Tšehetsa CHAD
Lintho tse tlang pele ho Leano

Bobuelli ba Federale

Lintho tsa Pele tsa Leano la Federale

Litsi tsa bophelo bo botle ba sechaba sa Dakotas le South Dakota Urban Indian Health li fane ka tlhokomelo ea mantlha, lits'ebeletso tsa bophelo bo botle ba boits'oaro, le tlhokomelo ea meno ho batho ba Dakota ba fetang 136,000 ka 2021. Li bonts'itse hore sechaba se ka ntlafatsa bophelo bo botle, sa fokotsa ho se lekane ho tsa bophelo bo botle, sa etsa chelete ea ho boloka lekhetho, le ho rarolla bothata ka nepo. mathata a mangata a bitsang chelete e ngata le a bohlokoa a bophelo bo botle ba sechaba, ho kenyeletsoa mafu a seoa a feberu le coronavirus, HIV/AIDS, mathata a tšebeliso ea lithethefatsi, ho shoa ha bakhachane, phihlello ea baokameli ba tlhokomelo, le likoluoa ​​tsa tlhaho. 

Ho ntšetsa pele mosebetsi le maikemisetso a bona a bohlokoa, litsi tsa bophelo bo botle li hloka phihlello e eketsehileng ea likhemisi bakeng sa bakuli ba sa hlokomelehang, tšehetso bakeng sa lits'ebeletso tsa thelefono tsa litsi tsa bophelo, matsete a basebetsi, le lichelete tse matla le tse tsitsitseng. Litsi tsa bophelo bo botle li batla ho tsoela pele ho sebetsa ka kopanelo le Congress ho rarolla mathata a latelang. 

Bobuelli ba North Dakota

Ho tšehetsa mosebetsi le thomo ea litsi tsa bophelo bo botle ba sechaba le ho sireletsa phihlello ea tlhokomelo ea bophelo bakeng sa batho bohle ba North Dakotan ke melao-motheo e bohareng ba boiteko ba bobuelli ba CHAD. Sehlopha sa rona se sebetsa 'moho le litho tsa litsi tsa bophelo bo botle le balekane ba tsa bophelo bo botle ho pholletsa le North Dakota ho beha leihlo melao, ho nts'etsapele maano a tlang pele, le ho kenya letsoho ho baetsi ba molao le liofisiri tse ling tsa naha le tsa lehae. CHAD e ikemiselitse ho etsa bonnete ba hore li-CHC le bakuli ba tsona li emetsoe nakong eohle ea ho etsa maano.

Lintho tse tlang pele ho Leano la North Dakota

Lekhotla la ketsamolao la North Dakota le kopana lilemo tse ling le tse ling tse peli Bismarck. Nakong ea seboka sa molao sa 2023, CHAD e ntse e sebetsa ho ntšetsa pele litabatabelo tsa maano bakeng sa litsi tsa bophelo bo botle ba sechaba le bakuli ba tsona. Lintho tse tlang pele li ne li kenyelletsa tšehetso ea phetoho ea litefo tsa Medicaid, matsete a mmuso a li-CHC, le ho atolosa melemo ea meno, basebeletsi ba bophelo bo botle ba sechaba, le matsete a tlhokomelo ea bana.

Phetoho ea Tefo ea Medicaid

North Dakota Medicaid le litsi tsa bophelo bo botle ba sechaba (CHCs) li na le sepheo se kopanetsoeng sa ho ntlafatsa liphello tsa bophelo bo botle bakeng sa bajalefa ba Medicaid. Re hloka mohlala oa tefo o tšehetsang mokhoa oa ho hlokomela tlhokomelo e pakoang ho ntlafatsa boleng le ho fokotsa litšenyehelo tsohle. Li-CHC li khothaletsa baetsi ba molao ho theha mofuta oa tefo oa Medicaid o latelang:

