Qaphela inkinga yeqanda lenkukhu. Lapho amaphathi ejabule, kodwa qala ucele ubufakazi, hlola ukuthi unazo yini izindlela zokunikeza lowo mthwalo wobufakazi. Futhi amaphrojekthi okuhloswe ngawo ukuvimbela ahlala enzima, inqobo nje uma engatholakali umnikazi wenkinga.

Inhloso

Isiqondiso sendlela yokuphila ekuvuselelweni kwenhliziyo e-Zaans Medical Center (ZMC) ihlolwe njengengagculisi ngamaphuzu amathathu ngabahloli. Inkinga yayingekho ekuqaleni kwenqubo: iziguli zamukelwa kahle esibhedlela futhi amasonto okuqala okuvuselelwa kwenhliziyo ahlelwa kahle. Ukunikezwa emkhakheni wendlela yokuphila, njengokuyeka ukubhema, ukulahlekelwa isisindo kanye nokulandelwa kwesiguli, Nokho, kuvele ukuthi bekungavikeleki ngokwanele. Ngaphezu kwalokho, impendulo yedatha ibingenele. Lokhu kuholele ekuyekeni okungadingekile kweziguli ngokuhamba kwesikhathi kulolu hlelo. Isigameko esisha, kanye nalo okuqoshiwe, ngakho-ke kungenzeka ukuthi ubecashile. Lokhu kubangela izindleko zokunakekelwa kwezempilo eziphezulu. Ngakho-ke, ukuthuthukiswa kokuvuselelwa kwenhliziyo kwakudingeka ngokushesha.

Ngemuva kwenqubo yokucaphuna, i-Viactive yakhethwa kubahlinzeki abane ukuze kuthuthukiswe ukuvuselelwa kwenhliziyo ne-ZMC.. Ngokubambisana ne-Lifestyle Interactive, Inyuvesi yaseMaastricht, ZMC, abeluleki bendlela yokuphila kanye nongoti bezokudla, i-ViActive isungule umqondo omusha wokuvuselela inhliziyo. Imayelana nokuhlelwa kabusha kwenqubo yokuvuselela, lapho kuhlanganiswa khona i-e-health kanye nemojuli yendlela yokuphila. Ngakho-ke, isikhathi sokuvuselelwa kwenhliziyo selulwa sibe unyaka nesigamu. Isiqondiso somuntu siqu nokuqeqeshwa okuhlosiwe (ukuzibophezela empilweni enempilo) iza kuqala.

Indlela

  1. Ngokukhuluma nabo bonke ababambe iqhaza kulolu chungechunge (iziguli, ochwepheshe, ama-physiotherapist, izazi zokusebenza kwengqondo, ochwepheshe bendlela yokuphila, inhlangano yeziguli kanye nabashwalense bezempilo) nokwenza ucwaningo lokubheka, ukuvuselelwa kwenhliziyo kuye kwahlolwa. Amaphuzu alandelayo okuthuthukiswa aqashelwe:Kukhona ukubambisana okuncane noma ukusebenzisana phakathi kwabahlinzeki bokunakekelwa abahlukene namamojula. Ayinayo i-MDO ejwayelekile (ukubonisana kwemikhakha eminingi) kanye nokulawula okucacile kwesiguli.
  2. Ngemuva kwezinyanga ezine, ezinye zeziguli azisekho esithombeni futhi akusekho ukulawula ekushintsheni kwendlela yokuphila yesikhathi eside nesimeme.. Lokhu kwenza ithuba lokubuyela emaphethini amadala libe likhulu. Ngaphezu kwalokho, izinyanga ezintathu kuya kwezine zifushane kakhulu ukuletha ushintsho ekuziphatheni.
  3. Okuqukethwe kohlelo – kuhlanganise nesidingo sesiqondiso esengeziwe – kunqunywa ngesikhathi senhlolokhono yokuthatha ngokwesisekelo samazinga. Kodwa-ke, ucwaningo lokubheka lubonise ukuthi isidingo sohlelo lomuntu siqu ngokuvamile sithatha izinyanga eziyisithupha kuya onyakeni ukuze sime., bese kuthi isiguli sisuke singasagadiwe.

Ngokusekelwe kule mininingwane, ukuhlelwa kabusha kokuvuselelwa kwenhliziyo kwenziwe. Ngaphandle kwemojula yendlela yokuphila, izindleko zesiguli ngasinye zingangena ngaphakathi kwe (esinda kakhulu) I-DBC (umhlahlandlela 2014).

