Zoo kho sau up against nyiaj incentives
Ib co me nyuam mos liab muaj ib qho uas yuav muaj ntshav qab zib uas tsis muaj ntshav qab zib. Kev tshawb fawb qhia tau hais tias kev tiv thaiv kom tsis txhob muaj cov tshuaj qab zib kom txo tau qhov uas yuav tsum tau kim kim.. Ces qhov kev txiav txim no sai sai, Koj yuav hais. Tsis tau qhov no muab kom tsis yooj yim mus rau hauv tsev kho mob Isala hauv Zwolle.. Pediatrician Jolita Bekhof thiab tus thawj tswj Sido Lublink tham txog lawv conflicting foupectives.
Yees duab: Liesbeth Dingemans
tswv yim: Tsawg invasive, pheej yig remedy rau cov me nyuam mos
Me nyuam mos liab, feem ntau yug ntxov los yog ntxov, Cov me nyuam uas tsis muaj ntshav qab zib yuav tsum tau ib tug haum invasive kho nyob rau hauv lub tsev kho mob uas muaj ib glucose infusion. Ib tug zoo tsim kev tshuaj ntsuam, luam tawm nyob rau hauv Tus Lancet, Draws cov convincing xaus lus uas kho nrog ib cov kua qab zib nyob rau hauv daim ntawv ntawm ib gel yuav tiv thaiv tau cov me nyuam los ntawm kev tsis muaj ntshav qab zib. Thiab vim li ntawd, lawv xav tau ib glucose infusion tsawg feem ntau.
"Ib cheaper tov uas tsis tab kaum rau cov hluas", Thaum pediatrician Jolita Bekhof nyeem tias, Nws xav tau pib tam sim ntawd.
Nws kuj fits zoo rau hauv Isala tus uas zoo: Tus neeg mob yeej ib txwm ua, Nws yuav tsum tau txais qhov zoo tshaj plaws ntawm tus nqi zoo tshaj plaws. Thiab lub dag zog los ua kom paub qhov kev kho tshiab, Kuj tseem yuav overseen: Nws txhawj xeeb txog ib tug xov tooj ntawm cov neeg mob ib xyoos twg. "Ib cov kua qab zib uas tso cai rau koj tiv thaiv kom tsis txhob muaj kev kho mob. Uas yog tau kawg ib qhov nce loj.", Qhia Sido Lublink, Tus thawj tswj Isala Woman-child center thiab Bekhof tus thawj tswj. "Tib lub sijhawm, lub tsev kho mob yog ib lub koom haum complex uas yog siab dual., Qhov no kuj yog cov ntaub ntawv nrog cov pediatricians. Lawv muaj ib lub plawv loj rau zoo, yuav ua li cas lawv xa cov kev pab zov me nyuam. Qhov tsawg kawg nkaus load. Muaj tug tsis muaj kev sib tham txog tias yog."
kev ua kom ib tug: kho zoo: sau ncaj qha los yog thawj analyze ntxiv qhov yuav tshwm?
Bekhof hais txog lub nyuas ntawm lub tsev kho mob Isala: "Peb tau txawj ntau ua hauj lwm rau pov thawj raws li cov tshuaj, Uas yog tag nrho nyob rau hauv peb lub cev. Peb ua ntau lub sij hawm thiab xim kom nug cov lus nug, Tseem ceeb heev uas peb ua li cas, tujlub: Peb ua zoo, Peb yog ib yam nkaus thiab tua nyob rau hauv kev niaj zaus?Nws hais tias: "Thaum yus muaj kev cob qhia, lub tsev kho mob kuj muaj kev cob qhia, Leej twg nqa tswv yim rau innovations. Isala yog li no yeej ib lub koom haum kawm ntawv: nrhiav critically, sib tham sib thiab qhib hloov. Tus pediatricians yog sai convinced los ntawm lub sij hawm tseeb ntawm txoj kev tshawb no thiab Bekhof muaj cov protocol tom.. "Peb mus rau tus tswj ntawd.. Yog muaj − yog li, los ntawm txoj kev − tsis amused Txog. Peb tau txais cov lus: Peb xav kom koj xub kos tau ib rooj plaub ua ntej koj siv no innovation, Li ntawd, peb muaj ib daim duab zoo ntawm cov nyiaj tau los thiab tag nrho lwm yam kev sib nrauj, Xws li 'sib txuas lus thoob ntiaj teb thiab lwm', ' Yog cov tshuaj (Zoo) Muaj' thiab 'uas yuav tsom xam'."