• E ts'ehetsa mefuta ea litšebeletso tsa boleng bo phahameng tse bontšitsoeng ho ntlafatsa liphello, ho kenyeletsa ho hokahanya ha tlhokomelo, ts'ehetso ea bophelo bo botle, thuso ka phetoho ea tlhokomelo, le tlhahlobo ea maemo a kotsi a sechaba ho etsa hore ho be le tšusumetso e matla ho litšebeletso tse hlokahalang tsa sechaba;
• E kenyelletsa mehato ea boleng e thehiloeng bopaking 'me e fana ka likhothatso tsa lichelete bakeng sa bafani ha lipakane tsa boleng le tšebeliso li fihletsoe;
• E tsamaellana le mefuta e teng ea ntlafatso ea litefo joalo ka lehae la bongaka le shebaneng le bakuli (PCMH) le Blue Cross Blue Shield ea lenaneo la BlueAlliance la North Dakota; le,
• E felisa karolo e hanyetsanang ea lenaneo la tsamaiso ea linyeoe tsa tlhokomelo ea mantlha e lebisang ho Medicaid ho hana litšebeletso tsa tlhokomelo ea mantlha tse hlokahalang (le tsa boleng bo phahameng). Ho hana hona joale ha Medicaid ho lefella litšebeletso tsa tlhokomelo ea mantlha ha mokuli a bona mofani eo Medicaid a sa e khethileng e le mofani oa bona oa tlhokomelo ea mantlha (PCP) e lebisa ho etela likamore tsa tšohanyetso tse sa hlokahaleng le tahlehelo e kholo ea lichelete bakeng sa CHC le ba bang ba lekang ho sebeletsa bakuli sechabeng.

meno

Litsi tsa bophelo bo botle ba sechaba li fana ka tlhokomelo e felletseng bakeng sa bakuli ho pholletsa le North Dakota, ho kenyeletsoa le tlhokomelo ea meno. Bopaki bo kopanya melomo e phetseng hantle le 'mele o phetseng hantle. Mohlala, phuputso ea 2017 ea batho ba nang le lefu la tsoekere e bonts'a hore litšenyehelo tsa bongaka li tlase ho $ 1,799 ho bakuli ba fumaneng tlhokomelo e nepahetseng ea bophelo bo botle ba molomo ho feta ba sa kang ba e fumana. Ho se koahele meno ka mokhoa o lekaneng ho ka fella ka ho etela kamoreng ea tšohanyetso, e leng se ka amang khatello ea mali hampe, taolo ea lefu la tsoekere le bophelo bo botle ba ho hema.

• Eketsa melemo ea meno ho bohle ba amohelang Medicaid ea North Dakota, ho kenyeletsoa le batho ba nang le katoloso ea Medicaid.

Matsete a Naha ho Litsi tsa Bophelo bo Botle ba Sechaba

Litsi tsa bophelo bo botle ba sechaba (CHCs) tse North Dakota li bapala karolo ea bohlokoa tsamaisong ea bophelo bo botle ea mmuso ea rona e sebeletsang bakuli ba fetang 36,000 ka selemo. Linaha tse mashome a mabeli a metso e robong hajoale li loketse lisebelisoa tsa mmuso ho li-CHC ho ts'ehetsa thomo ea tsona ea ho fana ka tlhokomelo ho batho ba sa fumaneheng le ba tlokotsing. North Dakota CHCs e ka thabela ho kenyelletsoa lethathamong lena.

Re u kopa ho nahana ka ho abela li-CHC tse limilione tse 2 ho lisebelisuoa tsa mmuso ho boloka le ho holisa bokhoni ba tsona ba ho sebeletsa batho ba tlokotsing le ba sa sireletsoeng seterekeng. Ba tla sebelisa lisebelisoa ho fihlela lipheo tse latelang:

• Fokotsa ketelo ea phaposi ea maemo a tšohanyetso le lipetlele bakeng sa bajalefa ba Medicaid le ba se nang inshorense;
• Tšehetsa sechaba se hlokahalang bakeng sa batho ba tlokotsing;
• Ho arabela liphephetso le likhaello tsa basebetsi;
• Etsa matsete a IT a bophelo bo botle a tšehetsang ntlafatso ea boleng; le,
• Hlōla litšitiso tsa bophelo bo botle metseng e sa bolokehang ho tšehetsa phihlello ea lijo tse phetseng hantle le matlo a theko e tlaase, ho boloka litšebeletso, phetolelo, lipalangoang le lits'ebeletso tse ling tse sa lefelloeng.

