Mayelana no-7 100 baseMelika bafuna "ukulawula ukuzalwa ku-inthanethi" njalo ngenyanga. Abanye abangu-2 400 bafuna amagama afana no-"thola ukulawula ukuzalwa ku-inthanethi" kanye no-"kanjani ukuthola ukulawula ukuzalwa ku-inthanethi." Amapulatifomu e-Telehealth manje aphatha ingxenye enkulu yokunikezwa kwe-contraception e-U.S.

Lokho kushintsha kuqinisekiswe ucwaningo olubuyekezwe ontanga. Izifundo eminyakeni emithathu edlule zikhombisa imiphumela yokuphepha kanye nokunamathela kwe-contraception enikezwe nge-telehealth ifana nokunakekelwa ubuso nobuso kuhlanganise nemiyalelo ejwayelekile, ikakhulukazi ama-contraceptive oral.

Kodwa akuwona wonke amasu okulawula ukuzalwa asebenza nge-telehealth, futhi akuwona wonke amasevisi asebenza ngendlela efanayo. Lesi siqondiso sihlanganisa lokho okutholakalayo, lokho okuphephile, lokho okubiza, kanye nendlela yokukhetha isevisi esemthethweni.

Ngenhloso yokulawula ukuzalwa okujwayelekile, i-telehealth ayiseyona enye indlela. Iyona ejwayelekile.

Ungakwazi ngempela yini ukuthola ukulawula ukuzalwa ku-inthanethi?

Impendulo emfushane inguyebo. Umhlinzeki we-telehealth onelayisensi angahlola umlando wakho wezokwelapha futhi anikeze incwadi kadokotela yokulawula ukuzalwa ku-inthanethi yezindlela eziningi ezijwayelekile zokuvimbela ukukhulelwa. Incwadi kadokotela yakho iyadluliselwa ngokushesha esitolo sezidakamizwa sendawo noma ithunyelwa ngqo emnyango wakho, ikunikeze indlela elula yokuqinisekisa ukulawula ukuzalwa ngaphandle kokubona udokotela ubuso nobuso.

Okuzodingeka ukunikeze:

  • Umlando wezempilo ohlanganisa imithi yamanje kanye nezinto ezibangela ukungezwani komzimba
  • Ukufundwa kwengcindezi yegazi yakamuva (amanye amapulatifomu athumela i-cuff; amanye ayakucela ukuthi usebenzise umshini esitolo sezidakamizwa)
  • Isimo sokubhema (kubalulekile kumapilisi ahlanganisiwe)
  • Ubuhlakani nobunzima (ukuhlola ukufaneleka)

Okubangela ukuthi isevisi yokulawula ukuzalwa ku-inthanethi ibe esemthethweni:

  • Ilisenisi lokwelashwa elisebenza. Ukunakekelwa kugadwe yi-MD, DO, NP, noma PA enelayisensi esebenza esifundazweni sakho.
  • Ukuqondisa okubalulekile kwezempilo. Imiyalelo ilandela ukubuyekezwa kwezempilo yangempela, ayikaze ibe ifomu elizenzakalelayo.
  • Ukukhipha imiyalelo nge-e-prescribing okuvikelekile. Imidwebo ethunyelwa ngamanethiwekhi okuqinisekiswe e-e-prescribing.
  • Ukuphathwa kwedatha ngokuvumelana ne-HIPAA. Ukuvikeleka okuphelele ukuvikela amarekhodi ayimfihlo.

Ubahlangabezana nezinkinga zesiyingi futhi awuqinisekile ukuthi udinga yini ukuhlolwa ubuso nobuso noma ukubonisana ngedijithali? I-August AI Symptom Checker inikeza ukuhlolwa kwezempilo okwenziwe kwaba ngabanye ngaphansi kwemizuzu emibili.

Yiziphi izindlela zokulawula ukuzalwa ongazithola ku-inthanethi

Izindlela zokulawula ukuzalwa ku-inthanethi zihlukaniswa ngokuthi zidinga ukufakwa emtholampilo noma zingazikhandlelwa ngokuphepha ekhaya.

Izindlela ezitholakala kabanzi nge-telehealth:

  • Ama-contraceptive oral ahlanganisiwe: amapilisi ajwayelekile e-estrogen kanye ne-progestin ok control online, indlela edume kakhulu enikezwa ngohlelo.
  • Amapilisi e-progestin kuphela ("mini-pill"): angcono kubazali abancelisayo noma iziguli ezizwelayo ku-estrogen
  • I-patch yokulawula ukuzalwa: amachashaza enziwa masonto onke afana ne-Xulane noma i-Twirla
  • Izindandatho zokuvuvukala: izinketho zenyanga ezifakwa nguwena njenge-NuvaRing noma i-Annovera
  • Ukulawula ukuzalwa okuphuthumayo: I-Plan B ayidingi incwadi kadokotela; i-Ella idinga incwadi kadokotela
  • Izindlela zokusetshenziswa okuqhubekayo: izakhiwo zamapilisi ezenziwe zaba ngabanye ukuze kuvinjwe ukuya esikhathini

