Ukugunyazwa kwe I-HaurSare, ukunakekelwa kwezingane okudambisa ubuhlungu kanye nenethiwekhi yokunakekelwa kwezifo ezingapheli eyinkimbinkimbi yezwe laseBasqueLokhu kuphawula ukuguquka kokunakekelwa okunikezwa izingane nentsha enezifo ezingathi sÃna ezivimbela impilo noma ezisongela impilo. Kuhilela ukuhlelwa kabusha okujulile kwezinsiza ezikhona ngaphakathi kwe-Osakidetza ukuze kunikezwe uhlelo olufinyeleleka kalula, oluhlelekile, nolunobuntu.
Lesi sakhiwo esisha sihlose ukuqinisekisa ukuthi Imindeni inokufinyelela kokusekelwa okukhethekile amahora angama-24 ngosuku, izinsuku eziyi-7 ngesontoKokubili esibhedlela nasekhaya, inethiwekhi inikeza ukunakekelwa ngochwepheshe abaqeqeshwe ngokukhethekile ekunakekelweni kokwelapha izingane. Umgomo uwukuba izingane zithole ukunakekelwa okufanele kakhulu kuzo zonke izigaba zokugula kwazo, okuvimbela imindeni ukuthi izizwe yodwa noma ididekile phakathi nale nqubo ebucayi kakhulu.
Iyini i-HaurSare futhi kungani yadalwa?
UHaurSare wazalwa njengomuntu inethiwekhi ephelele yokunakekelwa kwezimo ezingapheli eziyinkimbinkimbi kanye nokunakekelwa kobuhlungu bezingane Iqhutshwa uMnyango Wezempilo kaHulumeni waseBasque kanye ne-Osakidetza (iBasque Health Service), lesi sinyathelo asiqali phansi: sihlela kabusha futhi siqinise umsebenzi osuvele wenziwa amaqembu amaningi ezingane kulo lonke umphakathi ozimele.
Imodeli entsha iphendula ezibophweni eziningana zangaphambilini, okuhlanganisa Isivumelwano Sezempilo saseBasque kanye noHlelo Lwesu Lokunakekelwa Kwezinhlungu Ezweni LaseBasqueUmqondo oyisisekelo ucacile: ukusuka kumadivayisi ahlukanisiwe uye kunethiwekhi echazwe kahle, enezinqubo ezifanayo kanye neziteshi zokuxhumana eziguquguqukayo phakathi kwamazinga okunakekelwa.
Eminyakeni yamuva nje, iphrofayili yeziguli zezingane ishintshile. Izingane eziningi ziyasinda ngezifo ezingathi sÃna, ezingamahlalakhona neziyinkimbinkimbi.Lokhu kusho isidingo esikhulu sokulandelela isikhathi eside, ukwesekwa kobuchwepheshe, ukunakekelwa ngokomzwelo, kanye nokuxhumana phakathi kwezinsizakalo zezempilo, ezenhlalo, kanye nezemfundo.
Izibalo zisiza ukuqonda ubukhulu benselelo: kulinganiselwa ukuthi Cishe u-6,8% wezingane unezifo ezingamahlalakhona eziyinkimbinkimbi Futhi ukuthi cishe izingane ezingu-90 kwezingu-10.000 ezidinga ukunakekelwa kokwelapha ubuhlungu. Nakuba ziyiqembu elincane, zingu-20% wabantu abalaliswa esibhedlela, abangaphezu kwengxenye yabantu abahlala e-ICU, kanye neningi labantu abashona esibhedlela kuleli qembu leminyaka.
Ngemuva kwalezi zinombolo kukhona Imindeni edinga ukwesekwa okuqhubekayo, izimpendulo ezisheshayo, kanye nohlelo olusebenza ngokupheleleI-HaurSare ihlose ukugcwalisa lezo zikhala ngqo: ukuthuthukisa ukuhlela, ukugwema ukuphindaphindeka, nokuqinisekisa ukuthi akekho oshiywa engenamuntu ngezikhathi ezibucayi. ukuntuleka kokunakekelwa kwezingane okudambisa ubuhlungu ekhaya.
Imodeli yokunakekelwa okuqhubekayo nokuxhumene
Indlela kaHaurSare isekelwe ku- "Ukuqhubeka kokunakekelwa" okuvumelana nesigaba sesifo kanye nezinga lobunzima bengane ngayinyeNgenxa yalokhu, kuzosetshenziswa amathuluzi okuhlola aqinisekisiwe, njengezikali ze-PaPas ne-PedCom, ezisiza ekutholeni ngokunembile izidingo zokunciphisa ubuhlungu kanye nobunzima bezokwelapha.