Basebeletsi ba Bophelo ba Sechaba

Basebeletsi ba tsa bophelo bo botle metseng (CHWs) ke basebeletsi ba tsa bophelo bo botle ba pele ba koetliso ba nang le likamano le sechaba le likamano ho sechaba seo ba se sebeletsang, ba sebetsang e le likatoloso tsa litšebeletso tsa bophelo bo botle sechabeng. Li-CHW li ka atolosa phihlello ea tlhokomelo ea bophelo Dakota Leboea, tsa fokotsa litšenyehelo tsa tlhokomelo ea bophelo, le ho ntlafatsa liphello tsa bophelo bo botle bakeng sa North Dakotas. Ha li kopantsoe le tlhokomelo ea mantlha ea bophelo bo botle, li-CHWs li ka ntlafatsa tlhokomelo ea sehlopha, e shebaneng le bakuli ka ho tlatsetsa mosebetsing oa litsebi tsa tlhokomelo ea bophelo. Li-CHW li thusa bafani ba tlhokomelo ea mantlha ho utloisisa mathata a sebele ao bareki ba tobanang le 'ona letsatsi le letsatsi. Ba ka thusa ho theha tšepo lipakeng tsa bakuli le lihlopha tsa bona tsa tlhokomelo ea bophelo ho rarolla mathata le ho fumana mokhoa oa ho kenya tšebetsong merero ea bona ea tlhokomelo ea bongaka.

Ha litsamaiso tsa bophelo bo botle li ntse li sebetsa ka maano a ho ntlafatsa sephetho sa bophelo bo botle, ho fokotsa litšenyehelo tsa tlhokomelo ea bophelo bo botle, le ho fokotsa ho se lekane ha bophelo bo botle, Dakota Leboea e ka nahana ka ho kenya ts'ebetsong melao ea ho theha mananeo a tsitsitseng a CHW.

• Theha lisebelisoa tsa ts'ehetso bakeng sa mananeo a CHW, ho sebetsana le boitsebiso ba setsebi, thuto le koetliso, melaoana, le puseletso ea thuso ea bongaka.

Tsetela ho Tlhokomelo ea Bana ho fana ka Tlhokomelo e Finyellehang, ea boleng bo holimo, le e theko e tlaase

Tlhokomelo ea bana, ehlile, ke karolo ea bohlokoa moruong o atlehileng. Phihlello ea tlhokomelo ea bana e theko e tlaase ke ea bohlokoa hore batsoali ba lule ba sebetsa le karolo ea bohlokoa ea ho thaotha basebetsi metseng ea rona. Ka karolelano, malapa a sebetsang North Dakota a sebelisa 13% ea tekanyetso ea malapa a bona ho hlokomela bana. Ka nako e ts'oanang, likhoebo tsa tlhokomelo ea bana li sokola ho lula li bulehile, 'me basebetsi ba tlhokomelo ea bana ba fumana $24,150 haeba ba sebetsa ka nako eohle, ba sa fetelle ka holim'a boemo ba bofuma bakeng sa lelapa la batho ba bararo.

• Ts'ehetsa meputso e ekelitsoeng bakeng sa basebetsi ba tlhokomelo ea bana, ho lokisa litataiso tsa chelete e kenang ho fa malapa a mangata thuso ea tlhokomelo ea bana, ho atolosa lithuso tsa ho tsitsisa tlhokomelo ea bana, le ho atolosa mananeo a ho Qala Hlooho le Mathomo a Pele a Hlooho.

South Dakota Advocacy

Ho tšehetsa mosebetsi le thomo ea litsi tsa bophelo bo botle le ho sireletsa phihlello ea tlhokomelo ea bophelo bakeng sa batho bohle ba South Dakota ke melao-motheo e bohareng ba boiteko ba bobuelli ba CHAD. Sehlopha sa rona se sebetsa 'moho le litho tsa litsi tsa bophelo bo botle le balekane ba tsa bophelo bo botle ho pholletsa le South Dakota ho beha leihlo melao, ho nts'etsapele lintho tse tlang pele ho maano, le ho kenyelletsa baetsi ba molao le liofisiri tse ling tsa naha le tsa lehae. CHAD e ikemiselitse ho etsa bonnete ba hore litsi tsa bophelo bo botle le bakuli ba tsona li emetsoe nakong eohle ea ho etsa maano.

Lintho tsa Pele tsa Leano la Dakota Boroa