatho efanayo nokhathalelo lwangaphakathi emntwini.
KwiNkomfa ye-2023 ChangeMedEd®️, uBrian George, MD, MS, wafumana i-2023 yokuKhawuleza uTshintsho kwiMbasa yeMfundo yezoNyango.Ukufunda ngakumbi.
Ukwazisa iinkqubo zempilo zesayensi kwizikolo zonyango kuthetha ukufumana ikhaya lokuqala.Funda ngakumbi kubahlohli bezonyango abaye bayenza.
Uhlaziyo lwe-AMA lugubungela uluhlu lwezihloko zokhathalelo lwempilo ezichaphazela ubomi boogqirha kunye nezigulana.Fumana indlela yokufumana imfihlelo kwiprogram yokuhlala eyimpumelelo.
Uhlaziyo lwe-AMA lugubungela uluhlu lwezihloko zokhathalelo lwempilo ezichaphazela ubomi boogqirha kunye nezigulana.Fumana indlela yokufumana imfihlelo kwiprogram yokuhlala eyimpumelelo.
Ukunqumama kwintlawulo yemali-mboleko yabafundi kuphelile.Fumanisa ukuba oku kuthetha ukuthini koogqirha kunye nokuba zeziphi iinketho abanazo.
Umfundi wezonyango okanye umhlali angayenza njani inkcazo yepowusta enkulu?Ezi ngcebiso zine zisiqalo esihle.
I-AMA ukuya kwi-CMS: Thatha inyathelo elikhawulezileyo ukuqinisekisa ukuba oogqirha abafumani uhlengahlengiso lwentlawulo ye-MIPS kwi-2024 ngokusekelwe kwintsebenzo ye-2022 ye-MIPS kunye nezinye iinkcukacha ezichongiweyo kuhlaziyo lwamva nje olukhuthaza ukuguqulwa kwentlawulo ye-Medicare.
Funda indlela i-CCB icebisa ngayo utshintsho kuMgaqo-siseko we-AMA kunye neMithetho kaMasipala kwaye inceda ukuhlaziya imithetho, imimiselo kunye neenkqubo kwiindawo ezahlukeneyo ze-AMA.
Fumana iinkcukacha kunye nolwazi lobhaliso lweentlanganiso kunye nemicimbi yeCandelo looGqirha abancinci (YPS).
Fumana i-ajenda, amaxwebhu kunye nolwazi olongezelelweyo lweNtlanganiso ye-YPS ye-2023 Midterm ngoNovemba 10 kwi-Gaylord National Resort kunye neZiko leNgqungquthela e-National Harbour, eMaryland.
INkomfa ye-2024 ye-American Medical Association yezoNyango yezoNyango (MAC) iya kubanjwa nge-7-8 kaMatshi, ngo-2024.
Izinto ezibalulekileyo ze-Sepsis: I-webinar yokugqibela kumaZiko oLawulo lweSifo kunye noThintelo (CDC) i-webinar series ixubusha impembelelo yemfundo ye-sepsis ekuqeshweni kwabasebenzi bezempilo.Bhalisa.
Uhlaziyo lwe-AMA lugubungela uluhlu lwezihloko zokhathalelo lwempilo ezichaphazela ubomi boogqirha, abahlali, abafundi bezonyango kunye nezigulana.Mamela kwiingcali zonyango, ukusuka kwiinkokeli zabucala kunye neenkokeli zenkqubo yezempilo ukuya kwizazinzulu kunye namagosa ezempilo oluntu, nge-COVID-19, imfundo yezonyango, ukuxhasa, ukudinwa, ugonyo nokunye.
Kwiindaba ze-AMA zanamhlanje, owayenguMongameli we-AMA uGerald Harmon, MD, ujoyina ingxoxo yokunqongophala kwabasebenzi bezonyango kunye nexabiso lamagqirha asebekhulile.UDkt. Harmon wabelana ngeengcamango zakhe ngendima yakhe entsha njengomphathi wexeshana weYunivesithi yaseSouth Carolina School of Medicine e-Columbia, umsebenzi wakhe njengosekela mongameli wemicimbi yezonyango kwi-Tidelands Health e-Pawleys Island, eSouth Carolina, kunye nokuba yintoni efunekayo ukuhamba icandelo lezonyango.intsimi njengogqirha.Iingcebiso malunga nokuhlala usebenza.Oogqirha abangaphezu kweminyaka engama-65 ubudala.Umamkeli: IGosa eliPhezulu lamava e-AMA uTodd Unger.