Kulolu hlelo, Ukunakekelwa okuyisisekelo kusalokhu kuyiyona nto eyinhloko yokuqaphaAmaqembu ezingane ezikhungweni zezempilo agcina indima yawo njengendawo eyinhloko yokubhekisela kuyo emindenini, kodwa manje azothola ukwesekwa okuqondile kwamaqembu ezibhedlela angochwepheshe ekunakekelweni kwezingane okudambisa ubuhlungu kanye nezimo eziyinkimbinkimbi ezingamahlalakhona.
Enye yezinguquko ezifanele kakhulu ukuthi Ikhaya manje selibhekwa njengendawo ebalulekile yokunakekelwa.Noma nini lapho kungenzeka ngokwezokwelapha futhi umndeni ufisa, kuzobekwa phambili ekuhlinzekeni ukunakekelwa ekhaya, ngisho nasezigabeni eziphambili zesifo noma ezinsukwini zokugcina zokuphila. ukunakekelwa kwezingane ekhaya ngeziqinisekiso zokuphepha kanye nokusekelwa kochwepheshe.
Ukuze kube lula ukufinyelela, imindeni ingaxhumana nathi ngokusebenzisa UMkhandlu Wezempilo kanye ne-Aringri Circuitngubani ozoba nesibopho sokusebenzisa ithimba lezingane elifanele kuye ngesimo. Lokhu kuhlose ukunikeza indawo ecacile yokungena, ukuvimbela abazali ukuthi bangene "efasiteleni kuya kwelinye" ngesikhathi esinzima kakade.
Imodeli ihlanganisa futhi onogada abangochwepheshe abangochwepheshe abatholakala ngesikhathi sokubiza ukuthi, uma kudingeka, kuzoshintsha kusuka ekunakekelweni ngocingo noma okuhleliwe kuye ekubeni khona ngokomzimba, ikakhulukazi ezimweni zezimpawu okunzima ukuzilawula, ezinsukwini zokugcina zokuphila noma eziphuthumayo zasekhaya.
Amaqembu ahlukahlukene ezibhedlela zokudlulisela
Ukuze inethiwekhi ibe namandla angempela, i-HaurSare ithembele ku- Amaqembu ezibhedlela ahlukahlukene atholakala eziNhlanganweni ezine zezeMpilo ezihlanganisiwe ezibhekiselwe kuzo eBasque Country: Isibhedlela saseCruces University, iSibhedlela saseNyuvesi i-Basurto, iSibhedlela saseDonostia University kanye neSibhedlela sase-Araba University.
Isikhungo ngasinye salezi sizoba ochwepheshe abangochwepheshe bezingane, ubuhlengikazi bezingane, isayensi yezengqondo, umsebenzi wezenhlalo kanye nabasebenzi bokuphatha, ozosebenza ngokubambisana nokunakekelwa okuyisisekelo kanye nezinsizakalo zokulaliswa esibhedlela kwezingane ekhaya lapho zikhona.
EBizkaia, iSibhedlela saseCruces University sizosebenza njenge iphuzu eliyinhloko lokubhekisela kwezifo eziyinkimbinkimbi zezinganeLokhu kuzosekela izinhlangano ezahlukene zezempilo esifundeni futhi kuqinise amandla azo okunakekelwa emakhaya. Isibhedlela saseBasurto University, ngokwaso, sizohlanganisa imitholampilo yaso yemikhakha eminingi yezingane ezinezidingo zokunakekelwa okudambisa ubuhlungu kanye nezimo eziyinkimbinkimbi ezingamahlalakhona, kanye nodokotela bezingane abengeziwe, abahlengikazi, kanye nezinsiza ezabiwe kwezengqondo kanye nomsebenzi wezenhlalo.
E-Gipuzkoa, i-Donostia University Hospital izokwandisa abasebenzi bayo ukuze yandise izinsizakalo zokunakekelwa kwasekhaya kanye nokusekelwa kwamaqembu okunakekelwa okuyisisekelo. Umqondo uwukuthi noma yimuphi umntwana onesifo esiyinkimbinkimbi angelashwa endaweni yakhe evamile ngokusekelwa esibhedlela uma kudingeka.
