Ma kēia ʻāpana o ka moʻo Prioritizing Equity, e aʻo e pili ana i nā ʻokoʻa o ka mōʻaukala a me kēia manawa i ka hoʻonaʻauao lapaʻau, ka hana, a me nā manawa kūpono alakaʻi.
Hōʻike ka moʻo wikiō Prioritizing Equity pehea e hoʻokumu ai ke kaulike i ka mālama ola kino i ka mālama ʻana i ka wā maʻi ahulau COVID-19.
ʻAʻole i hoʻoholo ʻia ke kūlana o ka mālama ʻana e ke ʻano o ka hāʻawi ʻia ʻana, no laila pono e mālama ʻia nā lawelawe telehealth i nā kūlana like me ka mālama kino.
Ma ka 2023 ChangeMedEd®️ Conference, ua loaʻa iā Brian George, MD, MS, ka 2023 Accelerating Change in Medical Education Award. No ka ʻike hou aku.
ʻO ka hoʻolauna ʻana i ka ʻepekema ʻōnaehana olakino i nā kula lapaʻau ʻo ia hoʻi ka loaʻa mua ʻana o kahi home no ia. E aʻo hou mai nā mea hoʻonaʻauao lapaʻau nāna i hana.
Uhi nā mea hou o AMA i nā kumuhana mālama ola e hoʻopilikia i ke ola o nā kauka a me nā mea maʻi. E ʻike pehea e loaʻa ai ka mea huna i kahi papahana noho kūleʻa.
Uhi nā mea hou o AMA i nā kumuhana mālama ola e hoʻopilikia i ke ola o nā kauka a me nā mea maʻi. E ʻike pehea e loaʻa ai ka mea huna i kahi papahana noho kūleʻa.
Ua pau ka hoʻomaha ʻana ma nā uku hōʻaiʻē haumāna. E ʻike i ke ʻano o kēia no nā kauka a me nā koho i loaʻa iā lākou.
Pehea e hiki ai i kahi haumāna lapaʻau a i ʻole kamaʻāina ke hana i kahi hōʻike kiʻi maikaʻi loa? He hoʻomaka maikaʻi kēia mau ʻōlelo aʻoaʻo ʻehā.
AMA i CMS: E hana koke e hōʻoia ʻaʻole e loaʻa i nā kauka nā hoʻoponopono uku MIPS i ka makahiki 2024 e pili ana i ka hana MIPS 2022 a me nā ʻikepili ʻē aʻe i ʻike ʻia ma ka mea hou loa e kākoʻo ana i ka hoʻoponopono uku Medicare.
E aʻo pehea e ʻōlelo ai ka CCB i nā hoʻololi i ke Kumukānāwai a me nā Bylaws o ka AMA a kōkua i ka hoʻoponopono hou ʻana i nā lula, nā hoʻoponopono a me nā kaʻina hana no nā ʻāpana like ʻole o ka AMA.
E huli i nā kikoʻī a me ka ʻike hoʻopaʻa inoa no nā hālāwai a me nā hanana o ka ʻĀpana Kauka ʻŌpio (YPS).
E huli i ka papahana, nā palapala a me nā ʻike hou aku no ka Hālāwai Waena YPS 2023 ma Nowemapa 10 ma ka Gaylord National Resort and Convention Center ma National Harbor, Maryland.
E mālama ʻia ana ka Hālāwai Kūkākūkā Kākoʻo Haumāna Lapaʻau (MAC) o ka ʻAhahui Lapaʻau ʻAmelika (American Medical Association 2024) mai Malaki 7-8, 2024.
Nā ʻElemene Koʻikoʻi o Sepsis: ʻO ka webinar hope loa ma ka moʻo webinar Centers for Disease Control and Prevention (CDC) e kūkākūkā ana i ka hopena o ka hoʻonaʻauao sepsis i ka hoʻolimalima ʻana i nā limahana mālama ola. E kāinoa.
