La Isivumelwano sikadokotela se-MUFACE sikagesi Sekuyinto eyenzeka nsuku zonke ezinkulungwaneni zabasebenzi bakahulumeni eCastile naseLeón, abashiya amaphedi kadokotela amaphepha futhi manje sebengakwazi ukuthola imithi yabo ngekhadi labo lomshuwalense wezempilo. Ukuqaliswa koHlelo Oluhlanganisiwe Lwemithi Kadokotela Lwe-MUFACE (SIREM) kuphawula uguquko ezinkonzweni zemithi kubasebenzi bakahulumeni.
Lokhu kuthunyelwa kumelela isinyathelo esibalulekile esiya phambili emphakathini one abantu asebekhulile, izindawo zasemakhaya ezinkulu kanye namabanga amadeKulezi zindawo, noma iyiphi inqubo yokunakekelwa kwempilo ehilela ukuhamba ingenza impilo yansuku zonke ibe nzima kakhulu. Ukwenza imithi kadokotela ibe yidijithali kanye nokusabalalisa imithi kube lula ukwenza izinqubo, kuthuthukisa ukuphepha, futhi kusondeza ukusebenza kwabahlinzeki bezempilo abazimele eduze nemodeli esungulwe ngaphakathi kohlelo lomphakathi.
Ukusebenza okuvamile kwe-SIREM eCastile naseLeón
Kusukela ngomhlaka-7 kuMbasa, i-MUFACE Comprehensive Electronic Prescription System, eyaziwa ngokuthi I-SIREMItholakala kumalungu anenketho exoxiswane ngayo ezifundazweni eziyisishiyagalolunye zaseCastile naseLeón: i-Ávila, iBurgos, iLeón, iPalencia, iSalamanca, iSegovia, iSoria, iValladolid, kanye neZamora. Sekukonke, [inani] labantu liyazuza. Amalungu angu-68.680 akhethe usizo ngezinhlangano zomshuwalense, kokubili abanikazi kanye nabazuzi.
Inkampani yomshuwalense ohlangene igcizelele ukuthi lokhu kuqaliswa akugcini nje ngokuthuthuka kwezobuchwepheshe, kodwa futhi kuyisinyathelo esibalulekile maqondana ukuhlanganiswa kwamalungelo phakathi kwalabo abakhetha ukunakekelwa kwezempilo komphakathi nalabo abakhetha izinhlangano ezinenkontilekaKuze kube manje, owokuqala wayesevele enemithi kadokotela esebenza ngogesi kulo lonke isifunda, kanti omunye wawo wasasebenzisa iphepha.
Uhlelo luvumela incwadi kadokotela, i-visa uma kudingeka, kanye nokunikezwa kwemithi ekhemisi Zihlanganiswe ohlelweni olulodwa lwedijithali. Ilungu lidinga kuphela ukuvakashela udokotela walo ngaphakathi kwenethiwekhi yalo bese liya kunoma yiliphi ikhemisi nekhadi lalo lomshuwalense wezempilo ukuze lithole imithi ebhalwe ngudokotela.
Ukususa i-physical prescription pad kunciphisa ukuvakashela amahhovisi e-MUFACE, kugwema ukuqoqwa kwezincwadi zemithi ngezikhathi ezithile, futhi kunciphisa umthwalo wehhovisi labasebenzisi kanye nochwepheshe bezempilo abahilelekile kule nqubo.
Umthelela oqondile ezifundazweni zasemakhaya kanye nasezindaweni ezigugile
Emphakathini ophawulwa yi- ukusabalala kwezindawo kanye nephesenti eliphezulu labantu abangaphezu kweminyaka engama-65 ubudalaUhlelo lwemithi kadokotela olusebenzisa ubuchwepheshe lunokusetshenziswa okuwusizo kakhulu. ECastile naseLeón, cishe amalungu angu-40,5% ezinkampani zomshuwalense ezihlangene angaphezulu kwaleyo minyaka, iqembu elivame ukuvakashela ikhemisi futhi kuze kube manje lithwele umthwalo owengeziwe wezinqubo zokwelashwa mathupha.