E-Araba, kuze kube manje, ukunakekelwa kwasekhaya okusiza izingane ezihluphekayo kuye kwancika kakhulu ku- amaqembu okunakekelwa kwabantu abadala abadambisa ubuhlungu kanye nase-Primary CareNge-HaurSare, kuhlelwe ukudalwa kwethimba lezingane elizinikele, okuhlanganisa odokotela bezingane, abahlengikazi, izazi zengqondo, izisebenzi zezenhlalakahle, kanye nabasebenzi bokusekela abaphathi, ngokubambisana nezinsizakalo zabantu abadala.
Umhlengikazi ophethe icala, ingxenye ebalulekile yenethiwekhi
Esinye sezici ezintsha kakhulu ze-HaurSare ukufakwa ngokusemthethweni kwe- Umhlengikazi ophethe amacala ezimweni eziyinkimbinkimbi ezingamahlalakhona kanye nokunakekelwa kwezingane okudambisa ubuhlunguLe ndima ibhekwa njengebalulekile ekuthuthukiseni ukubambisana phakathi kwezinsiza kanye nokunikeza ukunakekelwa okuqhubekayo kwangempela.
Laba ochwepheshe ochwepheshe bezokwelapha izingane kanye nokuqeqeshwa okuthuthukisiwe ekunakekelweni kobuhlunguabazothatha ubuholi ekuphatheni amacala ayinkimbinkimbi kakhulu. Imisebenzi yabo izofaka phakathi ukunakekelwa kwasekhaya okuthuthukisiwe, ukuxhumanisa ushintsho phakathi kwesibhedlela nekhaya, kanye nokusebenza njengebhuloho phakathi komndeni, isikole, izinsizakalo zomphakathi, kanye namaqembu ahlukahlukene ezempilo.
Esigabeni sayo sokuqala, inethiwekhi ihlela ukufaka Abahlengikazi abayi-16 abaphatha amacala basatshalaliswe ezindaweni ezahlukene zezempilo ezihlanganisiweikakhulukazi ekunakekelweni okuyisisekelo. Ngakho-ke iBasque Country izibeka njengenye yezindawo zokuqala eSifundazweni ukusabalalisa abahlengikazi bezingane abangochwepheshe ngendlela ehlelekile kuleli zinga lokunakekelwa.
Ngaphezu kwalaba bahlengikazi bomphakathi abangu-16, Ochwepheshe abaningi bobuhlengikazi bezingane bazojoyina izibhedlela, abazosebenza ngendlela ehlelekile namaqembu ewadi, amayunithi okulaliswa esibhedlela emakhaya kanye nezinsizakalo eziphuthumayo zezingane uma isimo sidinga lokho.
Lokhu kuzibophezela ekunakekeleni abahlengikazi abakhethekile kuhlose imindeni inomuntu ocacile obhekisela kuye, owazi kahle icala labo, uhamba nabo kulo lonke inqubo futhi enze kube lula ukufinyelela ezinsizeni ezahlukahlukene ezitholakalayo ngaphandle kokuba baphinde baxoxe indaba yabo ngokuphindaphindiwe.
Ukusekelwa ngokomzwelo, ukuqeqeshwa kanye nendlela yokuxhumana nabantu
I-HaurSare ayigcini nje emkhakheni wezokwelapha kuphela. Kusukela ekuqaleni, inhloso bekuwukuhlinzeka indawo ethile yokusekelwa ngokomzwelo kanye nosizo lokulahlekelwa, kokubili iziguli nemindeni yazo kanye nochwepheshe bezempilo ngokwabo.
Umklamo wenethiwekhi ucabanga ukuthi, ukunakekelwa kobuhlungu bezingane kanye nosizi lokubelethaKufanele kube nodokotela wengqondo oyedwa oqokiwe eBizkaia naseGipuzkoa, ngaphezu kokunakekelwa okwabiwe namayunithi okunakekelwa kwabantu abadala abadambisa ubuhlungu e-Araba. Uhlelo luwukuqinisa kancane kancane lezi zinsizakusebenza zengqondo nezomphakathi njengoba izidingo zangempela zihlolwa.
Esinye isisekelo sale phrojekthi yi- ukuqeqeshwa okuhlelekile kochwepheshe abathintekayoUhlelo lohambo olunezigaba ezintathu—oluyisisekelo, oluphakathi, noluthuthukisiwe—luklanyelwe ukuze bonke ochwepheshe bezempilo abahlanganyela kule nethiwekhi babe namakhono akamuva ekuphatheni ubuhlungu, ukulawula izimpawu, ukuxhumana nemindeni, ukwesekwa kokushonelwa, kanye nokuxhumana phakathi kochwepheshe.
