
autpeshyant sasthrakriya

autpeshyant sarjari, ambulatory sarjari, day sarjari, day cases sarjari allengil athe divasathe sarjari ennum ariyappedunna sasthrakriya, oru ratri ashupathriyil thaamasikkenda aavashyamillaatha shasthrakriyayaan. sasthrakriya rogikalkku athe divasam thanne eee kendratthil praveshikkaanum pookaanum kazhiyum enna vasthuthayil ninnaan "autpeshyant" enna padam uthbhavikkunnath. inpatiant shasthrakriyayekkaal autpeshyant shasthrakriyayude gunangalil kooduthal soukaryavum kuranja chelavum ulppedunnu.
autpeshyant sasthrakriya oru inpatiant soukaryathilo, oru aashupathrikkullile svayam niyantritha unitilo (ashupatri autpeshyant department ennum ariyappedunnu), swathanthramaayi nilkkunna svayam niyantritha unitilo (ambulatory sarjari sentar ennum ariyappedunnu) allengil oru doctorude oafees adhishtitha unitilo sambhavikkam. irupathaam noottaandinte avasaanathinum irupathiyonnaam noottaandinte thudakkathinum idayil, autpeshyant sasthrakriya pala raajyangalilum janapreeti nedi. 1992ll 54 shathamaanamaayirunna amerikkayil 2012ll aashupathrikalile shasthrakriyakalil 65 sathamaanavum autpeshyant adisthaanathilaanu nadathiyathu.
inpatiant shasthrakriyayekkaal surakshithamo surakshithamo aanu autpeshyant shasthrakriyayenn padanangal theliyichittundu. udaaharanathinu, sankeernnatha nirakkum shasthrakriyaykk sheshamulla ashupathriyil praveshippikkal allengil veendum praveshanam nirakkum thaarathamyappeduthaavunnatha, koodaathe inpatiant shasthrakriyayekkaal autpeshyant shasthrakriyaykk sheshamulla vedana anubadhayum kuravaanu. ennirunnaalum, nyoos mediayile lekhanangal (oru autpeshyant nadapadikramatthinu sesham 2014 ll joonn nadikalude maranathekkurichu charcha cheiyunna chilath) ambulatory sarjari sentarukalil nadathunna autpeshyant shasthrakriyayude surakshaye chodyam cheythittundu.
ambulatory sarjari sentarukal.
autpeshyant sarjari sentarukal ennum ariyappedunna ambulatory sarjari sentarukal, athe divasam thanne sarjari sentarukal allengil sarjarisentarukal, oru ratri ashupathriyil thaamasikkenda sasthrakriyakal nadathaattha aarogya parirakshaa soukaryangalaanu. atharam sasthrakriya saadhaaranayaayi ashupathriyil praveshippikkendathinkaal sankeernamalla. ashupathriyil praveshippikkappedunnathu ozhivaakkunnath rogiyude aarogya parirakshaykk panam nalkunnathinu utharavaadikalaaya kakshiyude chelavu labhikkaan idayaakkum.
chila vedana niyanthranavum roganirnayavum (udha.jii., netra peshikalude sasthrakriya sevanangal) oru autpeshyant krameekaranatthil. mothatthil, nalkunna sevanangale saadhaaranayaayi nadapadikramangal ennu vilikkam. sharashari doctorude offeesil cheiyunnathinekkaal theevravum ennaal ashupathriyil thaamasikkendathra theevramallaathathumaaya nadapadikramangalaayi iva kanakkakkaam. oru ambulatory sarjari sentarum oru speciality ashupatriyum palappozhum samanamaaya soukaryangal nalkukayum samanamaaya tharatthilulla nadapadikramangale pinthunaykkukayum cheiyunnu. speciality ashupatri ore nadapadikramangalo alppam sankeernamo nalkiyekkaam, speciality ashupatri palappozhum ratri thamasikkaan anuvadikkum. mattoru nadapadikramatthinaayi eiii. ezz. siyil praveshippikkappedaathu rogikalkku eiii. ezz. sii. kall pathivayi adiyanthara sevanangal nalkunnilla.
nadapadikramangal.
2011 leeii kanakkanusarichu, amerikkayil 5,300-ladhikam eiii. ezz. sikalil doctormar prathivarsham 23 dashalakshathiladhikam nadapadikramangal nadatthi.
1980kalilum 1990kalilum aashupathrikalil maathramaayi nadathunna niravadhi nadapadikramangal eiii. ezz. sii. kalilum nadakkaan thudangi. kalmut, thool, kannu, nattellu, mattu sasthrakriyakal enniva nilavil eiii. ezz. kkalilaanu nadathunnathu. 2016 leeii kanakkanusarichu, amerikkayile medicare dhanasahaayathodeyulla eiii. ezz. sikalile nadapadikramangalil, ettavum saadhaaranamaaya moonnu sasthrakriyakal intraocular lense insert (ellah nadapadikramangalilum <aii. dii. 1>) ulla timira sasthrakriya, biopsy (8.2%) ulla upper gastrointestinal endoscopy, biopsy (6.8%) ulla colonoscopy ennivayaayirunnu.