Isifundazwe saseSoria siyisibonelo esicacile sendlela lolu shintsho oluthinta ngayo impilo yansuku zonke. Lapho, ukusetshenziswa kohlelo kufinyelela Amalungu angu-2.975 axhumene nezinhlangano ezivunyelwene nazoababesasebenzisa imithi kadokotela ephepheni. Leli qembu lijoyina amalungu ayi-1.741 ayesevele ekhethe ukunakekelwa kwezempilo komphakathi futhi ayenemithi kadokotela kagesi ngaphambilini, okwenza isamba sesifundazwe sibe amalungu angu-4.716.
Iphrofayili kaSoria ibonakalisa ngokunembile iqiniso lomphakathi: eduze Ama-35% amalungu omshwalense ohlangene eSoria aneminyaka engaphezu kwengu-65 ubudala Futhi ingxenye enkulu yabo ihlala ngaphandle kwenhloko-dolobha. Kulaba bantu, ukwenza imithi ibe yedijithali kunciphisa ukuhamba, konga isikhathi, futhi kunciphisa ukuthembela kwabo ezinqubweni zokuvuselela ukwelashwa noma ukucubungula ama-visa.
EBurgos, umphumela wendawo nawo ubalulekile. Kumakhemisi angu-195 esifundazweni, Ezingu-112 zitholakala ngaphandle kwenhloko-dolobhaEziningi zalezi zindawo zisemadolobheni amancane anabantu abaningi asebekhulile. Kulesi simo, uhlelo lwemithi olusebenzisa ubuchwepheshe luvumela abasebenzisi ukuthi bathole imithi yabo ngaphandle kokuya edolobheni noma endlunkulu yesifundazwe i-MUFACE ukuyoxazulula izinkinga zokuphatha.
EPalencia, uhlelo olusha lukhonza iqembu elidlula Amalungu angu-4.000 ezinkampani zomshuwalense ezihlangene abhalise ohlelweni lwezempilo oluvunyelwene ngaloKubantu abangaphezu kuka-6.500, abangaphezu kuka-63% beqembu lesifundazwe bakhethe izinkampani zomshuwalense ezizimele kunesistimu yomphakathi, kanti abangaphezu kwengxenye yabanikazi bamapholisi (cishe abangu-56%) baneminyaka engaphezu kuka-65 ubudala. Lesi esinye isifunda lapho amabanga nobudala kwenza noma yikuphi ukulula kwezinqubo kube yinto ebaluleke kakhulu.
Izibalo ezibalulekile ngesifundazwe: i-Soria, i-Palencia, i-Burgos, i-Valladolid ne-Ávila
Ukusebenza kwe-SIREM eCastile naseLeón kuye kwabonakala ngezenzo ezingokomfanekiso ku amakhemisi ezinhloko-dolobha ezahlukene zezifundazwe, lapho izinqubo zokuqala ze-elekthronikhi zenziwe phambi kwabameleli bezikhungo, izinhlangano zobungcweti kanye nabasebenzisanayo.
En SoriaIPhini Likahulumeni, uMiguel Latorre, ube khona emhlanganweni wokuqala wokwabiwa kwe-elekthronikhi kwamalungu ezinkampani zomshuwalense ezihlangene ezixhumene nohlelo. Lapho, abangu-2.334 bangamalungu ayinhloko kanti abangu-641 bangabazuzi, bonke manje abahlanganiswe nohlelo lwedijithali. Ukuqaliswa kuhlanganiswe phakathi koMqondisi Jikelele we-MUFACE (inkampani yomshuwalense ehlangene yabasebenzi bakahulumeni), i-Provincial Service, iKolishi Labasokhemisi, umphakathi wezokwelapha, kanye nezinkampani zomshuwalense i-ASISA ne-ADESLAS.
En I-PalenciaUhlelo lokunikezwa kwemithi kadokotela ngogesi lwaqalwa ekhemisi enhloko-dolobha ngokubamba iqhaza kwePhini likaHulumeni, u-Eduardo Santiago, kanye noMqondisi Wesifundazwe we-MUFACE (isikhwama somshuwalense wezisebenzi zikahulumeni), uYolanda Santos Retuerto. Lokhu kuqaliswa kuzuzisa amalungu angu-4.195 ngenketho evunyelwene ngayo, kwamalungu angu-6.579 esifundazweni. Abasebenzisi manje sebengathola imithi kunoma yiliphi ikhemisi besebenzisa amakhadi abo ezempilo kuphela, ngaphandle kokudinga amaphedi kadokotela.