Emva kokulwela oogqirha ngexesha lo bhubhani, i-American Medical Association ithatha umceli mngeni olandelayo ongaqhelekanga: iqinisekisa ukuzibophelela kwesizwe koogqirha.
Unger: Molo kwaye wamkelekile kwividiyo ehlaziyiweyo ye-AMA kunye nepodcast.Namhlanje sithetha ngokunqongophala kwabasebenzi kunye nokubaluleka koogqirha abadala ekusombululeni le ngxaki.Lo mbandela uxutyushwa apha nguGqr. Gerald Harmon, umphathi wethutyana weUniversity of South Carolina School of Medicine eColumbia, South Carolina, nowayesakuba ngumongameli we-AMA, okanye ngamazwi akhe, “umongameli we-AMA obuyiselweyo.”NdinguTodd Unger, iGosa eliyiNtloko lamava e-AMA Chicago.UGqr. Harmon, ndiyavuya ukukwazi.Unjani?
UGqr. Harmon: Todd, lo ngumbuzo obangela umdla.Ukongeza kwindima yam njengoSihlalo we-AMA wokubuyisela, ndifumene indima entsha.Kule nyanga nje, ndiqale indima entsha kumsebenzi wam wokuba nguNzululwazi oyiNtloko weNkqubo yezeMpilo kunye noDini weThutyana weSikolo sezoNyango kwiDyunivesithi yaseMzantsi Carolina e-Columbia, eMzantsi Carolina.
UGqr. Harmon: Ewe, ziindaba ezinkulu ezo.Yayilutshintsho lomsebenzi endandingalulindelanga kum.Umntu othile uqhagamshelane nam malunga neziqinisekiso zabo kunye nokulindela.Ndiziva ngathi kum lo ngumdlalo owenziwe ezulwini, ukuba awungomdlalo owenziwe ezulwini ke ubuncinci phakathi kweenkwenkwezi.
Unger: Ewe, ndiqinisekile xa bejonga i-resume yakho, baye bachukunyiswa zezinye zezinto ozifezileyo.Ube ngugqirha wentsapho osebenza iminyaka eyi-35, uMncedisi woGqirha Jikelele we-United States Air Force, uGqirha Jikelele we-National Guard, kwaye, ngokuqinisekileyo, kutshanje, uMongameli we-AMA.Ayikabikho nesiqingatha sedabi elo.Ngokuqinisekileyo ulifumene ilungelo lokuthatha umhlala-phantsi, kodwa uqala isahluko esitsha.Yintoni ebangela oku?
UGqr. Harmon: Ndicinga ukuba yayikukuqonda kwam ukuba ndisenalo ithuba lokwabelana nabanye ngamava am obomi.Igama elithi “ugqirha” lisuka kwisiLatini yaye lithetha “ukuthwala okanye ukufundisa.”Ngokwenene ndivakalelwa kukuba ndisenako ukufundisa, ukwabelana ngamava am obomi, ndize ndinikele ngemfundo nokhokelo (ukuba asilolwalathiso) kwisizukulwana soogqirha abaqeqeshwayo kwanoogqirha abasebenzayo.Ke bekulunge kakhulu ukuba yinyani ukuthatha indima yomncedisi wophando ngelixa ndigcina amandla am okufundisa eklinikhi.Ngoko ngokwenene andizange ndikwazi ukulikhanyela eli thuba.
UGqr. Harmon: Ewe, indima ye-provost yinto endingazange ndiyibone ngaphambili.Ndandingunjingalwazi wekholeji kwaye ndifundisa iiklasi (ezifundiswa ngokoqobo) emntwini kunokuba ndinike amabanga kunye novavanyo olubhaliweyo kubafundi, abahlali, kunye nezinye iingcali zempilo (abahlengikazi, i-radiologists, i-sonographers, abancedisi bakagqirha).Kuninzi lweminyaka yam engama-35 ukuya kwengama-40, bendingutitshala, utitshala osebenzayo.Ngoko le ndima ayingomphambukeli.
Isibheno samaziko emfundo ephakamileyo asinakujongelwa phantsi.Ndiyafunda – lo mzekeliso andiwusebenzisi ngethumbu lomlilo, kodwa ngamabhakethi amabhakethi.Ndicela abantu bandifundise ulwazi olunye ngexesha.Ke elinye isebe lizisa ibhakethi labo, elinye isebe lizisa ibhakethi labo, umphathi uzisa ibhakethi labo.Emva koko ndathatha ibhakethi endaweni yokuba ndizaliswe ngumbhobho womlilo ndatshona.Ngoko ndiyakwazi ukulawula amanqaku edatha kancinane.Sizakuzama elinye ibhakethi kwiveki ezayo.