Izindlela ezidinga ukunakekelwa ubuso nobuso:

  • Ama-IUD: kokubili izinhlobonhlobo zethusi neze-hormonal zidinga ukubekwa kwesitho sangasese udokotela
  • Ama-implants angaphansi kwesikhumba: izinketho ezifana ne-Nexplanon zidinga ukufakwa okuncane ehhovisi
  • Imisipho yokulawula ukuzalwa: imisipho ye-Depo-Provera ejwayele ukunikezwa njalo ezinyangeni ezintathu
  • Ukuhlinzwa ukuvinjelwa ukuzalwa: ukuboshwa kwamashubhu kudinga isikhungo sokuhlinzwa kwesiguli sangaphandle

Isimo esigunyazwe yi-FDA: yonke imithi yokulawula ukuzalwa okukhulunywe ngayo ngenhla igunyazwe yi-FDA lapho inikezwa ngamafomu ajwayelekile. Izindlela ezenziwe ngokuhlanganiswa noma ezingagunyazwe yi-FDA ezidayiswa ku-inthanethi kufanele ziphathwe ngokuqapha.

Uqala indlela entsha yokulawula ukuzalwa futhi unemibuzo mayelana nesikhathi, imiphumela emibi, noma okumele kulindeleke? I-August AI Prescription Reader ichaza yonke imiyalelo yemithi ngesiNgisi esicacile.

Ngeminye imininingwane ngalokho okutholakalayo nge-telehealth, bona i-WebMD kanye ne-Doctronic.

Inqubo yesinyathelo ngesinyathelo

Inqubo yokulawula ukuzalwa ku-inthanethi isebenza kahle, isuka ekufakeni kuya ekulethweni kwemithi phakathi nezinsuku. Ilandela izinyathelo ezinhlanu.

  • Khetha ipulatifomu yakho. Uhlelo lokusebenza olukhethekile lwezempilo yezocansi (Nurx, Pandia Health, Wisp), inethiwekhi ye-telehealth ebizayo (Teladoc, Amwell), noma umhlinzeki wesitolo sezidakamizwa (Amazon Pharmacy, GoodRx Care).
  • Hambisa iphrofayili yakho yezempilo. Uhlolojuda wedijithali obandakanya umlando wezokwelapha, imithi yamanje, ingcindezi yegazi, ubudala, isisindo, kanye nezingoma zokuphila.
  • Ukuhlolwa kwezempilo okungahambisani. Udokotela noma i-NP ubuyekeza ifayela lakho njengoba lihambelana, ngokuvamile banikeze incwadi kadokotela yakho noma bacela ukucaciswa phakathi kwamahora angu-24 kuye ku-48.
  • Ukucubungula incwadi kadokotela. Uma seluvunyiwe, incwadi kadokotela yakho idluliselwa nge-elektroniki esitolo sezidakamizwa sendawo osikhethile noma isitolo sezidakamizwa se-imeyili seplatifomu.
  • Finyelela umuthi wakho. Kulethwa ebhokisini lakho lokuposa ngezinto ezingabonakali emva kwezinsuku zokusebenza ezingu-2 kuye ku-5, noma kutholakale ukuze kuthathwe ngosuku olufanayo esitolo sendawo.

Ngeminye imininingwane mayelana nenqubo, bona i-WebMD kanye ne-Doctronic.

Ingabe ukulawula ukuzalwa ku-inthanethi kuphephile? Yini ucwaningo olukushoyo

Imininingwane enkulu yezempilo kanye nocwaningo lwezikhungo kuqinisekisa ukuthi ukulawula ukuzalwa okunikezwe nge-telehealth kuphephile ezimweni ezijwayelekile.

Ubufakazi obubuyekezwe ontanga: isifundo sango-2023 esishicilelwe kuNational Library of Medicine sahlola imiphumela yeziguli ezithola imiyalelo yokuvimbela ukukhulelwa nge-telehealth uma kuqhathaniswa nokuvakashela ubuso nobuso. Imiphumela ibonise amaphrofayili okuphepha kanye namazinga okubambelela afanayo kuma-contraceptive oral anikezwe nge-telemedicine.

Ubufakazi obukhulu besistimu yezempilo: I-Kaiser Permanente's Division of Research ihlole ukuvakashela nge-e-visits kuma-contraceptive oral kuwo wonke amalungu ayo, yathola ukuthi ukubhalwa kwe-inthanethi okungahambisani kugcine izinga lempilo elifanayo ngenkathi kwandisa ukufinyelela kweziguli ezisebenzayo.

