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I kōrero mai tētahi rangatira whare hauora i Monterrey, Mexico ki tā mātou kaituku rongoā ā-rohe i tētahi mea i mau tonu ki a mātou. Nō nā tata nei ia i tāuta ai i tētahi mīhini mira taha tūru me tētahi oumu whakawera tere — ko tana whakatakotoranga mamati tuatahi tēnei. E toru marama i roto i te toru marama, kua kapi kē ngā taputapu i ngā utu o taua marama. Ehara i te mea nā āna ake tūroro. Mai i ngā whare hauora iti e whitu i roto i te tekau meneti te taraiwa, e tuku tonu ana i ngā kēhi ki tētahi taiwhanga arumoni, e tatari ana mō ngā hua mō ngā rā e toru ki te rima.
E $80 te utu mō ia karauna. Te roanga o te mahi: e rua hāora. I koa rātou ki te utu.
Ehara i te mea ko Monterrey anake te wāhi e puta ai tēnei kōrero. Kua rongo mātou i ētahi putanga mōna mai i ngā kaituku i Pōrana, i ngā Philippines, me Colombia. He rite tonu te tauira, ā, me mārama te whakamārama — nā te mea kāore te nuinga o ngā rangatira mahi iti e whai whakaaro ana ki tēnei i a rātou e tatau ana mēnā he tika te whakapai ake i te mamati i te taha pūtea.
Ko te take tino nui e whakaroa ai ngā mahi motuhake i ngā whakahoutanga mamati he māmā noa iho: ka tatauhia e rātou te ROI i runga i te nui o ā rātou tūroro. Mena ka tukuna e te whare hauora he 40 ki te 50 karauna ia marama, he ahua ngoikore te pāngarau. Ko te utu mō te mīhini mira kounga teitei me te oumu whakawera i runga i te mahere utunga ia marama he tata ki te $1,500. Horahia tēnā ki te 40 karauna, ā, kua ahua taumaha kē te utu taputapu anake - i mua i te whakaaro ki ngā rauemi.
Engari kāore taua tataunga e aro ki tā te mīhini e mahi ana me te 90% o tōna wā e toe ana.
E 10 ki te 12 meneti te roa o te mahi a te mira tūru teitei hei whakaputa i tētahi karauna kotahi. Mēnā e 40 karauna ia marama — tata ki te rua i te rā mahi — ka oma te mīhini mō te 25 meneti ia rā. Ko ngā haora e whitu neke atu o tōna wā mahi e takoto kau ana. Ehara taua kaha kore mahi i te utu pumau hei whakaiti. He wā hua tēnei ka taea e koe te hoko.
I roto i te radius e toru maero o te nuinga o ngā mahi niho iti, e rima ki te tekau atu ngā wāhi rongoā motuhake kei te tūranga kotahi tonu: ngā rerenga mahi anaro, kāore he mira i roto i te whare, me ngā tūroro e tatari ana mō ngā rā e toru ki te rima mō te karauna nā te mea me haere te kēhi ki tētahi taiwhanga arumoni.
Kia whiwhi koe i te kaha mira mamati, ka taea e koe te tuku ratonga tukatuka i taua rā anō ki aua mahi. He māmā noa te tukanga mahi:
Ka matawaihia e rātou te tūroro ki tētahi matawai ā-waha kei a rātou — māu rānei e āwhina te matawai — ka tukuna atu he kōnae STL, PLY rānei hōputu tuwhera paerewa ki a koe.
Ka hoahoatia, ka mirahia te karauna i roto i te 12 meneti pea.
Ka whakawerahia te zirconia i roto i te 20 meneti mā te whakamahi i te oumu whakawera tere.
Ka whakahokia te mahi whakaora kua oti i roto i ngā haora e rua.
Kāore koe e ngana ana ki te whakaiti i te utu o ngā taiwhanga arumoni. Kei te whakataetae koe ki te tere - ā, i roto i tētahi āhuatanga ohorere tūroro, i tētahi wā whakarite rānei i taua rā anō, e rua hāora te roa i te toru rā i ia wā. Ka utua e ngā whare hauora tata he utu nui mō tēnā.