Uhi nā mea hou o AMA i nā kumuhana mālama ola e pili ana i ke ola o nā kauka, nā kamaʻāina, nā haumāna lapaʻau a me nā mea maʻi. E hoʻolohe mai nā loea lapaʻau, mai nā alakaʻi hana pilikino a me nā alakaʻi ʻōnaehana olakino a hiki i nā kānaka ʻepekema a me nā luna olakino lehulehu, ma COVID-19, ka hoʻonaʻauao lapaʻau, ke kākoʻo ʻana, ka luhi, nā lāʻau pale a me nā mea hou aku.
Ma ka AMA News o kēia lā, ua hui pū ʻo Gerald Harmon, MD, ka Pelekikena mua o AMA, i ke kūkākūkā ʻana no ka nele o ka poʻe hana lapaʻau a me ka waiwai o nā kauka ʻelemakule. Ke kaʻana like nei ʻo Kauka Harmon i kona mau manaʻo no kāna kūlana hou ma ke ʻano he luna hoʻomalu waena o ke Kula Lapaʻau o ke Kulanui o South Carolina ma Columbia, kāna hana ma ke ʻano he hope pelekikena o nā hana lapaʻau ma Tidelands Health ma Pawleys Island, South Carolina, a me nā mea e pono ai e hoʻokele i ke kahua lapaʻau. kahua ma ke ʻano he kauka. Nā ʻōlelo aʻoaʻo no ka noho ʻana i ka hana. Nā kauka ma luna o 65 mau makahiki. Hoʻokipa: Luna Hoʻokele ʻIke o AMA ʻo Todd Unger.
Ma hope o ke kaua ʻana no nā kauka i ka wā maʻi ahulau, ke lawe nei ka American Medical Association i kāna pilikia kūikawā aʻe: ke hōʻoia hou nei i ka kūpaʻa o ka lāhui i nā kauka.
Unger: Aloha a e komo mai i ka wikiō a me ka podcast AMA i hōʻano hou ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka nele o ka poʻe hana a me ke koʻikoʻi o nā kauka kahiko i ka hoʻoponopono ʻana i kēia pilikia. Ua kūkākūkā ʻia kēia pilikia ma ʻaneʻi e Kauka Gerald Harmon, ke poʻo hana waena o ke Kula Lapaʻau o ke Kulanui o South Carolina ma Columbia, South Carolina, a me ka pelekikena AMA mua, a i ʻole ma kāna mau ʻōlelo ponoʻī, "ka pelekikena AMA i hoʻihoʻi ʻia." ʻO wau ʻo Todd Unger, Luna Hoʻokele ʻIke o AMA Chicago. Kauka Harmon, hauʻoli e launa pū me ʻoe. Pehea ʻoe?
Kauka Harmon: E Todd, he nīnau hoihoi kēlā. Ma waho aʻe o koʻu kūlana ma ke ʻano he Luna Hoʻōla AMA, ua loaʻa iaʻu kahi kūlana hou. I kēia mahina wale nō, ua hoʻomaka wau i kahi kūlana hou i kaʻu ʻoihana ma ke ʻano he Luna ʻEpekema ʻŌnaehana Ola Kino a me ke Kuhina Kūikawā o ke Kula Lapaʻau ma ke Kulanui o South Carolina ma Columbia, South Carolina.
Kauka Harmon: ʻĀ, he nūhou nui kēlā. He loli ʻoihana i manaʻo ʻole ʻia noʻu. Ua hoʻokaʻaʻike mai kekahi iaʻu e pili ana i kā lākou mau hōʻoia a me nā mea i manaʻo ʻia. Manaʻo wau noʻu he hoa kūpono kēia i hana ʻia ma ka lani, inā ʻaʻole he hoa kūpono i hana ʻia ma ka lani a laila ma waena o nā hōkū.