En BurgosUhlelo lwe-SIREM seluqalile ukusebenza kumalungu angu-5.954 anezinhlelo zomshuwalense wezempilo ezizimele—abanikazi bepholisi abangu-4.841 kanye nabantu abaxhomeke ku-1.113—kumalungu angu-9.069 kanye nabantu abancike ku-2.440 abaxhumene ne-MUFACE. Ukwethulwa kwenzeke ekhemisi edolobheni, ngokubamba iqhaza kwePhini likaNgqongqoshe Kahulumeni, uPedro de la Fuente; uMqondisi Wesifundazwe, uMaría Luisa Gonzalo; kanye noMongameli weKolishi Elisemthethweni Lamakhemisi laseBurgos, uRodrigo Moral.
En ValladolidUkwethulwa kwalolu hlelo kuye kwaphawula nokushiywa ngokuphelele kwezincwadi zokuhlola zamaphepha. Amalungu angu-12.900 ahlanganyelwe akhonza izinhlangano ezizimele I-Asisa ne-Sanitas—ngaphakathi kohlaka lohlelo lokunakekelwa kwempilo oluxhaswe nguhulumeni—manje sebeqoqa imithi yabo ngemithi kadokotela kagesi. Kulinganiselwa ukuthi cishe imithi kadokotela engu-320.000 yakhishwa esifundazweni ngonyaka odlule, lapho i-MUFACE yaxhasa cishe u-70% wezindleko, okuyisibalo esizophathwa ngokuphelele ngedijithali.
En AvilaUhlelo lwe-MUFACE lokunikeza imithi ngogesi lwembulwe emcimbini obuhanjelwe yiPhini likaHulumeni, uFernando Galeano; uMqondisi Wesifundazwe we-MUFACE, uManuel Galán; kanye nomongameli bamaKolishi Osokhemisi Nodokotela, uMarta Terciado noBegoña Sahagún. Kumalungu acishe abe ngu-20.400 esifundazweni, Cishe abantu abayi-15.500 bazosebenzisa uhlelo olusha, kusalindwe ukuphothulwa kwezivumelwano ezithile zamaButho Ezokuphepha Kahulumeni kanye namaQembu kanye nokuphathwa koBulungiswa.
Izinzuzo zamalungu ahlangene, odokotela kanye nosokhemisi
Uhlelo lwe-MUFACE lwemithi kadokotela olusebenzisa ubuchwepheshe lunikeza izinzuzo eziningana ezizuzisa amalungu kanye nochwepheshe bezempilo. Kubasebenzisi, inzuzo ebonakala kakhulu yi- ukusebenziseka kalula kanye nokunciphisa izinqubo zokuhlangana mathuphaUmuntu udinga ukuya kudokotela wakhe enkampanini evunyelwene ngayo kuphela nekhadi lakhe lezempilo; umuthi kadokotela uqoshwa ohlelweni futhi amakhemisi angawufinyelela ngesikhathi sokukhipha umuthi.
Uma kwenzeka iziguli ezingamahlalakhona, leli thuluzi livumela ukunciphisa imvamisa yokuvakasha okuhloselwe ukuvuselela imithi kadokotela kuphelaUkwelashwa okuningi kwesikhathi eside kuhlelwe futhi kuvuselelwa ngendlela ehlelekile, okukhulula isikhathi sesiguli kanye nochwepheshe wezempilo osilaphayo.
Kodokotela, ukuba nohlelo lwedijithali kubanikeza umbono ophelele ngokwelashwa kwezidakamizwa okuyinto isiguli ngasinye esiyilandelayo. Bangahlola kalula ukuthi yimuphi umuthi osebenzayo, bagweme ukuphindaphindwa, futhi balungise umuthi kadokotela ngokuhlakanipha, okukhuthaza ukusetshenziswa kwemithi okunengqondo kakhudlwana.
