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标题: [求助]GWD25-12----请高手指点 [打印本页]

作者: 云在青天水在瓶 时间: 2007-9-21 22:13
标题: [求助]GWD25-12----请高手指点

12. GWD25-Q12.

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.

提示答案为B, 但是不理解题意，向大家求教，谢谢

作者: 云在青天水在瓶 时间: 2007-9-21 23:23
继续求助~~

作者: 云在青天水在瓶 时间: 2007-9-21 23:49
继续顶

作者: 云在青天水在瓶 时间: 2007-9-23 23:17

哎，路过的考友帮帮忙吧

谢谢

作者: cyoasis 时间: 2007-9-24 12:29

我是这么想的,physicians 在门诊时主要做两件事： "spend time with the patients" and "document their decisions in treating patients and to justify deviations from the companies' treatment guidelines"
因为保险公司的要求，physicians 不得不花更多的时间在后者，因此觉得直接诊断病人的时间少了，但是对于病人来说，不论physicians是做前者还是后者都算是“amount of time a patient spends with a physician during an office visit ”的一部分

不知道这样说清不清楚，请指正

作者: minirainbow 时间: 2008-10-28 11:47

12. GWD25-Q12.

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. 医生认为要花时间因应保险公司的要求就会导致他们与病人相处的时间减少

Which of the following, if true, most helps to resolve the apparent discrepancy between physicians’ perceptions and the change in the actual time spent? 解释相处的时间如何增多以因应保险公司的要求

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. 因为要因应保险公司的要求，所以医生的选择空间变大了，然后在这个过程里是和病人相处在一起的

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.

作者: pennywho 时间: 2012-5-11 22:15
这道题虽然过去很久了，但是我还是说一下我自己的看法吧，好让以后参考的人多一种思路。在第一遍做的时候，我也没有找到正确答案，这个题实在是有点绕。
首先应该明白discrepancy指的是什么：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.——医生认为时间不够，但实际上每个医生接待一个病人的时间是增长的，所以这个discrepancy就是：为什么时间增长了，医生还是觉得不够。
B很完美得解答了这个疑问：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。虽然现在相对于十年前看病人的时间有所增长，但是这个时间的实际增长可能不足以满足医生对时间长度的合理需求。

作者: teddysmile 时间: 2013-4-12 08:56

pennywho 发表于 2012-5-11 22:15
这道题虽然过去很久了，但是我还是说一下我自己的看法吧，好让以后参考的人多一种思路。在第一遍做的时候， ...

讲得太好了！！此处有掌声~~

作者: 云游 时间: 2013-9-8 21:08

pennywho 发表于 2012-5-11 22:15
这道题虽然过去很久了，但是我还是说一下我自己的看法吧，好让以后参考的人多一种思路。在第一遍做的时候， ...

感觉很多GWD题目逻辑很松散，B选项不是一个好选项，have wider range并不能直接导致时间画的多了。而且我觉得在GMAT考试中不大可能出现这种选项。

作者: grhome1024 时间: 2014-1-14 15:32
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.

原文说需要医生记录他们的诊断决定，而现在医疗技术发达了，有了更多的诊断方法，所以医生需要更多的时间来做出决定，所以时间就长了。。。所以选B

作者: 醒醒Shine 时间: 2014-4-25 12:21
这题我一开始错选了E，来把自己的错误经历分享记录下。
E这里攻击的是pay和many patient，而在GMAC的思路里看病的人多了≠看病的时间一定增长，这里面还需要一个gap。
至于B，现在看明白了，tricky的地方在于完美诠释了题干中company要求的是document；那么只要绕开document 别的方面需要的时间多了，就能回答题目问题了。

唉，还是要阅读理解能力。

作者: 克瑞斯 时间: 2015-9-6 19:00

grhome1024 发表于 2014-1-14 15:32
In Kantovia, physicians’ income comes from insurance companies, which require physicians to documen ...

赞一个~~~

作者: yichenny 时间: 2017-8-18 23:48
感觉E没什么错啊 TT

作者: Echo_Tang 时间: 2017-9-22 12:18
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。

作者: billysen 时间: 2018-3-27 23:55
医生感觉和病人相处时间短了，因为以前不用考虑保险公司的需求不用花时间在服从保险公司规定而有更多discretion（意思是自主选择权利而不是谨慎）；而现在改变了，因为要花时间在想各种treatment是不是合规，所以觉得多花了一份原来不需要的时间，觉得给病人的时间少了；
但是为什么统计说单次visit时间没有降低呢？
因为你花时间和商讨treatment是和病人一起花的。所以算平均visit时间的时候，这部分时间被加上了；
所以统计的平均时间和医生认为的平均时间有误差，主要是之前不需要和病人讨论treatment和diagnosis，所以医生业务改变后，观念没有改变，觉得这部分不算在per visit里面。
虽然我写了这么长，但是我只是帮gmac自圆其说我觉得这题选项非常扯。。。

作者: wu0h961738 时间: 2020-2-25 21:58
有些想法想分享看看，請不吝指教。
感覺這題的scenario是在敘述保險公司跟復健師之間的合作情境: (可能是保險給付的金額跟復健師服務的時數有關)
相對10年前有更多的自主權，復健師和病人的相處時間被降低(因為insur comp requirement針對document作不斷的改進)
但復健師仍然認為document制定下的時數不夠充足。

有以上情境的了解，再往下找答案應該B就滿明顯的。

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