Umphumela

Kucatshangelwe kahle, umqondo ongabizi futhi onokwenzeka ngokusekelwa yibo bonke ababambiqhaza ohlelweni lokubuyisela. Ukuthuthukiswa okuyinhloko kwaba:

  • Ukuthatha komuntu siqu nendlela;
  • Ukwengezwa kokuvuselelwa kwenhliziyo ngonyaka owodwa nesigamu;
  • Umnikelo wemojuli yendlela yokuphila, eklanyelwe amamojula okuvuselela inhliziyo ye-PEP (ukwesekwa ngokwengqondo nangokomzwelo), FIT (isimo sokwakha) kanye nemojula yolwazi;
  • Uhlelo olwengeziwe lwe-e-coaching, nomqeqeshi naye othintana ngokomzimba nesiguli, ngakho akekho ongamazi;
  • Nge-e-coaching kuyenzeka futhi ukuthi iziguli zicobelelane ngolwazi;
  • Umjikelezo we-PDCA oxhunywe ku-MDO, ukuqapha ukuqhubeka kweziguli, kondliwa ngolwazi oluvela ohlelweni lwe-e-coaching.

Ukuqaliswa kuhambe ngokuhlukile kunalokho obekuhleliwe. Imithombo yezezimali yayidingeka ukuze kusetshenziswe futhi kwenziwe, eyayingenakho iZMC. Kwabe sekuba nezingxoxo nabathile ababengase babe ngabasekeli bezimali (o.a. imishwalense yezempilo, ZonMw kanye neHeart Foundation). Wonke umuntu wayejabule, kodwa ngenxa yezizathu ezehlukene ayizange ize ekuxhaseni ngezimali.

Ukuphumelela kwalolu hlelo kwafakazelwa kahle ngodaba lwebhizinisi, kodwa kwavela ukuthi akufakazeli ngaphambili. Ukuze lokhu kwakufanele kuqaliswe ukusebenza. Ubufakazi obubonakalayo bokusebenza bungasheshisa ukuqaliswa nokunxenxa umxhasi. Izinhlelo zocwaningo lomphumela olwenziwa yiNyuvesi yaseMaastricht zase zimi ngomumo. Kodwa-ke, imali iyadingeka ukwenza ucwaningo olusebenzayo. Futhi uma isicelo esifanelekile somxhaso sanikezwa, uxhaso “lohlobo” lwaluwumbandela - ukunikela ngemali yakho siqu, ebingatholakali.. Umbuthano ononya.

Izifundo

  1. Ukonga nokuvimbela kunzima ukutshala kukho. Ukuvuselelwa okusha kwenhliziyo ngeke kungenise imali eqondile futhi, ngokwebhizinisi, abezimali ngeke bazuze ngokuqondile ekuxhaseni ngezimali.. Ukukhishwa Kwabezindaba Kwe-Teaser Brilliant Failures Award Care (ezezimali) izinzuzo ziyabonakala kwenye indawo.
  2. Ngokushesha nje lapho umqondo usuqalisiwe futhi wazibonakalisa, nezinye izibhedlela zizovakashelwa. Lesi sinyathelo besingathathwa kusenesikhathi, ukuze uthole ukwesekwa okwengeziwe kwabakwa 2Kepha abaqalisi beGaston Remmers umugqa wale ndlela.
  3. Ukuhlukanisa ukufezeka kube izinyathelo ezincane nakho kungaba yisixazululo senkinga yezimali. Nini 75% yenqubo entsha kwase kufezeke ngempela, kwakungase kube nomdlandla owengeziwe wokuthola imali phela.
  4. Ngaphandle kwezinkinga zezimali, kungenzeka ukuthi isikhathi besingakafiki. Isikhathi sokuhola sonyaka owodwa nesigamu asizange sihambisane nemihlahlandlela kanye nesakhiwo sezimali. Ukuthi ukunikezwa kuhlale kufana nokuthi ikhwalithi izothuthuka akuzange kubonakale kusobala kuwo wonke umuntu - bekungeke yini kube ngcono ukuqhubeka nokuthobela ngokuphelele imihlahlandlela?
  5. Naphezu kweqiniso lokuthi ucwaningo lwesayensi luye lwafakazela ukubaluleka kwendlela yokuphila, I-Dietetics kanye nendlela yokuphila kwafika ngaphansi kwengilazi ekhulisayo ebalulekile ngesikhathi esifanayo. Ingabe lokhu kungomugqa wesibili? Ukuhlola kwakucabanga kanjalo, uma kubhekwa ukuhlolwa kweZMC. Amanye amaqembu acabanga ukuthi yinto yokunakekelwa okuyisisekelo noma yesiguli uqobo. Ngakho-ke bekungaqiniseki ukuthi 'ukwehlisa isisindo' kanye 'nokuyeka ukubhema' kuzohlala yini kumshwalense. Umdlandla wokutshala imali endleleni yokuphila wawungemkhulu.

Igama: Peter Wouters:
Inhlangano: Iyasebenza