“Ukuhlonzwa kusenesikhathi nokwelashwa kwezinkinga zempilo yengqondo kubalulekile, nokho ukucindezeleka nezinye izinkinga zempilo yengqondo ngokuvamile azibonakali kahle futhi zingelashwa kahle ezigulini ezinomdlavuza webele,” kusho umlobi oholayo wocwaningo, u-Erin E. Hahn, PhD, usosayensi wocwaningo. noKaiser Permanente Southern California Department of Research & Evaluation. "Ucwaningo lwethu lubonise ukuthi ukusetshenziswa kwamasu okuqalisa ukwenza lula ukuhlolwa kokucindezeleka kuphumelela kakhulu futhi kunikeze ukuqonda mayelana nendlela yokudala uhlelo oluzinzile lokusiza iziguli zethu ezinomdlavuza ukuba zithole impilo engcono kakhulu."
Kube nzima ngokomlando ukuhlanganisa ukuhlolwa kokucindezeleka kwengqondo ngesikhathi sokunakekelwa komdlavuza lapho iziguli zivame ukuba sengozini yezinselele zempilo yengqondo. Abacwaningi abavela ku-Kaiser Permanente e-Southern California bazimisele ukunquma ukuthi inqubo yokuhlanganisa ukuhlolwa kokucindezeleka ekunakekelweni komtholampilo okujwayelekile ngokusekelwa ngabacwaningi ingenza umehluko.
Bahlukanise amaqembu e-oncology yezokwelapha ezindaweni ezihlukene baba ngamaqembu ama-2. Eqenjini lokuqala, odokotela nabahlengikazi bathola imfundo mayelana nokuhlolwa kokucindezeleka, impendulo evamile ekusebenzeni kwabo, nokusekelwa ekunqumeni izindlela ezingcono kakhulu zokwengeza ukuhlolwa kokucindezeleka ekuhambeni komsebenzi wabo wamanje. Eqenjini lesibili - iqembu lokulawula - odokotela nabahlengikazi bathola imfundo kuphela. Ukuhlolwa kwenziwa kusetshenziswa inguqulo ye-Paient Health Questionnaire 9-item, eyaziwa ngokuthi i-PHQ-9.
Zonke iziguli ezitholwe zinomdlavuza webele omusha ebezinokuxhumana ne-oncology yezokwelapha phakathi kuka-Okthoba 1, 2017, noSepthemba 30, 2018, zafakwa ocwaningweni. Abacwaningi babhalisa amalungu e-1,436: i-692 eqenjini lokulawula kanye ne-744 eqenjini lokungenelela. Amaqembu ayefana ngezibalo zabantu kanye nezici zomdlavuza.
• I-80% yeziguli eqenjini lokungenelela iqedile ukuhlolwa kokucindezeleka ngokumelene ne-1% eqenjini lokulawula.
• Ekuhlolweni kweqembu lokungenela, u-10% wathola amaphuzu ebangeni elibonisa isidingo sokudluliselwa ezinsizeni zezempilo yengqondo. Kulabo, ama-94% athola ukudluliselwa.
• Kulabo abadluliselwe phambili, ama-75% aqede ukuvakasha nomhlinzeki wezempilo yengqondo.
• Ukwengeza, iziguli eziseqenjini lokungenelela zibe nokuvakashela emtholampilo okumbalwa kakhulu eminyangweni ye-oncology, futhi akukho mehluko ekuvakasheni kweziguli ezilaliswayo ukuze uthole ukunakekelwa okuyisisekelo, ukunakekelwa okuphuthumayo, kanye nezinsizakalo zomnyango wezimo eziphuthumayo.
"Ukuhlolwa kwalolu hlelo kube yimpumelelo kangangokuthi, ngoxhaso lweThimba lethu Lokucwaninga Lokuthuthukiswa Kokunakekelwa, sethule izinhlelo zokuhlola ukucindezeleka kuyo yonke iminyango yethu ye-oncology yezokwelapha e-Kaiser Permanente eseNingizimu California," kusho u-Hahn. "Sihlanganisa izifundo ezitholwe ocwaningweni, ikakhulukazi ukubaluleka kocwaningomabhuku oluqhubekayo kanye nempendulo mayelana nokusebenza futhi sikhuthaza amaqembu ethu emitholampilo ukuthi ajwayelane nokuhamba komsebenzi ukuze ahlangabezane nezidingo zawo."