Unger: ʻĀ, ke maopopo nei iaʻu i ko lākou nānā ʻana i kāu resume, ua mahalo lākou i kekahi o kāu mau hoʻokō. He kauka ʻohana ʻoe no 35 mau makahiki, Kōkua Kauka Lapaʻau Nui o ka United States Air Force, Kauka Lapaʻau Nui o ka National Guard, a, ʻoiaʻiʻo hoʻi, ʻo ka mea hou loa, Pelekikena o ka AMA. ʻAʻole ia he hapalua o ke kaua. Ua loaʻa iā ʻoe ke kuleana e hoʻomaha loa, akā ke hoʻomaka nei ʻoe i kahi mokuna hou. He aha ke kumu o kēia?
Kauka Harmon: Manaʻo wau ʻo wau ka mea i ʻike ai he manawa kūpono koʻu e kaʻana like i koʻu mau ʻike ola me nā poʻe ʻē aʻe. Loaʻa ka huaʻōlelo "kauka" mai ka ʻōlelo Latina a ʻo ia hoʻi "e hāpai a aʻo paha." Manaʻo maoli wau hiki iaʻu ke aʻo, kaʻana like i koʻu mau ʻike ola, a hāʻawi i ka hoʻonaʻauao a me ke alakaʻi (inā ʻaʻole ke alakaʻi) i kahi hanauna o nā kauka i ke aʻo ʻana a me nā kauka hana. No laila, he mea maikaʻi loa ia e lilo i mea ʻoiaʻiʻo ke lawe i kahi kūlana kōkua noiʻi me ka mālama ʻana i koʻu mau hiki ke aʻo lapaʻau. No laila, ʻaʻole hiki iaʻu ke hōʻole i kēia manawa kūpono.
Kauka Harmon: ʻĀ, ʻo ke kuleana o ke provost kahi mea aʻu i ʻike ʻole ai ma mua. He polopeka kulanui wau a ua aʻo i nā papa (ua aʻo maoli ʻia) ma ke kino ma mua o ka hāʻawi ʻana i nā māka a me nā loiloi i kākau ʻia i nā haumāna, nā kamaʻāina, a me nā ʻoihana mālama ola kino ʻē aʻe (nā kahu hānai, nā radiologists, nā sonographers, nā kōkua kauka). No ka hapa nui o kaʻu mau makahiki 35-40 o kaʻu hana, he kumu wau, he kumu hana. No laila, ʻaʻole malihini kēia kuleana.
ʻAʻole hiki ke hoʻohaʻahaʻa ʻia ka hoihoi o ke kula nui. Ke aʻo nei au - ke hoʻohana nei au i kēia hoʻohālikelike ʻaʻole me ka hose ahi, akā me nā hui bākeke. Ke noi aku nei au i nā kānaka e aʻo mai iaʻu i hoʻokahi ʻikepili i ka manawa. No laila, lawe mai kekahi keʻena i kā lākou bākeke, lawe mai kekahi keʻena i kā lākou bākeke, lawe mai ka luna hoʻokele i kā lākou bākeke. A laila lawe au i kahi bākeke ma kahi o ka hoʻopiha ʻia ʻana me ka hose ahi a make i ke kai. No laila hiki iaʻu ke kaohi iki i nā kiko ʻikepili. E hoʻāʻo mākou i kahi bākeke ʻē aʻe i ka pule aʻe.
Unger: Kauka Harmon, he mea hoihoi nā huaʻōlelo āu e wehe nei i kahi mokuna hou ma ʻaneʻi. I ka manawa like, ʻike mākou he nui nā kauka e koho ana e hoʻomaha mua a wikiwiki paha ma muli o ka maʻi ahulau. Ua ʻike a lohe paha ʻoe i kēia e hana nei i waena o kāu mau hoa hana?
