Ke koho ʻana i kahi kahu mālama mua
ʻO ka mea mālama mālama mua (PCP) kahi mea mālama ola e ʻike nei i ka poʻe i loaʻa nā pilikia olakino maʻamau. ʻO ke kauka pinepine kēia kanaka. Eia nō naʻe, he kōkua kauka paha kahi PCP a i ʻole he mea hana kahu. Pili pinepine kāu PCP i kāu mālama no ka wā lōʻihi. No laila, he mea nui e koho i kekahi me ʻoe e hana maikaʻi ai.
ʻO PCP kāu mea mālama ola nui i nā hanana pilikia ʻole. ʻO ka hana a kāu PCP i:
- Hāʻawi i ka pale pale a aʻo i nā koho nohona olakino
- E ʻike a mālama i nā kūlana olakino maʻamau
- Loiloi i ka wikiwiki o kāu mau pilikia olakino a kuhikuhi iā ʻoe i kahi ʻoi loa no kēlā mālama
- E hana i nā mea kuhikuhi i nā loea lapaʻau inā pono
Hoʻolako pinepine ʻia ka mālama mua ʻana i kahi hoʻonohonoho maʻi. Eia nō naʻe, inā ʻae ʻia ʻoe i ka haukapila, hiki i kāu PCP ke kōkua a kuhikuhi i kāu mālama, e like me nā kūlana.
Hiki i ka PCP ke hāʻawi iā ʻoe i kahi pilina hilinaʻi me ka hoʻomau me hoʻokahi loea olakino i ka manawa. Hiki iā ʻoe ke koho mai nā ʻano like ʻole o nā PCP:
- Nā mea hana ʻohana: ʻO nā kauka i hoʻopau i kahi noho hana ʻohana a hōʻoia ʻia i ka papa, a i ʻole hiki i ka papa, no kēia loea. ʻO ka laulā o kā lākou hana e pili ana i nā keiki a me nā mākua o nā makahiki āpau a hiki ke hoʻopili ʻia i nā obstetrics a me nā ʻoki liʻiliʻi.
- Kahuna Pediatric: Nā kauka i hoʻopau i kahi noho pediatric a hōʻoia ʻia i ka papa, a i ʻole hiki i ka papa, i kēia loea. ʻO ka laulā o kā lākou hana me ka mālama o nā keiki hānau hou, nā pēpē, nā keiki, a me nā ʻōpio.
- ʻO Geriatricians: Nā kauka i hoʻopau i kahi noho ma nā lāʻau ʻohana a i ʻole nā lāʻau i loko a ua hōʻoia ʻia e ka papa i kēia loea. Lawe pinepine lākou ma ke ʻano he PCP no nā mākua makua me nā pono olakino paʻakikī e pili ana i ka ʻelemakule.
- Nā Loulou: Nā kauka i hoʻopau i kahi noho i ka lāʻau kūloko a hōʻoia ʻia i ka papa, a i ʻole hiki i ka papa, i kēia loea. Loaʻa ka laulā o kā lākou hana i ka mālama ʻana o nā mākua o nā makahiki āpau no nā pilikia olakino like ʻole.
- Nā Obstetricians / gynecologists: Nā kauka i hoʻopau i kahi noho a hōʻoia ʻia i ka papa, a i ʻole hiki i ka papa, i kēia mākaukau. Hana pinepine lākou ma ke ʻano he PCP no nā wahine, ʻo ia hoʻi nā makahiki o ka hānau keiki ʻana.
- Nā kahu hana kahu maʻi (NP) a me nā mea kōkua kauka (PA): ʻO nā mea hoʻomaʻamaʻa e hele ma o ka hoʻomaʻamaʻa ʻokoʻa a me ke kaʻina hana hōʻoia ma mua o nā kauka. ʻO lākou paha kāu PCP i kekahi mau hana.
Hoʻolālā nā hoʻolālā ʻinikua he nui i nā mea hāʻawi hiki iā ʻoe ke koho mai, a i ʻole hāʻawi i nā hoʻoikaika kālā no kāu e koho ai mai kahi papa inoa kikoʻī o nā mea hāʻawi. E ʻike pono i ka uhi ʻana o kāu ʻinikua ma mua o ka hoʻomaka ʻana e hōʻemi i kāu mau koho.
Ke koho ʻana i kahi PCP, e noʻonoʻo pū i kēia mau mea:
- He ʻoluʻolu a kōkua paha nā limahana o ke keʻena? Maikaʻi ke keʻena e pili ana i ka hoʻihoʻi ʻana i nā kelepona?
