I-WASHINGTON - Ukuqamba Okuphazamisayo Kunselela Isimo Se-US Health Care System, Ngokusho kweDeloitte Center for Health Solutions Research Series.
Bangaphezu kuka-750,000 abantu baseMelika abashiya leli ngonyaka odlule beyokwelashwa okungabizi kakhulu, okuyinombolo okwakulindeleke ukuthi ikhule ifike ezigidini eziyisithupha ngonyaka we-2010, okungase kulahlekisele uhlelo lwezempilo lwaseMelika izigidigidi. Inani lemitholampilo ethengiswayo nalo lenyuke ngamaphesenti angama-220 lisuka emitholampilo engama-250 ngo-2006 laya ezigulini ezingaphezu kuka-800 ekupheleni konyaka ka-2007. Yomibili le mikhuba iphakamisa ukuthi le misha emisha iphonsela inselelo isimo se-US njengoba abathengi befuna ukunakekelwa okungcono, nokutholakala okukhulu ngezindleko eziphansi, ngokusho kwemiphumela yochungechunge olucwaningwe olukhishwe namuhla yi-Deloitte Center for Health Solutions.
"Ukuvela kokuphazanyiswa kokunakekelwa kwezempilo okuphazamisayo, njengokuvakasha kwezokwelapha, imitholampilo yezitolo, amakhaya ezokwelapha, eminye imithi kanye nokuvakashelwa nge-cyber, kuveza umbono wezimboni nabadlali abasha, izindlela ezintsha zokulethwa, izindlela ezintsha zokubambisana neziphakamiso zenani elisha," kusho uPaul Keckley, Ph.D., umqondisi omkhulu weDeloitte Center for Health Solutions. "Ucwaningo lwethu lukhombisa ukuthi yize izindima zendabuko ohlelweni lokulethwa kwezokunakekelwa kwezempilo zisongelwa yilezi zinto ezintsha - ukudala ukukhathazeka kokuqala kodokotela, izibhedlela kanye nabasebenzi bezempilo ababambisene - nazo zinganikeza ngamathuba amasha futhi azuzisayo."
Uchungechunge locwaningo lwe-Deloitte Centre for Health Solutions lubandakanya umkhakha wemibiko ogxile emisha ephazamisayo edala ukuguquka kusuka ezinhlotsheni ezijwayelekile zokulethwa kwezinsizakalo kanye nokukhokhelwa kohlelo lokunakekelwa olubhekiswe kubathengi lapho intengo, ikhwalithi kanye nokulethwa kwezinsizakalo kungukhiye.
Imibiko emithathu yakamuva evela ochungechungeni ifaka phakathi:
- "Ezokuvakasha Kwezokwelapha: Abathengi Ekufuneni Inani," kubikezela ukukhula okuqhumayo kwezokuvakasha kwezokwelapha eminyakeni emihlanu ezayo ezimotweni ezihamba phambili zeziguli (www.deloitte.com/us/medicaltourism)
- "Imitholampilo Yokuthengisa: Amaqiniso, Amathrendi kanye Nemiphumela," iphakamisa ukwanda kwesibalo semitholampilo yokuthengisa evulwe futhi yasetshenziswa ngabathengi (www.deloitte.com/us/retailclinics)
- "Ukuphathwa Kwezifo Namakhemisi Okudayisa, Ithuba Lokuhlangana," kuchaza ukukhula okusheshayo kwemakethe yokulawulwa kwezifo kanye namathuba amasha emakhemisi okudayisa ukufaka lezi zinsizakalo ukuheha nokugcina abathengi (www.deloitte.com/us/retailconvergence)
Phakathi kokutholakele okubalulekile okuvela emibikweni:
- Ukuvakasha kwezokwelapha okuphumayo njengamanje kumele ama- $ 2.1 billion asetshenziswe ngabantu baseMelika phesheya kwezilwandle ukunakekelwa - $ 15.9 billion emalini elahlekile yabahlinzeki bezokunakekelwa kwezempilo base-US. AbaseMelika ngokuyinhloko bafuna lolu hlobo lokunakekelwa ngezinqubo zokuhlinza ezikhethiwe.
- Isibalo sabavakashi bezokwelapha abaphumayo kulindeleke ukuthi sikhuphuke size sifike ezigidini eziyi-15.75 ngonyaka wezi-2017, ezimele u- $ 30.3 kuya ku- $ 79.5 billion osetshenziswe phesheya ngabantu baseMelika. Ngenxa yalokhu, imali engenzeka elahlekile yabahlinzeki bezokunakekelwa kwezempilo base-US ingadlula u- $ 228.5 iye ku- $ 599.5 billion.
- Ukunakekelwa kwezokwelashwa emazweni anjengeNdiya, iThailand neSingapore kungabiza amaphesenti ayishumi nje kuphela ezindleko zokunakekelwa okufana ne-US, imvamisa kufaka nezindiza kanye nokuhlala e-resort.
- Ngo-2008, abantu abangaphezu kuka-400,000 abangahlali base-US bazofuna ukunakekelwa e-United States, okwaziwa ngokuthi ukuvakasha kwezempilo okungenayo, futhi basebenzise cishe amaRandi ayizigidi eziyizinkulungwane ezinhlanu ukuthola usizo lwezempilo.