Kauka Harmon: Ua ʻike au i ka pule i hala, e Todd, ʻae. Loaʻa iā mākou ka ʻikepili waena o ka maʻi ahulau, ʻo ia paha ka noiʻi ʻikepili 2021-2022 a AMA, e hōʻike ana he 20%, a i ʻole hoʻokahi o nā kauka ʻelima, i ʻōlelo e hoʻomaha lākou. E hoʻomaha lākou i loko o nā mahina 24 e hiki mai ana. ʻIke mākou i kēia ma waena o nā loea mālama ola kino ʻē aʻe, ʻoi aku hoʻi nā kahu maʻi. 40% o nā kahu maʻi (ʻelua o ka ʻelima) i ʻōlelo e haʻalele wau i kaʻu kūlana kahu maʻi lapaʻau i loko o nā makahiki ʻelua e hiki mai ana.
ʻAe, e like me kaʻu i ʻōlelo ai, ua ʻike au i kēia i ka pule i hala. He kauka waena koʻu i hoʻolaha i kona hoʻomaha loa ʻana. He kauka ʻokiʻoki ʻo ia, he 60 ona makahiki. Ua ʻōlelo ʻo ia: Ke haʻalele nei au i ka hana hana. Ua aʻo mai kēia maʻi ahulau iaʻu e lawe i nā mea me ke koʻikoʻi ma mua o kaʻu hana. Aia wau i kahi kūlana kālā maikaʻi. Ma ke alo home, pono ʻo ia e hoʻolilo i ka manawa hou aku me kona ʻohana. No laila ua hoʻoholo ʻo ia e hoʻomaha loa.
He hoa hana maikaʻi koʻu ma ka lāʻau lapaʻau ʻohana. ʻOiaʻiʻo, ua hele mai kāna wahine iaʻu i kekahi mau mahina i hala aku nei a ʻōlelo mai, "Ua ʻike ʻoe, ua hoʻokau kēia maʻi ahulau i ka nui o ke kaumaha ma luna o ko mākou ʻohana." Ua noi au iā Kauka X, kāna kāne, a me kekahi hoa hana ma kaʻu hana e hoʻemi i ka nui o ka lāʻau. No ka mea, hoʻolōʻihi ʻo ia i ka manawa ma ke keʻena. I kona hoʻi ʻana i ka home, noho ʻo ia ma ke kamepiula a hana i nā hana kamepiula a pau i loaʻa ʻole iā ia ka manawa. Ua paʻahana ʻo ia i ka ʻike ʻana i ka nui o nā maʻi. No laila ua hōʻemi ʻo ia. Ua kaomi ʻia ʻo ia e kona ʻohana. He ʻelima āna keiki.
Hoʻoulu kēia mau mea a pau i ka nui o ke kaumaha no nā kauka ʻelemakule he nui, akā ʻo ka poʻe i waena o ka ʻoihana, 50 makahiki a ʻoi, ua pilikia nui lākou no ke kaumaha, e like me ko kākou mau hanauna ʻōpio.
Unger: Ma ka liʻiliʻi loa, hoʻopilikia ia i ke kūlana nele o ke kauka a mākou e ʻike nei. ʻO ka ʻoiaʻiʻo, ua wānana kahi noiʻi na ka Association of American Medical Colleges i ka nele o ke kauka a hiki i ka 124,000 ma ka makahiki 2034, ʻo ia hoʻi ka hui pū ʻana o nā mea a mākou i kūkākūkā ai, kahi heluna kanaka e ʻelemakule ana a me kahi limahana kauka e ʻelemakule ana.
Ma ke ʻano he kauka lapaʻau ʻohana mua e lawelawe ana i kahi heluna nui o nā kuaʻāina, he aha kou manaʻo no kēia?