Unger: Dr. Harmon, amagama ovula isahluko esitsha apha anika umdla.Kwangaxeshanye, siyazi ukuba oogqirha abaninzi bakhetha ukuthatha umhlala-phantsi kwangoko okanye bakhawulezise ngenxa yobhubhane.Ngaba ukhe wayibona okanye wayiva le nto isenzeka phakathi koogxa bakho?
UGqr. Harmon: Ndiyibonile kwiveki ephelileyo, Todd, ewe.Sinedatha yobhubhane oluphakathi, mhlawumbi uphando lwedatha ye-AMA's 2021-2022, ebonisa ukuba i-20%, okanye ugqirha omnye kwabahlanu, uthe baya kuthatha umhlalaphantsi.Bazakuthatha umhlala phantsi kwisithuba seenyanga ezingama-24 ezizayo.Oku sikubona phakathi kwezinye iingcali zezempilo, ngakumbi abongikazi.I-40% yabongikazi (ababini kwabahlanu) bathi ndizakuyishiya indima yam yokonga ekliniki kwiminyaka emibini ezayo.
Ke ewe, njengoko benditshilo, ndiyibonile le veki iphelileyo.Ndandinogqirha okwinqanaba eliphakathi owabhengeza umhlala-phantsi wakhe.Ungugqirha wotyando, uneminyaka engama-60 ubudala.Wathi: Ndiyayeka ukuzilolonga.Lo bhubhani undifundise ukuthatha izinto nzulu ngakumbi kunendlela yam yokwenza.Ndikwimeko entle ngokwasezimalini.Ngaphambili ekhaya, kufuneka achithe ixesha elingakumbi nentsapho yakhe.Ngoko wagqiba kwelokuba arhoxe ngokupheleleyo.
Ndinomnye umntu endisebenza naye kunyango losapho.Ngapha koko, inkosikazi yakhe yeza kum kwiinyanga ezimbalwa ezidlulileyo yathi, "Uyazi, lo bhubhani ubeke uxinzelelo olukhulu kusapho lwethu."Ndacela uGqirha X, umyeni wakhe, kunye nomntu endisebenza naye emsebenzini ukuba banciphise umthamo.Kuba uchitha ixesha elininzi eofisini.Xa ebuyela ekhaya, wahlala ekhompyutheni waza wenza wonke umsebenzi wekhompyutha awayengenaxesha lawo.Wayexakekile ebona inani elikhulu lezigulana.Ngoko unciphisa.Wayephantsi kwengcinezelo yentsapho yakhe.Unabantwana abahlanu.
Konke oku kubangela uxinzelelo oluninzi koogqirha abaninzi abadala, kodwa abo baphakathi kwe-career, iminyaka engama-50 nangaphezulu, basengozini enkulu yoxinzelelo, njengezizukulwana zethu ezincinci.
Unger: Ubuncinci iyenza nzima imeko yokunqongophala kogqirha esiyibonayo.Ngapha koko, uphononongo olwenziwa nguMbutho weeKholeji zezoNyango zaseMelika iprojekthi yokunqongophala koogqirha ukuya kuthi ga kwi-124,000 ngo-2034, okubandakanya indibaniselwano yezi zinto sigqiba kuthetha ngazo, abantu abalupheleyo kunye noogqirha abalupheleyo.
Njengogqirha wamayeza osapho owayesakuba ngugqirha onceda abantu abaninzi basemaphandleni, zithini izimvo zakho ngale nto?
UGqr. Harmon: Todd, unyanisile.Ukunqongophala kukagqirha kuya kusiba mbi ngakumbi, okanye ubuncinci be-logarithmically, hayi nje ngokudibanisa kunye nokukhupha.Oogqirha bayaluphala.Sithetha malunga nokuba kwiminyaka elishumi ezayo, abaguli base-US baya kuba neminyaka engama-65 ubudala okanye ngaphezulu, kwaye i-34% yabo ngoku iya kufuna unyango.Kule minyaka ilishumi izayo, ama-42% ukuya kuma-45% abantu baya kufuna unyango.Bafuna ukunyanyekelwa ngakumbi.Ubalule ukunqongophala koogqirha.Ezi zigulana zikhulileyo zifuna inqanaba eliphezulu lokhathalelo, kwaye uninzi luhlala kwiindawo ezisemaphandleni ezinabemi abambalwa.