E rua ngā āwangawanga e tika ana kia arohia tika
Kāore ianei rātou e noho hei whakataetae ā tōna wā?
Tērā pea, ā tōna wā. I roto i ngā wā tata nei, kei te whakaoti rapanga koe kāore e taea e rātou te whakaoti - ā, e mōhio ana rātou ki tēnā. I roto i te mahi, ka hohonu ake ēnei whanaungatanga, kaua e wetewete. Ko ngā whare hauora e whakawhirinaki ana ki tō tere hurihanga, ka tuku kē i ngā take uaua ki a koe, kāore e kukume atu i ngā tūroro.
Ā, me pēhea te raihana me te tutuki i ngā whakaritenga?
He rerekē rawa ngā ture i ia whenua, i ia rohe. I ētahi mākete, me whiwhi raihana taiwhanga niho te whare hauora e whakarato ana i ngā ratonga mira ki ētahi atu whare hauora; i ētahi atu, kāore. Tirohia tō anga ture ā-rohe i mua i te whakarewatanga o tētahi ratonga o waho. Mā tō kaituku taputapu, mā tētahi hoapā rānei o te umanga niho koe e tohu ki te mana tika.
Ka mahi noa te tauira mira-tahi mēnā ka taea e ō taputapu te whakahaere i ngā ota o waho me te kore he waku. E toru ngā mea kāore e taea te whiriwhiri:
Hanganga kōnae tuwhera
Ka whakamahia e ō whare hauora tata te matawai kei a rātou — 3Shape, iTero, Medit, Carestream. Me whakaae tō mīhini mira ki ngā kōnae STL me PLY tuwhera paerewa, me te kore e hiahiatia he pūmanawa motuhake i roto i te mekameka. Ka patua te tauira pakihi e te pūnaha kati i mua i te tīmatanga.
Te kaha ki te maha o ngā rauemi mākū/maroke
Ko ngā ota o waho ka uru atu ki ngā karauna PMMA rangitahi, ngā whakakikorua karāhe-uku, me ngā zirconia hope kaha-teitei. Kāore e taea e tētahi mīhini e herea ana ki tētahi momo rauemi te whakatutuki i te whānuitanga o ngā take ka tukuna mai e ngā whare hauora tata. Ka kapi katoa te whānuitanga o te mira mākū tuaka-4, tuaka-5 rānei.
He oumu whakawera tere kua whakaritea mō ngā huringa 20–30 meneti
E toru ki te waru hāora te roa o te whakahinuhinu paerewa — nā taua wā ka kore e taea te tuku i taua rā anō. Ka taea e ngā oumu whakahinuhinu tino tere i hangaia mō ngā tikanga huringa poto te tahu i te karauna zirconia i roto i te 20 ki te 30 meneti. Ko te nuinga o ngā kaihanga poraka zirconia nui e whakaputa ana i ngā wātaka tahu whakahinuhinu tere kua whakamanahia me ngā wātaka tuku iho; i mua i te hoko i tētahi oumu, tonoa te kaiwhakarato kia whakarato i te kawa kua whakamanahia mō ngā poraka motuhake e whakaaro ana koe ki te whakamahi.
Kia mārama ki ngā whakaritenga taputapu, ka māmā ake te aromatawai i te tauira pūtea. Ko te wehewehenga e whai ake nei e hangai ana ki tētahi horopaki utunga ā-marama tūturu mō tētahi mīhini mira me te paihere oumu whakawera:
| Te Rerenga Moni Whiwhi me te Utu | Rōrahi / Tātaitanga | Pānga o ia Marama |
|---|---|---|
| Te Utu Taputapu Pūmau | Utu ā-marama / rīhi | −$1,500 |
| Ngā Penapena Tūroro o Roto | 40 karauna/marama × $50 kua penapenahia, whakaritea ki te taiwhanga o waho | +$2,000 |
| Ngā Moni Whiwhi Mahi Tahi ā-Rohe | 30 karauna ia marama mai i ngā whare hauora tata @ $80 ia karauna | +$2,400 |
| Ngā Utu Rauemi me ngā Poraka | 70 ngā waeine katoa × ~$15 (poraka + pūwero + hiko) | −$1,050 |
| Rerenga Moni Kupenga Marama | ($2,000 + $2,400) − ($1,500 + $1,050) | +$1,850 |
Ko te paepae matua: mā te tukatuka i tētahi karauna o waho mō ia rā ka ea ai ō utu rauemi me tō utunga taputapu ā-marama. Ko ngā mea katoa i tua atu i tēnā he moni whiwhi.