Kauka Harmon: E Todd, pololei ʻoe. Ke piʻi nei ka hemahema o nā kauka i ka wikiwiki, a i ʻole ma ka liʻiliʻi he logarithmical, ʻaʻole wale ma ka hoʻohui a me ka unuhi ʻana. Ke ʻelemakule nei nā kauka. Ke kamaʻilio nei mākou e pili ana i ka ʻoiaʻiʻo i loko o nā makahiki he ʻumi e hiki mai ana, e 65 mau makahiki a ʻoi paha nā maʻi ma ʻAmelika Hui Pū ʻIa, a he 34% o lākou e pono ai ka mālama olakino. I loko o nā makahiki he ʻumi e hiki mai ana, e pono ana ka 42% a 45% o ka poʻe i ka mālama olakino. Pono lākou i ka mālama hou aku. Ua ʻōlelo ʻoe i ka nele o nā kauka. Pono kēia mau maʻi ʻelemakule i kahi pae kiʻekiʻe o ka mālama, a he nui ka poʻe e noho ana ma nā wahi kuaʻāina i noho kakaikahi ka poʻe.
No laila, i ka wā e ʻelemakule ai nā kauka, ʻaʻole e waiho ka hoʻomaha ʻana i kahi kahe o nā kauka a me nā limahana mālama ola e makemake ana e hele i nā wahi kuaʻāina, e makemake ana e hele i nā wahi i lawelawe ʻole ʻia. No laila, e ʻoi aku ka ʻino o ke kūlana ma nā wahi kuaʻāina. Me he mea lā e ʻelemakule ana nā maʻi ma ia wahi a ʻaʻole e ulu ana ka heluna kanaka ma nā wahi kuaʻāina. ʻAʻole hoʻi mākou e ʻike i ka piʻi ʻana o ka nui o nā limahana mālama ola e neʻe ana i kēia mau wahi kuaʻāina.
No laila, pono mākou e hana i nā ʻenehana hou, nā manaʻo hou, telemedicine, ka mālama hui e kōkua i ka hoʻokō ʻana i nā pono o nā ʻāina kuaʻāina o ʻAmelika i nele i ka lawelawe.
Unger: Ke ulu nei ka heluna kanaka a ke ʻelemakule nei paha, a ke ʻelemakule nei hoʻi nā kauka. Hoʻokumu kēia i kahi hakahaka koʻikoʻi. Hiki iā ʻoe ke nānā wale i ka ʻikepili maka i ke ʻano o kēlā hakahaka?
Kauka Harmon: E ʻōlelo kākou ʻo ka waihona kauka o kēia manawa e lawelawe ana i 280,000 mau maʻi. I ka wā e ʻelemakule ai ka heluna kanaka o ʻAmelika Hui Pū ʻIa, he 34% ia i kēia manawa a he 42% a 45% i loko o nā makahiki he ʻumi, no laila e like me kāu i ʻōlelo ai, manaʻo wau he 400,000 mau kānaka kēlā mau helu. No laila he hakahaka nui kēia. Ma waho aʻe o ka pono i manaʻo ʻia no nā kauka hou aku, pono ʻoe i nā kauka hou aku e lawelawe i kahi heluna kanaka e ʻelemakule ana.
E haʻi aku wau iā ʻoe. ʻAʻole wale nā kauka. He radiologist kēia, he kahu maʻi kēia, ʻaʻole e haʻi aku i ke ʻano o ka hoʻomaha ʻana o nā kahu maʻi. Ua piha kā mākou mau ʻōnaehana haukapila ma nā kuaʻāina ʻo ʻAmelika: ʻaʻole lawa nā sonographers, radiologists, a me nā loea hoʻokolohua. Ua palahalaha mua nā ʻōnaehana mālama ola kino āpau ma ʻAmelika Hui Pū ʻIa e ka nele o nā limahana mālama ola kino o nā ʻano āpau.
Unger: ʻO ka hoʻoponopono ʻana a i ʻole ka hoʻoponopono ʻana i ka pilikia nele o ke kauka i kēia manawa e pono ai kahi hopena multilateral. Akā e kamaʻilio kikoʻī kākou. Pehea kou manaʻo e kūpono ai nā kauka kahiko i kēia hopena? No ke aha lākou i kūpono loa ai no ka mālama ʻana i ka poʻe ʻelemakule?