Inethiwekhi futhi ifaka phakathi ngokucacile impilo yomphakathi kanye nokubambisanaKukhuthazwa ukubamba iqhaza kweziguli nemindeni ekuhloleni ukusebenza kwe-HaurSare kanye nokubeka phambili ukuthuthukiswa. Ngaphezu kwalokho, le phrojekthi ihambisana nezinhlelo zaseYurophu ezifana ne-Hope4Kids, ezihlose ukwabelana ngolwazi kanye nemikhuba emihle yokunakekelwa kwezingane ezidambisa ubuhlungu.
Ngesikhathi esifanayo, kuhlelwe ukuthi kuthuthukiswe amaphrojekthi ocwaningo lwenhlangano kanye nokusungula izinto ezintsha okuvumela ukulinganisa imiphumela, ukubona ubuthakathaka, nokulungisa izinsiza. Umqondo uwukuthi inethiwekhi akufanele ibe eqinile, kodwa ibe uhlelo oluphilayo, olukwazi ukuzivumelanisa nokuguquka kwezidingo nolwazi lwesayensi.
Ukuthunyelwa okuqhubekayo kanye nokuthuthukiswa kwezinsizakusebenza
Ukuqaliswa kwe-HaurSare ngeke kwenzeke ngobusuku obubodwa. Kuhlelwe njenge- ukuthunyelwa okuqhubekayo ngokufakwa okuhlukahlukene kochwepheshe kanye nezinsizakusebenza ezibonakalayo, kuhambisana nokuhlolwa okuqhubekayo ukuze kulungiswe inethiwekhi ukuze ivumelane neqiniso lendawo ngayinye.
Esigabeni sokuqala, ngaphezu kwabahlengikazi abangu-16 abaphethe amacala e-Primary Care, okulandelayo kuhlelwe: ukwengezwa kwabahlengikazi bezingane basesibhedlela, odokotela bezingane abayisithupha basesibhedlela kanye nodokotela wezingane oxhumanisayokanye nodokotela wezifo zengqondo, abasebenzi bezenhlalakahle, kanye nabasebenzi bokusekela abaphathi. Sekukonke, ochwepheshe abaningana abaxhumene ngqo neHaurSare bazojoyina iqembu.
Ngale mishini, umgomo ukukwazi isiqinisekiso sokunakekelwa okuqhubekayo okungu-24/7 kuyo yonke indawoLokhu kufaka phakathi ukunakekelwa kwasekhaya, ngamaqembu odokotela nabahlengikazi abanolwazi ekunakekelweni kwezingane okudambisa ubuhlungu. Uma isimo sidinga lokho, la maqembu angaya ekhaya lesiguli ukuze anikeze ukunakekelwa okuphuthumayo noma okuyinkimbinkimbi kakhulu.
Kuyo yonke inqubo, bazokwenza Ukuhlola kabusha izidingo zengqondo kanye nomsebenzi wezenhlaloNgenhloso yokwandisa lezi zinsiza uma kutholakala ukuthi umthwalo ongokomzwelo nowezenhlalo emindenini uyawudinga. Umqondo oyisisekelo uwukuthi ukwesekwa akufanele kukhawulelwe esigabeni esibucayi, kodwa kufanele kumboze yonke inkambo yokugula ngisho nesikhathi esilandela ukufa.
Iziphathimandla zezempilo zigcizelele ukuthi i-HaurSare Akugcini nje ngokuhlela kabusha insizakalo, kodwa futhi kukhuthaza indlela ehlukile yokuqonda impilo yomphakathi: okusondelene, okulinganayo futhi okugxile kakhulu eqinisweni leziguli zezingane ezinobunzima obukhulu kanye nezindawo zazo zomndeni.
Ngokudalwa kweHaurSare, i-Euskadi ithatha isinyathelo esibalulekile esiya inethiwekhi yokunakekelwa kwezingane ezidambisa ubuhlungu ehlelekile, efinyelelekayo nenomusaKulolu hlelo, ukunakekelwa okuyisisekelo, izibhedlela, kanye nokunakekelwa kwasekhaya kusebenza njengezingxenye ezibalulekile zohlelo olulodwa. Ukuhlanganiswa kwamaqembu ahlukahlukene, abahlengikazi abaphatha amacala, ukwesekwa kwengqondo, kanye nokuqeqeshwa okukhethekile kuhlose ukuqinisekisa ukuthi yonke ingane noma intsha enesifo esibi ithola ukunakekelwa okufanele, ngesikhathi esifanele nasendaweni efanele, ngokusekelwa okuseduze kokubili ngokwezokwelapha nangokomzwelo.