Hei whakamārama i tēnā: i roto i ngā wiki e ono o te whakatuwheratanga o te ratonga, e tukatuka ana te whare hauora o Monterrey i whakahuatia ake nei i te 30 karauna o waho i ia marama — tata ki te 1.5 i ia rā mahi. Kāore ia i whakahaere i tētahi hokohoko ōkawa. I waea atu ia ki ētahi mahi tata e toru, i whakamārama i te roanga o ngā haora e rua, ā, i tuku whakamātautau kore utu. Tokorua o te tokotoru i noho hei kiritaki tūturu i roto i te marama.
Ko te mea tino whai hua ka taea e koe te mahi i mua i te hoko i tētahi taputapu ko te tirotiro tono ā-rohe māmā. E toru ngā taahiraa:
Tāutuhia ngā wāhi mahi motuhake e rima, e ono rānei e tata ana ki a koe — he wāhi mahi iti me ngā tūru kotahi, e rua rānei, kaua he mekameka.
Pātai atu ki ētahi o rātou, ahakoa te āhua ōkawa: "E hia ngā karauna ka tukuna e koe ki tētahi taiwhanga o waho i ia marama, ā, e hia te auau o te whakararuraru i tētahi tūroro nā te tatari?" Mā taua pātai ka tīmata te kōrero, kāore he pēhanga hoko — kei te pātai koe mō ō rātou mamae, ehara i te mea kei te tuku ratonga koe.
Mena ko te rahinga o ngā mahi a waho puta noa i aua wāhi mahi he 20 karauna, neke atu rānei, ia marama, ka ea i te moni whiwhi mai i te mira tahi anake te utu mō te utunga taputapu noa.
He mahi anō hoki taua kōrero hei toro atu ki ngā kaihoko i te wā tuatahi. Ko ngā whare hauora e whakaahua ana i tētahi raruraru me ngā wā tatari taiwhanga he kiritaki kua tohua i mua. Kāore koe e hiahia ki te tono atu ki a rātou kia whakapau kaha ki tētahi mea — ko te tuku whakamātautau kore utu (pērā i te whare hauora o Monterrey) te tikanga ka kati i te mahi tuatahi me te kore he raruraru.
Ko te manukanuka mō ngā whakapainga niho matihiko i ahu mai i tētahi tātaitanga ROI ā-porowhita: ka taea e te nui o taku tūroro anake te whakamana i tēnei haumitanga? Mō te nuinga o ngā mahi niho iti, ko te whakautu pono: ehara i te mea i taua wā tonu.
Engari kāore taua tataunga e aro ki ngā mahi tekau kē atu i roto i ngā maero e rua o tō rohe e hiahia ana ki ngā mea ka taea e koe te whakarato. Ina whakaarohia te moni whiwhi o waho e tohuhia ana e aua mahi, ka tino rerekē te pāngarau - ā, ka mutu te noho hei nama o ngā taputapu, ka tīmata te mahi hei hanganga mō te rua o ngā rerenga moni whiwhi.
He māmā ake te huarahi whakauru matua i tā te nuinga o ngā kaipupuri whare hauora e whakaaro nei: e toru ngā waeatanga, he whakamātautau kore utu, me te whakamārama mārama mō te tikanga o te wā e rua hāora te roa mō te tūroro e noho ana i runga i te tūru.
Mō tēnei tuhinga
He kaihanga mātou i ngā mīhini mira taha tūru me ngā oumu whakawera tere, ā, ka mahi tahi mātou me ngā whare hauora motuhake i tēnei whakawhiti i ia wā, i ia wā. Mena kei te hiahia koe ki tētahi tauira pūtea e hangaia ana i runga i te rahinga tūroro motuhake me te mākete ā-rohe, whakapā mai ki tā mātou tīma mō tētahi whakawhitiwhiti kōrero mō te tiritiri kaha me te whakamahere pūtea.
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