Kauka Harmon: He mea hoihoi kēlā. Manaʻo wau ʻaʻohe kānalua e aloha lākou, inā ʻaʻole e aloha, me nā maʻi e hele mai ana. E like me kā mākou e kamaʻilio nei e pili ana i nā ʻAmelika 65 a ʻoi aʻe e hana ana i 42% o ka heluna kanaka, ua hōʻike ʻia kēia demographic i loko o ka poʻe hana kauka: 42-45% o nā kauka he 65 makahiki. No laila e loaʻa iā lākou nā ʻike ola like. E hiki iā lākou ke hoʻomaopopo inā he palena hui musculoskeletal, he emi ʻana o ka noʻonoʻo a i ʻole sensory-cognitive, a i ʻole ka palena o ka lohe a me ka ʻike, a i ʻole he comorbidity a mākou e loaʻa ai i ko mākou ʻelemakule, maʻi puʻuwai. maʻi diabetes. .
Ua kamaʻilio mākou e pili ana i ke ʻano o ka podcast aʻu i hana ai i hōʻike ai he 90 miliona mau ʻAmelika i loaʻa i ka prediabetes, a ʻo 85 a 90 pakeneka o lākou ʻaʻole ʻike he maʻi diabetes ko lākou. ʻO ka hopena, ʻo ka heluna kanaka ʻelemakule o ʻAmelika ke kaumaha nei i ka maʻi mau. Ke komo mākou i loko o nā kūlana o nā kauka, e ʻike ʻoe he lokomaikaʻi lākou, akā he ʻike ola ko lākou. Loaʻa iā lākou kahi mākaukau. ʻIke lākou pehea e hana ai i kahi hōʻailona.
I kekahi manawa makemake wau e noʻonoʻo e hiki i nā kauka o koʻu mau makahiki a me aʻu ke noʻonoʻo a hana i nā hōʻailona me ka ʻole o kekahi mau ʻenehana. ʻAʻole pono mākou e noʻonoʻo e pili ana i ka ʻoiaʻiʻo inā he pilikia iki kēia kanaka me kēia a i ʻole kēlā ʻōnaehana kino, ʻaʻole pono wau e hana i kahi MRI a i ʻole kahi scan PET a i ʻole kekahi hoʻokolohua hoʻokolohua. Hiki iaʻu ke haʻi aku he shingles kēia ʻulaʻula. ʻAʻole kēia he dermatitis pili. Akā no ka mea ua ʻike au i nā maʻi no 35 a 40 mau makahiki i loaʻa iaʻu kahi helu psychological e kōkua iaʻu e hoʻopili i ka mea aʻu e kapa nei he naʻauao kanaka maoli, ʻaʻole naʻauao artificial, i ka hōʻailona.
No laila, ʻaʻole pono iaʻu e hana i kēia mau hoʻokolohua a pau. Hiki iaʻu ke ʻoi aku ka maikaʻi o ka nānā mua ʻana, ka mālama ʻana a me ka hōʻoluʻolu ʻana i ka poʻe ʻelemakule.
Unger: He hana maikaʻi loa kēia. Makemake au e kamaʻilio hou aku me ʻoe e pili ana i kēia pilikia e pili ana i ka ʻenehana. He lālā hana ʻoe no ka Senior Physician Division, e hōʻike ana i nā manaʻo a me nā ʻōlelo paipai no nā mea e pili ana i nā kauka kiʻekiʻe. ʻO kekahi o nā mea e kū pinepine mai ana i kēia mau lā (ʻo ka ʻoiaʻiʻo, ua kamaʻilio nui wau e pili ana i ka naʻauao hana i nā pule i hala iho nei) ʻo ia ka nīnau pehea e hoʻololi ai nā kauka kahiko i nā ʻenehana hou. He aha kāu mau manaʻo e pili ana i kēia? Pehea e hiki ai i ka AMA ke kōkua?