Emakhemisi, inqubo yokukhipha imithi iyanda ukuqina, ukuphepha, kanye nokuqinisekiswaImithi kadokotela kagesi inciphisa amathuba okuba namaphutha ahlobene nokufunda ngesandla noma ukugcwalisa imithi kadokotela ephepheni futhi inciphise ingozi yokulahlekelwa noma ukukhwabanisa okungenzeka. Abanye osokhemisi bagcizelele ukuthi, njengoba kunjalo ngohlelo lwemithi kadokotela kagesi ohlelweni lokunakekelwa kwempilo yomphakathi, lolu hlelo luvimbela ukukhishwa kwemithi enomthamo noma ukwakheka okuhlukile kunokwakunqunywe.
Ngaphezu kwalokho, umuthi we-elektroniki usiza ekwenzeni ukusimama kwemvelo kanye nokwenza lula ukuphathaKunciphisa ukusetshenziswa kakhulu kwephepha, kugwema ukuthunyelwa kwezincwadi zamarisidi, futhi kunciphisa imisebenzi kahulumeni yamahhovisi e-MUFACE. Lokhu konga isikhathi kuvumela izinsiza ezengeziwe ukuthi zabelwe ukuqondisa insizakalo yamalungu.
Ukusebenzisana kanye nokumbozwa ngaphandle komphakathi
Esinye sezici ezivelele ze-SIREM ukuthi ukusebenzisana phakathi kwemiphakathi ezimeleIlungu le-MUFACE elihlala eSoria, eBurgos noma ePalencia lingathatha imithi yalo kunoma yiliphi ikhemisi emiphakathini lapho uhlelo lwemithi olusebenzisa i-elekthronikhi seluvele lusebenza khona, lisebenzisa njalo ikhadi lezempilo lenhlangano yalo enkontileka.
Ngesikhathi sokufakwa kweCastile neLeón, uhlelo lwase lusebenza kakade e- Imiphakathi eyi-15 ezizimele kanye namadolobha amabili ezizimeleI-Aragon, i-Asturias, iziQhingi zaseBalearic, iziQhingi zaseCanary, iCantabria, iCastile-La Mancha, uMphakathi waseMadrid, uMphakathi waseValencian, i-Extremadura, iGalicia, iLa Rioja, iMurcia, iNavarre, iBasque Country, kanye namadolobha aseCeuta naseMelilla. NgeCastile naseLeón, uhlelo lwe-electronic prescription manje selufinyelela amalungu angaphezu kuka-600.000 ezweni lonke.
Lokhu kusebenzelana kuwusizo ikakhulukazi ngezikhathi zeholide noma uhambo ngenxa yezizathu zomsebenzi nezomndeni. Ilungu lenkampani yomshuwalense ehlangene eCastile naseLeón elichitha ihlobo ogwini lwaseMedithera noma kwesinye isifunda elinesistimu ye-SIREM esebenzayo lingaqhubeka nokusebenzisa umshwalense walo. ukufinyelela ekwelashweni kwabo okuvamile ngaphandle kwesidingo sokuqedela izinqubo ezengeziwe noma ukushintsha izinhlelo.
Ukwandiswa kwendawo yemithi kadokotela kagesi kubhekwa njengensika ye ukuqhubeka kokunakekelwaLokhu kuqinisekisa ukuthi ukwelashwa ngemithi akuphazanyiswa izinguquko zesikhashana endaweni yesiguli. Ukubambisana phakathi kwe-MUFACE, izinsizakalo zezempilo zesifunda, kanye nezinkampani zomshuwalense kube yisihluthulelo ekufinyeleleni leli zinga lokuhlanganiswa.
Izinhlangano zemithi zigcizelela nokuthi inethiwekhi yamakhemisi omphakathi—eCastile naseLeón ehlanganisa abantu abangafika ku-92% komasipala bayo—iyisihluthulelo sokwenza lokhu kusebenzelana kusebenze nsuku zonke, kokubili ezindaweni zasemadolobheni nezasemakhaya. izindawo zasemakhaya ezinobuningi babantu obuphansi.