Okubaluleke kakhulu: ezimweni ezingenasimo (akukho mkhawulo, okufanele ubudala, ukuzimiselela ukuqapha ingcindezi yegazi), ama-contraceptive oral anikezwe nge-telehealth enza kahle njengalezo ezinikezwa ubuso nobuso. Izingozi ziyanda lapho iziguli zinemibandela yenhliziyo engavezwa noma eminye imibandela ebambisene nayo.

Izifundo eziphelele zitholakala kuPMC NCBI kanye neKaiser Permanente Research.

Izindleko kanye Nomshwalense: Ongazikhokha Ngempela

Izindleko zokulawula ukuzalwa ku-inthanethi zincike ekutheni usebenzisa yini umshwalense oyimfihlo noma ukhokha inani eliqondile usebenzisa imali yakho. Ukunakekelwa kwe-contraceptive okubonakalayo kuhlanganiswe ukuze kube nomqhudelwano neziteshi zesitolo sezidakamizwa zendabuko.

Izintengo ezijwayelekile:

  • Ukuvakashelwa kwe-telehealth okukhokhelwa umshwalense: imali engu-$0 kuye ku-$50
  • Ukubonisana okukhokhelwa ngqo: $15 kuye ku-$40 ngokuvakashelwa (noma kuhlanganiswe kuphrofayili yobhalisile)
  • Izinsizakalo zokubhalisa: $15 kuye ku-$30 ngenyanga okuhlanganisa nemithi
  • Ngaphansi komshwalense, intengo yokudayisa yamajenerikhi: $7 kuye ku-$25 ngenyanga
  • Imithi enegama lomkhiqizo: $50 kuye ku-$200+ ngenyanga

Ukuhlanganiswa kwe-contraceptive kwe-ACA: iningi lezinhlelo zomshwalense likhulise izindleko zamasu okukhubaza ukukhulelwa agunyazwe yi-FDA ngaphandle kwemali yokukhokhela ngaphansi kwe-Affordable Care Act. Amapulatifomu aku-inthanethi ajwayele ukubilisa umshwalense ngqo noma ahlinzeke ngama-superbills ukuze abuyiselwe imali.

  • Ukufaneleka kwe-HSA/FSA: ukubonisana nokulawula ukuzalwa kwe-inthanethi kanye nemithi kufanele kube kuhambisane ne-HSA ne-FSA.

    • Uqhathanisa izinsizakalo zokulawula ukuzalwa ku-inthanethi kanye nezindleko zemithi? I-August AI Cost Saver ihlukanisa imali yokubonisana kanye nentengo ngemithi kubahlinzeki abakhulu.

    Nini okufanele usabuye udokotela ubuso nobuso

    Nakuba ukunakekelwa okubonakalayo kunikeza izinzuzo zokuphila, akukwazi ukugwema imingcele yomtholampilo ngokomzimba. Ukwazi imikhawulo yokulawula ukuzalwa ku-inthanethi kusho ukubona lapho ukunakekelwa ubuso nobuso kudingekile.

    Ukunakekelwa ubuso nobuso kufanelekile lapho:

    • Udinga i-IUD, i-implant, noma umthamo wokulawula ukuzalwa ojovayo
    • Unomlando wamahlule egazini, isifo sohlangothi, noma isifo senhliziyo
    • Unomfutho wegazi ongazange ulawulwe
    • Ungaphezu kweminyaka engu-35 futhi ubhema (amapilisi ahlanganisiwe athwala ingozi ephakeme)
    • Unomlando ovuvukalayo wezindaba zokuya esikhathini ozidingayo ukuhlolwa ngokomzimba
    • Awuzange ube ne-Pap test eminyakeni engaphezu kwengu-3 (isikhathi esinconywayo)

    Ukulawula ukuzalwa ku-inthanethi kusebenza kangcono ezibhalweni ezijwayelekile, ezingenawo ubungozi. Kuyithuluzi elinamandla lokufinyelela, kodwa ayishintshi inani elide lobudlelwano obuphelele nobuso nobuso bezempilo yocansi.

    Ngeminye imininingwane ngemikhawulo yomtholampilo, bona i-PMC NCBI.

    Okunye okukodwa

    Ngenhloso yokubhalwa kwezithako zokuvimbela ukukhulelwa ezijwayelekile, i-telehealth isuka kwenye indawo eyinhloko yayongasese yaba inguqulo ejwayelekile. Ukuphepha komtholampilo kuqinisekiswa ngemininingwane yezokwelapha ebuyekezwe ontanga, futhi isithiyo sezimali sincishiswa ngomthetho wokuhlanganiswa kwe-ACA.

    Impumelelo ithembele ezintweni ezintathu: ukukhetha isevisi egcinwe ngobunono, eyemthetho, ukukhetha indlela ye-hormonal ehambisana nendlela yokuphila kwakho, kanye nokuqaphela lapho umzimba wakho udinga ukuhlolwa ngokomzimba.