Ngoko ke njengoko oogqirha bekhula, ukuthatha umhlala-phantsi akushiyi ngasemva impuphuma yoogqirha nabasebenzi bezempilo abafuna ukuya emaphandleni, abafuna ukuya kwiindawo esele zijongelwe phantsi.Ngoko ke, imeko emaphandleni iya kuba mandundu ngakumbi.Ingathi izigulane zala mmandla ziyaguga kwaye abantu basezilalini abakhuli.Asiboni kunyuka kwamanani abasebenzi bezempilo abafudukela kwezi ndawo zasemaphandleni.
Ke kufuneka size neetekhnoloji ezintsha, iimbono ezintsha, i-telemedicine, ukhathalelo olusekwe kwiqela ukunceda ukuhlangabezana neemfuno zeendawo zasemaphandleni zaseMelika ezingagcinwanga.
Unger: Abantu bayakhula okanye bayaguga, kwaye noogqirha bayaluphala.Oku kudala umsantsa obalulekileyo.Ngaba unokujonga nje idatha ekrwada ukuba ibukeka njani loo msantsa?
UGqr Harmon: Masithi isiseko sogqirha sangoku sisebenzela izigulane ze-280,000.Njengobudala beminyaka yabemi base-US, ngama-34% ngoku kunye nama-42% ukuya kuma-45% kwiminyaka elishumi, njengoko ubonile, ndicinga ukuba loo manani ajikeleze abantu abangama-400,000.Ngoko lo ngumsantsa omkhulu.Ukongeza kwimfuno eqikelelweyo yoogqirha abaninzi, uya kufuna noogqirha abaninzi ukunceda abantu abalupheleyo.
ndikuxelele.Hayi oogqirha kuphela.Lo ngugqirha weradiology, lo ngumongikazi, singasathethi ke ngendlela abongikazi abathatha ngayo umhlala-phantsi.Iinkqubo zethu zezibhedlele ezisemaphandleni aseMelika zixakeke kakhulu: azikho zaneleyo ii-sonographer, iingcali ngemitha, kunye namagcisa aselabhorethri.Yonke inkqubo yokhathalelo lwempilo e-United States sele yoluliwe ngokunqongophala kwabasebenzi bezempilo bazo zonke iintlobo.
Unger: Ukulungisa okanye ukusombulula ingxaki yokunqongophala kogqirha ngoku ngokucacileyo kufuna isisombululo samazwe amaninzi.Kodwa masithethe ngokuthe ngqo.Ucinga ukuba oogqirha abadala bangena njani kwesi sisombululo?Kutheni bekufanelekele ngokukhethekileyo ukunyamekela abantu abalupheleyo?
UGqr. Harmon: Loo nto ibangela umdla.Ndicinga ukuba akukho mathandabuzo ukuba ubuncinane baya kuba novelwano, ukuba bangabi novelwano, kunye nezigulane eziza.Kanye njengoko sithetha ngabantu baseMelika i-65 kunye nabadala benza i-42% yabemi, le demographic ibonakaliswe kubasebenzi bogqirha: i-42-45% yamagqirha nayo ineminyaka eyi-65. Ngoko baya kuba namava obomi obufanayo.Baya kuba nako ukuqonda ukuba ngaba kukukhawulelana kwe-musculoskeletal joint, ukuhla kwengqondo okanye i-sensory-cognitive, okanye ukuvalelwa kunye nombono, okanye mhlawumbi i-comorbidity esiyifumana njengoko sineminyaka yobudala, isifo senhliziyo.isifo seswekile..
Sathetha malunga nendlela ipodcast endiyenzileyo yabonisa ukuba malunga ne-90 yezigidi zabantu baseMelika bane-prediabetes, kwaye i-85 ukuya kuma-90 ekhulwini kubo abayazi nokuba banesifo seswekile.Ngenxa yoko, abantu abalupheleyo baseMelika nabo banomthwalo wezifo ezingapheliyo.Xa singena kwizintlu zoogqirha, uya kufumanisa ukuba banovelwano, kodwa nabo banamava obomi.Baneseti yesakhono.Bayayazi indlela yokwenza uxilongo.
Ngamanye amaxesha ndiyathanda ukucinga ukuba oogqirha abalingana nam kwaye ndiyakwazi ukucinga kwaye nokwenza uxilongo ngaphandle kobuchwepheshe obuthile.Akuyomfuneko ukuba sicinge ngento yokuba ukuba lo mntu unengxaki encinane nale okanye loo nkqubo yamalungu, andiyi kwenza iMRI okanye i-PET scan okanye naluphi na uvavanyo lwebhubhoratri.Ndiyabona ukuba eli rhashalala yishingles.Oku akusiyo i-dermatitis yoqhagamshelwano.Kodwa kungenxa yokuba kudala ndibona izigulana iminyaka engama-35 okanye engama-40 endenza ndibe nesalathiso sezengqondo esindinceda ndisebenzise oko ndikubiza ngokuba bubulumko bokwenene bomntu, kungekhona ubukrelekrele bokwenziwa, ukuze ndixilongwe.
