GWD里的题，但是没有找到解析。求大家帮忙解答一下啊！

ChristySuen

In Kantovia, physicians’ income comes from insurance companies, which require physicians to document their decisions in treating patients and to justify deviations from the companies’ treatment guidelines. Ten years ago physicians were allowed more discretion. Most physicians believe that the companies’ requirements now prevent them from spending enough time with patients. Yet the average amount of time a patient spends with a physician during an office visit has actually increased somewhat over the last ten years.

      Which of the following, if true, most helps to resolve the apparent discrepancy between physicians’ perceptions and the change in the actual time spent?

A.    Patients are more likely to be in a hurry nowadays and are less willing to wait a long time to see their physician.

B.    Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing.

C.    Physicians are increasingly likely to work in group practices, sharing the responsibility of night and weekend work.

D.    Most patients would rather trust their physicians than their insurance companies to make decisions about their treatment.

E.     Since the insurance companies pay physicians a set amount for each office visit, it is to physicians’ financial advantage to see as many patients as possible.

这是GWD16里的题。

我的理解是，医生们觉得病人和医生接触的时间会减少，但是实际上却是增加的。

然后答案选B，但是我不懂为什么医生在开药之前的诊断时有很多选择就能解释这个问题呢？

求大家帮忙解答一下啊！！谢谢！！！

alzn2765

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类比推理找加强

题干给出了10年之前（不知道为什么想起了陈奕迅的《10年》）和今天的问诊时间的变化：
10年之前：问诊时间短
现在：问诊时间变长了
为啥？

答案一定是讲10年前与现在的某些不同导致的：可能是10年前的physicians和现在的physicians的区别，也可能是10年前的病人和现在的病人的区别，总之必须是可以导致问诊时间变长的一个直接或者间接参与者，一定不可以只讲10年前或者只讲现在的选项。所以排除DE，这两个选项没有涉及比较。
A是削弱，反向答案
B留下
C说的是现在的physicians和10年前的physicians的比较，不过这跟问诊时间的长短任何没有关系，无关。

现在说B到底是什么意思：
注意这句话： which （insurance companies）require physicians to document their decisions in treating patients and to justify deviations from the companies’ treatment guidelines.
B说的是Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing
这两句的意思就是现在保险公司要求physicians记录下治疗并且给出采取这个治疗而不采取保险公司提供的建议治疗的原因。B说现在physicians在开药之前有很多可以考虑的诊疗程序。
我靠！说人话吧！
举个例子：
10年以前A病的确诊程序就一个（看眼睛），治疗就是吃屎。现在在确诊程序变成10个（看眼睛，看喉咙，看屁眼。。。），治疗有吃屎，喝尿，喝血。。。。而physicians要把这10个确诊过程都记下来，还要写为什么让病人吃屎，而不是喝尿喝血，不然保险公司不给钱啊！你说问诊的时间是不是会变长？其实就是文字工作变多了。

ChristySuen

alzn2765 发表于 2015-11-19 15:40
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类比推理找加强

谢谢！！！！

Echo_Tang

In Kantovia, physicians’ income comes from insurance companies, which require physicians to document their decisions in treating patients and to justify deviations from the companies’ treatment guidelines. Ten years ago physicians were allowed more discretion. Most physicians believe that the companies’ requirements now prevent them from spending enough time with patients. Yet the average amount of  time a patient spends with a physician during an office visit has actually increased somewhat over the last ten years.
医生收入源于保险公司，保险公司需要医生记录病人情况。大多数医生认为和病人相处的时间会减少，但是平均总的和病人相处的时间增加。
文章分析：平均总的和病人相处的时间会增加。医生在病人身上投入的时间分为诊断前、诊断中以及诊断后。只要这三个时间总量增加，那么就可以解决问题。
Which of the following, if true, most helps to resolve the apparent discrepancy between physicians’ perceptions and the change in the actual time spent?

A.   Patients are more likely to be in a hurry nowadays and are less willing to  wait a long time to see their   physician.
B.   Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing.
      医生要花时间在诊断、记录方面。应保险公司的要求，记录时间增加，诊断时间相对要考虑更多的因素，总的平均时间确实增加的。
       因为在诊断之前，需要考虑的因素比以前要多了，因此所需要的时间也会变多。
C.   Physicians are increasingly likely to work in group practices, sharing the responsibility of night and weekend work.
D.   Most patients would rather trust their physicians than their insurance companies to make decisions about their treatment.
E.   Since the insurance companies pay physicians a set amount for each office visit, it is to physicians’ financial advantage to see as many Patients as possible.
       即使是优势，但是却是否实施，选项没告诉医生的实施情况。属于理论层面。
      看得病人多 ≠和病人相处的时间多，可能不变。一天工作12小时，看12个人和看20个人没区别。

以梦为马Jessie

一定得留言，翻译的好舒服，这是我看过觉得解释的最好的答案了，。而且是话糙理不糙的最高境界阿

Lia_Li

alzn2765 发表于 2015-11-19 15:40
受到版主鼓励，打鸡血！

类比推理找加强

同意！