Ukuhlukana kwedijithali, izinselele zokusetshenziswa kanye nokuzivumelanisa nezimo kwabantu abadala
Naphezu kwezinzuzo eziqashelwa kabanzi, ukusetshenziswa kohlelo lwemithi oluvunyelwene ngalo nge-elekthronikhi kunezinselele zalo. izinselele ezihambisana nokuhlukana kwedijithaliikakhulukazi phakathi kwabantu asebekhulile. Amanye amalungu ezinkampani zomshuwalense ezihlangene aveze ukuthi, kubantu asebekhulile, abajwayele amasheke angokoqobo, ushintsho lungase lube nzima ekuqaleni.
Abamele amaqembu ezinhlangano zomphakathi babonise ukuthi leli thuluzi elisha "Ifika sekwephuzile uma iqhathaniswa neminye imiphakathiBaphawule ukuthi ukuqaliswa kokuqala kwenzeka eCantabria ngo-2020 nokuthi iCastile neLeón bajoyina eminyakeni eyisithupha kamuva. Noma kunjalo, bayavuma ukuthi uhlelo lumelela "isinyathelo esikhulu phambili" seziguli ezingamahlalakhona kanye nalabo abahlala ezindaweni zasemakhaya, lapho uhambo ngalunye olwengeziwe lubiza khona izindleko eziphakeme.
I-MUFACE iyavuma ukuthi amakhono edijithali abasebenzisi Lezi zici zithonye ijubane lokusetshenziswa kanye nezinga lokusetshenziswa okuphumelelayo kwezinye izifunda. Kulokhu, kugcizelelwe isidingo sokwazisa, ukuqondisa, nokusekela amalungu amadala, ikakhulukazi, ngesikhathi soguquko.
Empeleni, kuhlelwe isigaba lapho ezinye iziguli zizohlanganisa khona okwesikhashana ukwesekwa kwedijithali nokwephepha ngenkathi zijwayelana nohlelo olusha. Odokotela, amakhemisi, kanye nomhlinzeki womshuwalense wezempilo ngokwabo kulindeleke ukuthi badlale indima yokusekela nechazayo, baqinisekise ukuthi akekho oshiywa ngemuva ngenxa yokuntuleka kwamakhono obuchwepheshe.
Kuye kwaphakanyiswa nezinkinga emkhakheni wezokwelapha. izimo zokuqinisekisa ukuthi uhlelo alukhiqizi izikhulu ezengeziweIzinhlangano zezokwelapha zifune ukuthi amathuluzi edijithali azinze, abe neziqinisekiso zobuchwepheshe ezanele, futhi ahambisane nokuqeqeshwa okwanele, ukuze akhulule isikhathi sokunakekelwa kwezokwelapha futhi angasisebenzisi emisebenzini yokuphatha.
Ukubambisana kwezikhungo kanye nohlaka lokuphatha ngokubambisana
Ukuqaliswa kohlelo lwe-MUFACE oluvunyelwene ngalo ngomuthi we-elektroniki kuwumphumela we- ukubambisana okuqhubekayo phakathi kwabadlali abaningiUmqondisi Jikelele wenkampani yomshuwalense ohlangene, uMnyango wayo Wezinzuzo Zezempilo kanye neyunithi yobuchwepheshe bakhuthaze lo msebenzi ngokusekelwa yi-Spanish Agency for Digital Administration.
Ezingeni lendawo, izinsizakalo zesifundazwe ze-MUFACE zigcine ukubambisana ne- Amakolishi Asemthethweni Osokhemisi Nodokotelakanye nezinkampani zomshuwalense ezivunyelwene ngazo. ECastile naseLeón, i-ASISA kanye neSegurCaixa Adeslas bangabahlanganyeli abavelele, kanye nezinye izinhlangano ezisayine iSivumelwano Sokunakekelwa Kwezempilo sika-2025-2027.
Imithi kadokotela evunyelwene ngayo ihloselwe izikhulu ezihlanganiswe nokuphatha ngokubambisana abakhethe abahlinzeki bezempilo abazimele esikhundleni sohlelo lukahulumeni. Lokhu kufaka phakathi abanikazi bomshwalense kanye nabazuzi abasebenzisa ochwepheshe bezokwelapha abangaphakathi kwalaba bahlinzeki.