charithram.
saadhaarana aashupathrikal polulla kooduthal aalmaaraattaparamaaya vedikal ozhivaakkikkond thangalude samoohathile rogikalkku samayabandhithavum soukaryapradavum sukhakaravumaaya sasthrakriya sevanangal nalkaan aagrahicha rund doctormar 1970 ll arisonayile phoenixil amerikkayile aadyathe kendram sthaapichu. kendram thuranna aadya divasam anchu sarjanmar kesukal nadatthi, aaa nadapadikramangalil naalennam general anastheshya aavasyamaanu.
apoorvvamaayi maathrame eiii. ezz. sii. kku orotta udama undaakoo. kendratthil sasthrakriyakal nadathunna doctormaarude pankaalikalkk palappozhum soukaryathinte chila bhaagangalenkilum swanthamaayirikkum. udamasthaavakaasha sathamaanam ganyamaayi vyathyaasappedunnu, ennaal mikka eiii. ezz. sikalilum doctor udamakal ulppedunnu. chilappozhokke, oru eiii. ezz. sii poornnamaayum doctorude udamasthathayilullathaanu. ennirunnaalum, vikasana/maanejment kambanikalkku kendratthinte oru sathamaanam svanthamaayirikkunnathu saadhaaranamaanu.
chila valia aarogyasamrakshana kambanikalkku ambulatory sarjari sentarukal ulppede palatharam medical soukaryangal undu. sentarukalude ennathinte kaaryatthil ettavum valia eiii. ezz. sii. shringalakalil physiological health cair, tenatt health cair/yunaittad sarjikkal paartnezhs internaashanal, sarjikkal cair affiliateukal, hospital korppareshan oof america, ambulatory sarjikkal centers oof america, sarjari partnermaarum physicianmaarum endoscopy enniva ulppedunnu. ekadesham 68 sathamaanam eiii. ezz. sii maanejment kambanikalum thangal kaikaaryam cheiyunna ellah swatantra sthaapanangalilum ohari udamasthaavakaashamundennu report cheythu.
50 samsthaanangalilum ulla eiii. ezz. sikal lokamembaadum kaanapedunnu. amerikkayil, mikka eiii. ezz. sikalkkum licenses undu, medicare saakshyappeduthukayum pradhana aarogya parirakshaa amgeekaara samghadanakalilonninte amgeekaaravum undu. medicare certified eiii. ezz. sikalude ennathil californiayaanu amerikkayile munnira samsthaanam, thudarnnu florida thudarnnu texas. kaaliforniyayil 694 eiii. ezz. sikalundu. 387 aasakkukalulla florida 347 aasakkukalulla texes thottupinnilundu. 1 medicare certified eiii. ezz. sii maathram ulla vermont pattikayil ettavum thaazheyaan.
sankeernathakal valare apoorvamaanengilum, aavashyamenkil rogikale aashupathriyilekku maattunnathin medicare accreditation oorganaiseshanukalum oru backup plan undaayirikkendathundu.
federated ambulatory sarjari association (faasa) american association oof ambulatory sarjari sentarukalum (aasc) layippicha 2008ll roopeekaricha ambulatory sarjari sentar associationaanu (asc association) ascsinteyum avarude rogikaludeyum thaalpparyangale prathinidheekarikkunna laabhechayillaathe pravartthikkunna deseeya samghadanakal. vilyam prentis aanu aaskayude executive director. munbu american dental associationte washington offeesinte director sevanamanushtichittundu.
amgeekaaram.
eiii. ezz. sii. kalkkaayulla accreditation oorganaiseshanukal medical cair, record keeping, auditing ennivayude maanadandangal nalkunnu. eee samghadanakalude chila lakshyangalil sasthrakriya kendrangalile vaidyasahaayam thudarchayaayi mechappeduthunnathum pothujanagalkk eiii. ezz. siyude pala vashangalekurichum vivarangal labhikkuna oru baahya samghadana nalkunnathum ulppedunnu. eee accreditation oorganaiseshanukal amgangalkku aanukaalika oodittukal sweekarikkendathundu. accreditation oorganaiseshanum sasthrakriya kendratthinte saahacharyangalum anusarichu oro onnu muthal moonnu varsham koodumbozhum eee oodittukal varum. oru oodittil, oodittarmaarude oru samgham soukaryam sandarshikkukayum eiii. ezz. siyude medical rekhakal, rekhaamoolamulla nayangal, vyavasaya maanadandangal paalikkal enniva parisodhikkukayum cheiyunnu.
1996ll praabalyatthil vanna californiayaanu anastheshya nalkunna ellah autpeshyant sasthrakriya krameekaranangalkkum amgeekaaram aavasyamulla amerikkayile aadyathe samsthaanam. centers phoor medicare aandu mediquide sarveesas anchu samghadanakalkku amgeekaaram nalkiyittunda accreditation association phoor ambulatory health cair (aahc), american association phoor accreditation oof ambulatory sarjari faesilitiis (aasf), health cair faesilitiis accreditation prograam (hfp), instittyoott phoor medical kwaalitti (imq), joyint kammeeshan (tjc).

