Amakuru
Gahunda yo Kwigisha Ikigo Nderabuzima: Inkunga yo Gutura, Kuvugurura Amavuta, Kubyara Ibyiringiro
Nkikigo nderabuzima kinini cyigisha mu gihugu, dufite amahirwe yo guhugura abaganga bashishikajwe no kugira icyo bahindura mubyukuri aho batuye. Bitewe n'umurimo udacogora w'abayobozi mu Ishuri Rikuru ry'Ubuvuzi rya Graduate hamwe n'inkunga y'abayobozi bacu batowe, gahunda y'Ikigo Nderabuzima cyigisha irakirwa ku rwego rw'igihugu, vuba aha binyuze muri raporo y'ubushakashatsi yitwa “Abatuye Ubuvuzi Bwambere mu Kwigisha Ibigo Nderabuzima: Intego zabo zo Kwimenyereza Igenamigambi ridakwiye nyuma y’amahugurwa yo gutura”.
Abanditsi bayo: Zohray Talib, MD; Mariellen Malloy Abayahudi, MIA; Julia H. Strasser, MPH; David K. Popiel, MD, MPH; Debora Goetz Goldberg, PhD, MBA, MHA; Candice Chen, MD, MPH; Hayden Kepley, PhD; Fitzhugh Mullan, MD na Marsha Regenstein, PhD banditse ibitekerezo by'abatuye ikigo nderabuzima cyo kwigisha baturutse mu gihugu hose. Abatuye Centre ya Wright batanze ibitekerezo byabo nubunararibonye.
Isaranganya ridahwitse ry’impano zitangwa, hamwe n’imiterere y’ubuvuzi itoroshye byatumye uduce dukwiye mu gihugu hose tutabona uburyo bwo kwivuza buhendutse. Gahunda yo kwigisha ikigo nderabuzima yashubije guhamagarira abaganga mubice bibakeneye cyane kandi bigira uruhare runini muguhugura ab'igihe kizaza.
Ibura rya muganga ntirobanura. Uturere hirya no hino mu gihugu - haba mu mijyi no mu cyaro - bakeneye ubuvuzi bw'ibanze. Hamwe n’abatuye Ikigo cyita ku buzima cyita ku barwayi bagera kuri miliyoni mu gihe cya buri mwaka, gahunda yafashije gushinga umusingi ukenewe mu kongera abaganga. Mubyukuri, raporo yuyu mwaka iheruka kwerekana ko 82% by'abanyeshuri barangije Ikigo cyita ku Buzima baracyari mu bikorwa by’ubuvuzi bwibanze, ugereranije na 23% by’abanyeshuri barangije amashuri yisumbuye y’ubuvuzi - kandi iyo ni intangiriro.
Hano hari ibintu bitanu byihuse kuri gahunda yubuzima bwigisha:
- Abaturage 742 bahugura muri 59 HRSA iterwa inkunga na Teaching Health Centre Graduate Medical Education program
- 63% by'abatuye Ikigo Nderabuzima kizobereye mu buvuzi bw'umuryango
- Gahunda yo kwigisha ikigo nderabuzima giherereye muri leta 27 n'akarere ka Columbiya
- Kwigisha Ikigo Nderabuzima cya Graduate Medical Education programme yakiriye ibyifuzo birenga 100 kuri buri mwanya wo gutura
- Abigisha ikigo nderabuzima bazatanga ubuvuzi burenga miriyoni 1 yubuvuzi bwibanze muri 2017 kubaturage batishoboye
Twishimiye ko umubare munini w'abanyeshuri barangije ikigo cya Wright bahitamo kwitoza ahantu hatabigenewe. Mu byiciro byacu duheruka kurangiza muri Centre Yubuzima Yigisha Ikigo cyigihugu gishinzwe ubuvuzi bwa Family Family Residency, 76% bahisemo kwimenyereza mukarere kidafite ubuvuzi; ndetse bamwe bahisemo gusinyana nurubuga rwabafatanyabikorwa aho barangirije imyitozo mugihe cyambere cyo gutura.
Nkumuryango ugizwe nabakozi benshi batanga serivisi nabayobozi, twumva agaciro kitsinda ryiyemeje, ritandukanye mugihe dukomeje guhora dukurikirana inshingano zacu zo guhora dutezimbere ubuvuzi bw’abarwayi n’uburezi mu buryo bwo gufatanya kuzamura umusaruro, kugera no kugerwaho. .
Inkunga yo Kwigisha Ikigo Nderabuzima ni intambwe y'ingenzi igana ku butumwa bwa Wright Center. Inkunga y’ikigo nderabuzima cya Federal Teaching Health Centre kuri ubu yashyizwe ku madolari 116.000 kuri buri muturage, akaba ari munsi y’amafaranga ateganijwe gutangwa 157.000. Kugira ngo serivisi zita ku buzima zuzuye ku barwayi babikeneye cyane, Gahunda y’ikigo nderabuzima yigisha ikeneye inkunga yuzuye ya guverinoma ihuriweho n’abavoka babafasha kuhagera. Itsinda rya Wright Centre ryakomeje guharanira kwagura inkunga y’ikigo nderabuzima cyigisha mu izina ry’abiga ndetse n’abarwayi bacu babakeneye cyane.
Amategeko (S. 1754 na HR 3394 yemerera ingingo ya 340H y’itegeko ryita ku buzima rusange bw’abaturage kugira ngo akomeze gushishikariza kwagura, kubungabunga, no gushyiraho gahunda zemewe zo gutura mu mashuri y’ubuvuzi yemewe ku bigo nderabuzima byigisha, kandi ku zindi mpamvu) yakiriye bi- inkunga y'amashyaka kandi tubikesha imbaraga za lobbying za benshi, iragenda ikurura aho ifite akamaro kanini. Kwagura, kandi birashoboka ko kwaguka, inkunga irambye yikigo nderabuzima cyigisha gishobora kuba umusemburo wimpinduka, imyiyerekano ishimishije yubufatanye bwa republika na demokarasi mugukomeza gukurikirana intego ya Quadruple - ibisubizo, kubigeraho, guhendwa nibyishimo mubikorwa - muri Amerika .
Kanda hano usome raporo yuzuye.
Ibintu byose hamwe nimibare biterwa nubushakashatsi nimbaraga zidatezuka byishyirahamwe ryabanyamerika ryigisha ibigo nderabuzima.