Ngoko ke akunyanzelekanga ukuba ndizenze zonke ezi mvavanyo.Ndiyakwazi ukuxilonga kwangaphambili, ndinyanga kwaye ndiqinisekise abantu abalupheleyo.
Unger: Olu lulandelelo oluhle.Ndifuna ukuthetha nawe ngakumbi ngalo mba malunga neteknoloji.Ulilungu elisebenzayo leCandelo loGqirha oPhezulu, ovakalisa izimvo kunye nokwenza iingcebiso kwimiba echaphazela oogqirha abaphezulu.Enye yezinto ezifika kakhulu mva nje (enyanisweni, bendithetha kakhulu malunga nobukrelekrele bokwenziwa kwiiveki ezimbalwa ezidlulileyo) ngumbuzo wokuba oogqirha abadala baya kuziqhelanisa njani nobuchwepheshe obutsha.Ngawaphi amacebiso onawo malunga noku?Inokunceda njani i-AMA?
UGqr. Harmon: Ewe, ukhe wandibona ngaphambili – bendikhe ndathetha esidlangalaleni kwizifundo nakwiiphaneli – kufuneka sibamkele obu buchwepheshe butsha.Ayiyi kuhamba.Into esiyibonayo kwi-intelligence intelligence (i-AMA isebenzisa eli gama kwaye ndivumelana nayo ngakumbi) i-intelligence eyandisiweyo.Kuba ayisoze ithathe indawo yale khompyutha apha.Sinogwebo oluthile kunye nesakhono sokwenza izigqibo esingenakukwazi ukufunda nabona matshini babalaseleyo.
Kodwa kufuneka siyiqonde kakuhle le teknoloji.Akuyomfuneko ukuba silibazise inkqubela yakhe.Akuyomfuneko ukuba silibazise ukuyisebenzisa.Akuyomfuneko ukuba sizibeke ecaleni izinto ezirekhodiweyo ze-elektroniki esithetha ngazo ngendlela ethob’ isidima.Le teknoloji entsha.Ayiyi kuhamba.Oku kuya kuphucula ukunikezelwa kweenkonzo zononophelo.Oku kuya kuphucula ukhuseleko, ukunciphisa iimpazamo kwaye, ndicinga, ukuphucula ukuchaneka kokuxilongwa.
Ngoko oogqirha kufuneka bayamkele le nto kwaye bayibeke iliso.Sisixhobo, njengayo nayiphi na enye into.Kufana nokusebenzisa i-stethoscope, usebenzisa amehlo akho, ukubamba nokujonga abantu.Luphuculo lwezakhono zakho, hayi umqobo.
Unger: Dr. Harmon, umbuzo wokugqibela.Zeziphi ezinye iindlela oogqirha abathatha isigqibo sokuba abasakwazi ukukhathalela izigulana bahlale bekhuthele kwimisebenzi yabo?Kutheni kuyingenelo ukuba oogqirha kunye nomsebenzi bagcine unxibelelwano olululo?
UDkt. Harmon: Todd, wonke umntu uzenzela izigqibo kwindalo yakhe yonke esebenzisa idatha yakhe.Ke, ngelixa ugqirha unokuba nemibuzo malunga nobuchule bakhe, ukhuseleko lwakhe, nokuba kukwigumbi lotyando okanye kwindawo yezigulane ezingalaliswayo apho usenza uxilongo, akunyanzelekanga ukuba wenze izixhobo okanye utyando.Kukho ukuguquguquka okuqhelekileyo.Sonke kufuneka sizikhathaze ngale nto.
Okokuqala, ukuba unenkxalabo yokwenene, ukuba uyathandabuza izakhono zakho, ingqondo okanye umzimba, thetha nomntu osebenza naye.Musa ukuba neentloni.Sinengxaki efanayo kunye nempilo yokuziphatha.Xa ndithetha namaqela ogqirha, ndiyazi ukuba sithetha ngokutshiswa kogqirha.Sithetha ngeengxaki zabasebenzi nendlela esikhathazeke ngayo.Idata yethu ibonisa ukuba ngaphezulu kwe-40% yoogqirha bebecingela iinketho zabo zemisebenzi-ndithetha ukuba, linani eloyikisayo.
Ixesha lokuposa: Oct-13-2023