Ukuhlanganiswa kwezikhungo kuhlanganisa futhi iseluleko esijwayelekile esivela emakolishi ezokwelapha kanye nemithikanye nezinhlangano zobungcweti zesifunda. ECastile naseLeón, izinhlangano zosokhemisi zigcizelele ukuzibophezela kwazo emisha kanye nekhwalithi yokunakekelwa, zigqamisa indima yamakhemisi omphakathi njengendawo yokufinyelela ekunakekelweni kwezempilo, ikakhulukazi ezindaweni zasemakhaya.
Izinhlangano zezokwelapha zincome intuthuko emele lokhu ukususwa kwemithetho yokubonisanaImithi kadokotela kagesi ibavumela ukuthi banikele isikhathi esiningi sokuqondisa ukunakekelwa kweziguli futhi banikele kancane emisebenzini yemishini njengokugcwalisa amaphedi kadokotela, uma nje amathuluzi ekhompyutha ezinzile futhi kulula ukuwasebenzisa.
Imodeli ye-digital kadokotela ekhula kulo lonke elaseSpain
Ngokwengeza uCastile noLeón, i-MUFACE isondela ekuqedeni imephu kazwelonke yemithi kadokotela evunyelwene ngayoNgaphambi kokufika kwalo emphakathini, uhlelo lwaluvele lusebenza emiphakathini ezimele engu-15 nasemadolobheni aseCeuta naseMelilla, luhlanganisa abantu abangaphezu kuka-600.000 abazuzayo.
Inkampani yomshuwalense ohlangene izibekele umgomo wokuqeda ukuqaliswa kwalokhu Imiphakathi emikhulu elindile, i-Andalusia ne-CataloniaEzinyangeni ezizayo, ukuqaliswa kuzoqedwa ngaphambi kokuphela kuka-2026. Ngesikhathi esifanayo, inhloso ukwandisa ukusetshenziswa ngempumelelo kwaleli thuluzi phakathi kwamalungu, kusukela ekusetshenzisweni okungu-20% kwezinye izifunda kuya emazingeni aseduze no-80% ngamaqembu omsebenzi ahlukahlukene.
Kusukela yaqalwa ngo-2020, uhlelo lwemithi oluvunyelwene ngalo ngogesi selubhalise ngaphezu kwalokhu Imithi kadokotela eyizigidi ezingu-1,7 kanye nemithetho ecishe ibe yizigidi ezineLezi zibalo zibonisa ukuhlanganiswa okuqhubekayo kwale modeli. Kuyisibonelo sokubambisana komphakathi nezizimele emkhakheni wezokunakekelwa kwempilo, okuhlanganisa uhulumeni ophakathi, izinhlangano zobungcweti, kanye nezinkampani zomshuwalense.
Nakuba ukuqaliswa kuqhubeka, ulwazi lwemiphakathi efana neCantabria, iGalicia, iCastilla-La Mancha noma iCommunity of Madrid, ebilokhu isebenzisa uhlelo isikhathi esithile, lusebenza njengenkomba yokulungisa izinqubo, ukuxazulula izehlakalo nokuthuthukisa ulwazi lomsebenzisi kokubili kochwepheshe kanye neziguli.
Ngokunwetshwa kwe-SIREM eCastile naseLeón, Uhlelo lwe-electronic prescription lwe-MUFACE luhlanganisa isikhundla salo njengengxenye ebalulekile yokuguqulwa kwedijithali kwezinsizakalo zemithi ohlelweni lokubambisana komphakathi nezizimele. Lolu shintsho luqeda amaphepha, lunciphisa ukuhamba, luthuthukisa ukuphepha nokulandeleka kokwelashwa, futhi luqinisa ukuqhubeka kokunakekelwa, ikakhulukazi ezindaweni zokuguga nezindawo ezinabantu abambalwa, lapho inqubo ngayinye elula imelela impumuzo ebonakalayo kumalungu kanye nohlelo lokunakekelwa kwempilo lulonke.