Kauka Harmon: ʻĀ, ua ʻike mua ʻoe iaʻu - ua ʻōlelo ākea wau ma nā haʻiʻōlelo a me nā panela - pono mākou e apo i kēia ʻenehana hou. ʻAʻole ia e nalo. ʻO ka mea a mākou e ʻike ai i ka naʻauao hana (hoʻohana ka AMA i kēia huaʻōlelo a ʻoi aku koʻu ʻae me ia) ʻo ia ka naʻauao hoʻonui. No ka mea, ʻaʻole loa ia e pani piha i kēia kamepiula ma aneʻi. Loaʻa iā mākou kekahi mau mana hoʻoholo a me nā hiki ke hoʻoholo ʻaʻole hiki i nā mīkini maikaʻi loa ke aʻo.
Akā, pono kākou e akamai i kēia ʻenehana. ʻAʻole pono kākou e hoʻopaneʻe i kona holomua. ʻAʻole pono kākou e hoʻopaneʻe i ka hoʻohana ʻana. ʻAʻole pono kākou e hoʻopaneʻe i kekahi mau hoʻopaʻa leo uila a kākou e kamaʻilio nei me ka hoʻohaʻahaʻa. He ʻenehana hou kēia. ʻAʻole ia e nalo. E hoʻomaikaʻi kēia i ka hāʻawi ʻana i nā lawelawe mālama. E hoʻomaikaʻi kēia i ka palekana, e hōʻemi i nā hewa a, i koʻu manaʻo, e hoʻomaikaʻi i ka pololei o ka ʻike ʻana.
No laila, pono maoli nā kauka e ʻae i kēia a nānā iā ia. He mea hana ia, e like me nā mea ʻē aʻe. Ua like ia me ka hoʻohana ʻana i ka stethoscope, ka hoʻohana ʻana i kou mau maka, ka hoʻopā ʻana a me ka nānā ʻana i nā kānaka. He hoʻomaikaʻi ia i kou mau mākaukau, ʻaʻole he mea keakea.
Unger: Kauka Harmon, nīnau hope loa. He aha nā ala ʻē aʻe e hiki ai i nā kauka i hoʻoholo ʻaʻole hiki iā lākou ke mālama hou i nā mea maʻi ke noho ikaika i kā lākou ʻoihana? No ke aha he mea pono no nā kauka a me ka ʻoihana ke mālama i kahi pilina ikaika?
Kauka Harmon: E Todd, hana nā kānaka a pau i kā lākou mau hoʻoholo ponoʻī ma ko lākou ao ponoʻī me ka hoʻohana ʻana i kā lākou ʻikepili ponoʻī. No laila, ʻoiai he mau nīnau paha ke kauka e pili ana i kona mākaukau, kona palekana, inā paha ma ka lumi hana a i ʻole ma kahi outpatient kahi āu e hana wale nei i kahi hōʻailona, ʻaʻole pono ʻoe e hana ana i nā mea kani a i ʻole ke ʻoki kino. Aia kekahi mau loli maʻamau. Pono mākou a pau e hopohopo e pili ana i kēia.
ʻO ka mea mua, inā ʻoe e hopohopo maoli nei, inā kānalua ʻoe i kou mau hiki, noʻonoʻo a kino paha, e kamaʻilio me kahi hoa hana. Mai hilahila. Loaʻa iā mākou ka pilikia like me ke olakino noʻonoʻo. Ke kamaʻilio wau me nā hui kauka, ʻike wau e kamaʻilio mākou e pili ana i ka luhi o ke kauka. Kamaʻilio mākou e pili ana i nā pilikia hana a me ko mākou huhū. Hōʻike kā mākou ʻikepili ma mua o 40% o nā kauka e noʻonoʻo ana i kā lākou mau koho ʻoihana—ʻo ia hoʻi, he helu weliweli kēlā.
Ka manawa hoʻouna: ʻOkakopa-13-2023