Lublink tseem: "Pheej teg num mus nrog lub Rooj Tswjhwm Saib cov rooj tswjhwm saib. rau tag nrho, tseem tsis tau kev kho mob, Tau cov neeg muab kev koom tes rau hauv lub tsev kho mob, Koj mus txog kom meej meej txhais cov kauj ruam." Li ntawd, thaum Bekhof los txog rau nws nrog cov teg num, Nug LubLink lus nug mus xyuas yog txhua yam twb tau xav txog. "Cov lus nug no, piv txwv li, txog kev sib txuas lus nrog cov niam txiv thiab qhov zoo sib xws nrog lwm cov tshuaj.. Kuj yog ib sab nyiaj txiag rau nws (nqi thiab cov kev pab cuam). Ib txhia kws kho mob yuav tsis nyiam ntawd, Tiam sis nws yog ib feem ntawm kuv ua hauj lwm. Li ntawd, kuv muab tso rau lub brakes me ntsis."
Lub tsev kho mob xwb tshwm sim kom muaj ib tug nyiaj paj laum, Tag nrho, nws ua rau nyiaj ntau dua thaum cov me nyuam mos tau txais kev kho mob nrog ib glucose infusion, Tshaj thaum lawv yuav nyob nrog leej niam nyob hauv lub maternity ward. Yuav tsum muaj li no ua ntej yuav ua ntej yuav ua ib rooj plaub rau txoj kev kho tshiab. Uas yog phem ntawm Bekhof: "Koj yuav sau ib rooj plaub ua hauj lwm yog hais tias koj aiming rau Tsawg tu?!Nws hais tias: "Kuv tsis tau tso cai rau cov neeg ua raws li nws tau pom zoo. Kuv xav tias yog phem heev. Kuv teb rau Sido yog: ' Li ntawd, koj xav kom kuv muab ib tug IV hauv cov me nyuam., Vim peb ua nyiaj nrog nws, Tsis vim hais tias nws yog ib qho uas tsim nyog.'" Lublink: "Thiab kuv hais tias: ' Yog Jolita, Kuv yuav tsum tau them tus nais maum, koj colleague. Uas tsis tau yog hais tias peb muaj nyiaj tsawg thiab pom rau tag nrho lwm qhov yuav tshwm.' Tab sis cov essence no tsis yog tias lub tsev kho mob xav khwv tau nyiaj ntau dua, Peb xav mus tham nrog lub insurers txog them rau kev txhim kho rau tus neeg mob. Nws yuav tsum yog ib qho teeb meem uas muab paj ntawm cov kws kho mob, insurer thiab tswj."
Bekhof Hotels, uas ua haujlwm raws li ib tug kws kho mob los ntawm qhov kev kho mob oath, summarizes nws txoj hauj lwm: "Nqa tawm ruaj kho los yog postponing zoo kho purely tawm ntawm cov nyiaj txiag txaus siab rau ib lub tsev kho mob no yeej tsis defensible. Nyob rau hauv tej rooj plaub, kuv tsis tau piav rau cov niam txiv txheem kuv nyob rau hauv tus kws kho mob lub chaw ua hauj lwm.. Nws yuav tsum yog lwm txoj kev nyob ib ncig ntawm: zoo thiab kev kho mob tuaj ua ntej. Thiab uas yog tus domain ntawm tus kws kho mob thiab tus neeg mob, Tshwj xeeb tshaj yog thaum nws tawm los paub tab paub xav thiab economical zov. Rau qhov yuav tshwm sim, tau kawg, peb yuav tsum nrhiav kev pab, Tab sis cov no yuav tsum tsis txhob preconditions. Uas yog tus txhaum nyob rau hauv lub kaw lus tam sim no."
tshwm sim: Kev kho rau hauv kev siv
Tswj tham txog cov teg num thiab nyiaj txiag implications nrog lub tsev kho mob lub ntsiab insurer, nyiaj hla. "Uas ib txwm yuav siv sij hawm ib pliag. Peb yuav muaj txheej txheem ntawm nws sai yog hais tias peb muaj peb cov ntaub ntawv thiaj li yuav. Thaum kawg, kuv pom zoo thiab peb yuav pib nrog nws.", qhia Rau Lublink. Los ntawm ib lwm cov tshuaj, Bekhof thiab nws khub kws kho mob tau pib nrog cov kev kho tshiab haum sai sai..