- Kūpono anei nā hola keʻena i kāu papa kuhikuhi?
- Pehea ka maʻalahi e hiki i ka mea hāʻawi? Hoʻohana ka mea hāʻawi i ka leka uila?
- Makemake ʻoe i kahi mea nāna e hāʻawi a ʻoluʻolu, a mehana paha ke ʻano o ke ʻano o ke kamaʻilio ʻana.
- Makemake ʻoe i kahi mea hāʻawi i kau i ka mālama maʻi, a i ʻole ke olakino a me ka pale ʻana.
- Loaʻa i kahi mea hoʻolako i kahi ala conservative a i ʻole hakakā i ka lāʻau?
- Kauoha ka mea hāʻawi i nā hoʻokolohua he nui?
- Kuhi ka mea hāʻawi i nā loea ʻē aʻe pinepine a pinepine ʻole paha?
- He aha ka ʻōlelo a nā hoa hana a me nā mea maʻi e pili ana i ka mea hāʻawi?
- Kono ka mea hāʻawi iā ʻoe e komo i kāu mālama? ʻIke paha ka mea hāʻawi i kāu pilina hoʻomanawanui me he pilina maoli?
Hiki iā ʻoe ke kiʻi i nā mea kuhikuhi mai:
- Nā hoaaloha, nā hoalauna, a i ʻole nā ʻohana
- Nā hui olakino pae o ka mokuʻāina, nā hui hānai, a me nā hui no nā mea kōkua kauka
- ʻO kāu kauka niho, kauka lāʻau lapaʻau, optometrist, mea lawelawe mua, a i ʻole ʻoihana olakino ʻē aʻe
- Kōkua nui paha nā pūʻulu aʻoaʻo e ʻike i ka mea lawelawe ʻoi aku ka maikaʻi no kahi kūlana maʻi maʻamau a kīnā ʻole paha
- Nui nā hoʻolālā olakino, e like me nā HMO a i ʻole nā PPO, he mau pūnaewele, nā papa kuhikuhi, a i ʻole nā limahana lawelawe mea kūʻai aku e hiki ke kōkua iā ʻoe e koho i kahi PCP kūpono iā ʻoe.
ʻO kahi koho ʻē aʻe e noi i kahi koho e "ninaninau" i kahi mea hiki ke hāʻawi. ʻAʻole paha he kumukūʻai e hana ai i kēia, a i ʻole uku ʻia ʻoe i kahi uku uku a i ʻole uku liʻiliʻi ʻē aʻe. ʻO kekahi mau hana, e like me nā pūʻulu hoʻomaʻamaʻa pediatric, he hale ākea paha kahi e loaʻa ai iā ʻoe ka manawa kūpono e hui ai i kekahi o nā mea hoʻolako i kēlā hui.
Inā kū mai kahi pilikia mālama ola a ʻaʻohe ou mea lawelawe mua, i ka hapanui o nā hihia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i kahi mālama kūlohelohe ʻole mai kahi keʻena mālama koʻikoʻi ma mua o kahi keʻena pōpilikia haukapila. Mālama pinepine kēia iā ʻoe i kou manawa a me kāu kālā. I nā makahiki i hala aku nei, ua hoʻonui ka nui o nā lumi pilikia i kā lākou lawelawe e hoʻopili i ka mālama nui i loko o ka lumi pōpilikia ponoʻī a i ʻole kahi wahi e pili ana. E ʻike ai, e kelepona mua i ka haukapila.
Kauka ʻohana - pehea e koho ai i hoʻokahi; Mālama mālama mua - pehea e koho ai i hoʻokahi; Kauka - pehea e koho ai i kahi kauka ʻohana
- Hana pū ka mea maʻi a me ke kauka
- Nā ʻano o nā lawelawe mālama ola
ʻO Goldman L, Schafer AI. ʻO ke hoʻokokoke aku i ka lāʻau, ka mea hoʻomanawanui, a me ka ʻoihana olakino: ʻo ka lāʻau lapaʻau ma ke ʻano he ʻano aʻo a ʻoihana kanaka. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 1.
ʻO Rakel RE. Kauka ʻohana. I: Rakel RE, Rakel D. eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 1.
Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka. Ke koho ʻana i kahi kauka: ʻōlelo aʻoaʻo wikiwiki. health.gov/myhealthfinder/topics/doctor-visits/regular-checkups/choosing-doctor-quick-tips. Hoʻohou ʻia ʻOkakopa 14, 2020. Loaʻa iā ʻOkakopa 14, 2020.