- Izikhungo eziningi zezokwelapha ezihola phambili zase-US kanye nezinhlelo ezinkulu zezempilo sezivele zisebenzisa ithuba lokuthwebula imakethe yezokuvakasha yezokwelapha ngokusebenzisa imikhiqizo yazo eqinile nokusebenzisana nabahlinzeki bamazwe aphesheya.
- Abathengi bathutheleka emitholampilo yokuthengisa hhayi kuphela ukuze kube lula, kodwa futhi nokwehluka kwamanani entengo aphansi okuhlobene nokuvakashela odokotela babo bokunakekelwa okuyinhloko ukuthola izindlela ezifanayo zokwelapha. Izindleko zezinsizakalo ezinikezwa imitholampilo yokuthengisa zisukela ku- $ 50 ziye ku- $ 75, iningi lithengiswe ngo- $ 59, uma kuqhathaniswa nokuvakasha kwehhovisi likadokotela, okungabiza kusuka ku- $ 55 kuye ku- $ 250. Ngokwengeziwe, izindleko zomtholampilo wokuthengisa ngokomzimba, ku- $ 25 kuya ku- $ 49, nazo zingaholela ekongeni uma kuqhathaniswa nokwenyama ehhovisi likadokotela okungabiza noma yikuphi kusuka ku- $ 50 kuya ku- $ 200.
- Imakethe yase-US yezinsizakalo zokuphathwa kwezifo kulindeleke ukuthi ifinyelele ku- $ 30 billion ngonyaka we-2013, inikeze amathuba okuhlangana kwamakhemisi okuthengisa ukwengeza izinsizakalo zokuphathwa kwezifo ukuheha abathengi ezitolo zabo ngamathuba okuthengisa okuthengisanayo, ukuhlinzeka ngokuthenga ngakunye kwezinsizakalo zezempilo.
- Imitholampilo yokuthengisa kanye namakhemisi abekwe empumelelweni yezimakethe angafaka nezinsizakalo zokuphathwa kwezinzuzo zekhemisi (PBM) ezingadonsa nesabelo esikhulu semakethe, ikakhulukazi ezinsizakalweni zokuphathwa kwezifo ukwelapha izimo ezingalapheki.
"Izibhedlela, odokotela kanye nezinhlelo zezempilo kuzodingeka zivumelane ngokushesha nomncintiswano kusuka kubadlali abangajwayelekile futhi zenze amasu wesikhathi eside, njenge-M & A, imifelandawonye nobambiswano, ukuze kutholakale impumelelo yezimakethe," kusho uKeckley. "Labo abanesimo sengqondo esihlukile nezintandokazi zabathengi njengoba bethatha izinqumo zamasu ngokubambisana nokwakha amamodeli amasha amabhizinisi kanye namanethiwekhi wokulethwa kwezokunakekelwa bazoba nethuba elikhulu lokuwina imakethe yabathengi."
Ukuhlaziywa okusha kukaDeloitte kunwebeka ku- "Survey of Health Care Consumer" ka-2008 (www.deloitte.com/us/consumerism), okuqale kwaveza izitayela eziningi eziphazamisayo, kufaka phakathi ukulangazelela okukhulayo kwabathengi kwezokuvakasha kwezokwelapha, ukusetshenziswa kwemitholampilo yokuthengisa, ezinye izindlela zokwelapha kanye amathuluzi nobuchwepheshe bokuzulazula ohlelweni lokunakekelwa kwezempilo. Ababili kwabayisihlanu abaphendulile abahloliwe bathi banentshisekelo yokulandela ukwelashwa phesheya uma izinga lingaqhathaniswa nokuthi ukonga kungamaphesenti angama-50 noma ngaphezulu. Ngokwengeziwe, amaphesenti ayi-16 wabathengi asevele asebenzise umtholampilo wokuhambahamba ekhemisi, enxanxatheleni yezitolo, esitolo noma kwenye indawo yokuthengisa, kanti amaphesenti angama-34 athe angenza njalo ngokuzayo. Abathengi baphinde bazwakalisa intshisekelo yabo yokufuna ukunakekelwa kwabanye abahlinzeki (amaphesenti angama-38) abaxhumana nodokotela babo nge-imeyili (amaphesenti angama-76), ukufinyelela amarekhodi ezokwelapha aku-inthanethi kanye nemiphumela yokuhlolwa (amaphesenti angama-78), kanye nokusebenzisa amadivayisi wokuzihlola ekhaya ( 88%), uma bezokwakha isimo esidinga ukubhekwa njalo.
Imibiko eyengeziwe evela ochungechungeni locwaningo lwe-Deloitte Center for Health Solutions mayelana "nezinqubo eziphazamisayo" ekunakekelweni kwezempilo okwakhishwa phambilini zifaka:
- "Ikhaya Lokwelapha: Ukuphazamisa Ukuqalwa Kwemodeli Entsha Yokunakekelwa Okuyisisekelo," kubhalwe indlela entsha yokukhokha yemikhuba yokunakekelwa okuyisisekelo egxile emiphumeleni yokuxhumanisa ukunakekelwa. Itholakala ku-intanethi ku-www.deloitte.com/us/medicalhome.
- "Ukunakekelwa Okuxhunyiwe: Ukunakekelwa okuvunyelwe ubuchwepheshe ekhaya," wethule izinhlelo ezimbili zobuchwepheshe basekhaya ezinciphisa ukuvakashelwa okungadingekile nokulaliswa esibhedlela nokwenza ngcono ukunakekelwa. Kutholakala ku-inthanethi ku-www.deloitte.com/us/connectedcareathome.