Cov tshooj lus kawm: Kev sib nrig sib misunderstanding ua rau unwanted qeeb
Bekhof thiab Lublink tau kawm tias cov friction ntawm ob foundives tau coj mus zoo.. Bekhof reflects: "Nws puv kom tau ib qho tseem ceeb heev kom sib tham sib. Tshwj xeeb tshaj yog hais tias koj khiav lag luam los ntawm ntau foupectives: kws kho mob, tswj, chaw kho mob." Lublink: "Cov tsis to taub vim peb tham sib txawv ntawm ntau theem, Thaum kawg coj mus ncua, Vim li ntawd cov me nyuam uas tsis tau txais qhov kev kho no. Uas yog tsis zoo."
"Rau sab substantive, peb kog puas tau muaj kev sib tham, Nyob rau hauv qhov no kuv mas ntseeg cov kws kho mob", Hais tias Lublink. "Kuv xav tau nyiam noj ntau lub sij hawm, Tam sim no nws ntes tau kuv tua khwb. Nyob rau hauv lub tsev kho mob complex, nws kuj nyuaj heev rau proceed sai. Nyiam: Qhov no yog lub tswv yim, Ntawm no yog cov hnub, wb ua nws. Qhov txawv ntawd: Peb yeej yuav tsum ceev faj tias tseem ceeb peripheral teeb meem inhibit innovation. Ces peb yuav tsum zaum ib ncig lub rooj rau fine-tune txoj kev ua hauj lwm."
Lub canyon – (ingrained qauv): Lub kaw lus kho mob muaj ib txoj qauv complex nyiaj txiag ntawm lub insurer xyoo., tus neeg mob thiab tus neeg mob. Yog tias muaj kev zoo thiab kho tau zoo dua, Nws tseem ceeb heev uas yuav tau koom tes nrog lub koom haum- Thiab lawv theem nkag mus rau hauv kev sib tham txog seb cov qauv no tseem yog txoj cai nyob rau hauv cov tam sim no muaj tshwm sim.
Phab ntsa tsis ncaj ncees lawm (Qhov kom zoo dua yog ib disadvantage rau lwm tus):
Phab ntsa tsis ncaj ncees lawm (Qhov kom zoo dua yog ib disadvantage rau lwm tus): Vim cov qauv nyiaj txiag ntawm lub tsev kho mob, nyiaj txiag kho muaj ib shortfall hauv pob nyiaj siv rau lwm cov txheej txheem ua ib tug tib neeg ncaj qha mus rau qhov yuav tshwm. Txawm li ntawd los, cov no yuav raug muab daws nyob rau hauv cov kev sib khom lus nrog lub insurer..
Tus ntxhw (Tag nrho yog ntau tshaj qhov summ ntawm nws qhov chaw): Cov neeg zov me nyuam feem ntau tau txais tus neeg mob foupective thiab strive kom tsis txhob muaj kev tu ntxiv. Tswj feem ntau yuav tau saib dua cov nyiaj txiag kev sib nrauj thiab saib cov teeb meem peripheral ntawm ib innovation. Tiam sis, Cov tsis muaj ib daim duab tag nrho cov koom haum complex xyuas kom meej tias cov spontaneous siv ntawm ib cov hlau lead ua rau tej teeb meem nyob rau hauv lub koom haum
Tus Einstein taw tes (soj ntsuam txog complexity): Thaum kho cov kev kho mob yuav nyob ntawm sib, Tej zaum nws yuav incomprehensible vim li cas ib txhia cov kev pab tu tseem muab qhov chaw. Bekhof tus pom tias ntshav qab zib yuav tiv thaiv tau kom tsis txhob muaj ib cov kua yooj yim yog cuam tshuam kev thauj, Tab sis zoo heev rau lub tsev kho mob thiab cov me nyuam mos lawv tus kheej.
