M'masiku oyambilira a mliri, State Licensing Commission idapereka ziletso ndikupatsa madokotala ufulu wopereka chithandizo chamankhwala kwa odwala, posatengera komwe ali.

M'masiku oyambilira a mliri, State Licensing Commission idapereka ziletso ndikupatsa madokotala ufulu wopereka chithandizo chamankhwala kwa odwala, posatengera komwe ali.Pamene mamiliyoni aanthu adalandira chithandizo chamankhwala kunyumba panthawi ya mliri woopsa, mtengo wa telemedicine udatsimikiziridwa, koma State Licensing Commission tsopano yabwerera ku malingaliro a Luddite.
Pamene mayiko akupumula zochitika monga kudya ndi kuyenda m'nyumba, makomiti opereka ziphaso m'maboma asanu ndi limodzi ndi District of Columbia atseka malire awo kwa madotolo omwe akuchita nawo telemedicine kunja kwa boma, ndipo anthu ambiri akuyembekezeka kutsata zomwezi m'chilimwe chino.Tiyenera kuyamba kuganizira za momwe tingathandizire ndikuyimira telemedicine mwanjira ina, kuti ikhale yophimbidwa ndi inshuwaransi, ingagwiritsidwe ntchito ndi madokotala, ndipo sizingayambitse zovuta zosafunikira kwa odwala.
Bridget wakhala wodwala kuchipatala changa kwa zaka zoposa 10.Amayendetsa ola limodzi kuchokera ku Rhode Island kupita kukacheza.Ali ndi mbiri ya matenda osatha, monga matenda a shuga, matenda oopsa, ndi khansa ya m'mawere, ndipo zonsezi zimafunika kukaonana ndi dokotala pafupipafupi.Panthawi ya mliri, kuyendayenda m'maboma ndikulowa kuchipatala kumakhala kowopsa kwambiri kwa odwala omwe ali ndi comorbidities.Telemedicine, ndi kusaloledwa kuchita nawo ntchito ku Rhode Island, kunandilola kuwongolera kuthamanga kwa magazi ake ali kunyumba mosatekeseka.
Sitingathe kuchita izi tsopano.Ndinayenera kuyimbira foni Bridget kuti ndione ngati angalole kuyendetsa galimoto kuchokera kunyumba kwawo ku Rhode Island kupita kumalo oimika magalimoto m'malire a Massachusetts kuti alandire nthawi yathu yomwe ikubwera.Chodabwitsa chake, ngakhale kuti ndi wodwala wanga, abwana anga samandilolanso kuti ndimuwone kudzera pa telemedicine ali kunja kwa Commonwealth of Massachusetts.
Pali chiyembekezo, koma mwina mochedwa kwambiri.Madokotala ndi ena ogwira nawo ntchito akhala akupereka ndemanga ku Dipatimenti ya Inshuwalansi ya Massachusetts za momwe angayendetsere telemedicine, koma akuyembekezeka kuti kafukufukuyu azikhala osachepera mpaka kugwa, pamene sikudzakhala gawo la ambulera ya thanzi labwino kapena matenda aakulu. .
Chosokoneza kwambiri ndikuti kusintha kofulumira kumeneku kudzangokhudza makampani a inshuwaransi a Massachusetts, kuphatikiza MassHealth.Sizidzakhudza chithandizo cha inshuwaransi yachipatala ya telemedicine, yomwe ikugwirizana ndi zochitika zadzidzidzi.Boma la Biden lawonjezera vuto lazaumoyo wa anthu mpaka pa Julayi 20, koma ambiri akukhulupirira kuti lidzakulitsidwa mpaka kumapeto kwa chaka.
Telemedicine poyamba inali ndi inshuwaransi yachipatala ndipo inali yoyenera kwa odwala kumadera akumidzi kumene analibe mwayi wokwanira wopeza chithandizo chamankhwala.Malo a wodwalayo ndiye maziko odziwa kuyenerera.Poyankha zadzidzidzi zadzidzidzi, Medicare yakulitsa kufalikira kwake kuti alole madokotala kuti apereke telemedicine kwa odwala onse.
Ngakhale telemedicine yadutsa malire awa, malo odwala akhala ovuta, ndipo udindo wake pakuyenerera ndi kufalitsa wakhalapo.Tsopano aliyense atha kuzigwiritsa ntchito kutsimikizira kuti komwe kuli wodwalayo sikulinso chosankha ngati inshuwaransi imakhudza telemedicine.
Boma la State Medical Licensing Board liyenera kuzolowera njira yatsopano yothandizira zaumoyo, ndipo odwala ambiri akuyembekeza kuti telemedicine ikadali njira.Kufunsa Bridget kuti ayendetse msewu wodutsa boma kuti acheze ndi njira yopusa.Payenera kukhala njira yabwinoko.
Kukhazikitsa chilolezo chachipatala cha federal kungakhale yankho labwino kwambiri, makamaka pa telemedicine.Koma boma silingakonde izi, ngakhale ndi njira yabwino komanso yosavuta.
Kuthetsa vutoli mwalamulo kumawoneka ngati kovutirapo chifukwa kumakhudza njira zoperekera chilolezo kwa madokotala m'maboma 50 ndi District of Columbia.Aliyense wa iwo ayenera kusintha malamulo awo alayisensi kuti akwaniritse cholinga ichi.Monga momwe mliriwu watsimikizira, ndizovuta kuti mayiko onse 50 ayankhe pa nkhani yofunika munthawi yake, kuyambira kuvala masks ovomerezeka mpaka kutsekeka mpaka kuvota.
Ngakhale IPLC imapereka njira yowoneka bwino, kafukufuku wozama akuwonetsa njira ina yovuta komanso yodula.Mtengo wolowa nawo mgwirizano ndi $ 700, ndipo chiphaso chilichonse chowonjezera cha boma chikhoza kuwononga mpaka $790.Mpaka pano, ndi madokotala ochepa amene apezerapo mwayi pa izi.Ndi njira ya Sisyphean kulosera zilolezo za boma zomwe ndingafunikire kupeza kwa odwala omwe ali patchuthi, ochezera achibale, kapena kupita ku koleji-zingakhale zodula kulipira izi.
Kupanga chilolezo chogwiritsa ntchito telemedicine kokha kumatha kuthetsa vutoli.Izi sizachilendo.Pambuyo pa kafukufuku wosonyeza kuti mtengo wofuna kuti opereka chithandizo chamankhwala akhale ndi chilolezo m'mayiko ena ukhoza kupitirira phindu lililonse, Veterans Administration yachita kale, kulola kugwiritsa ntchito mwamsanga opereka telemedicine.
Ngati mayiko akuwona chiyembekezo chokwanira kusiya zoletsa zopatsa chilolezo, ayenera kuwona kufunika kopanga zilolezo za telemedicine.Chokhacho chomwe chidzasinthe kumapeto kwa 2021 ndikuti chiopsezo chotenga COVID chachepa.Madokotala omwe sanaperekedwe chithandizo adzakhalabe ndi maphunziro omwewo ndi ziphaso.