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标题: GWD 16 套一个逻辑请教 [打印本页]

作者: ni10101010 时间: 2010-6-16 21:45
标题: GWD 16 套一个逻辑请教
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.

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

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

hysicians are increasingly likely to work in group practices, sharing the responsibility of night and weekend work (Shell Game: office visit not night and weekend).
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.

不明白为什么选B？

作者: nicolekwok 时间: 2010-6-16 22:04
the average amount of time a patient spends with a physician during an office visit(T) = diagnosis and treatment to consider with the patient before prescribing时间（T1）(也就是B选项里的) + doctor和patient独处交流的时间(T2)。所以虽然T增加了，可是T1也增加了很多，导致T2还是减少了（T2减少就是physicians’ perceptions ）。解释矛盾恩。不晓得对不对......

作者: hey_cathy 时间: 2010-6-16 22:13
首先看清楚题目吧most helps to resolve the apparent discrepancy between physicians’ perceptions and the change in the actual time spent?
然后回忆题目，保险公司要求P document their decisions in treating patients and to justify deviations from the companies’ treatment guidelines. Ten years ago physicians were allowed more discretion.重点放在后面一句话。答案就浮出水面了

作者: springdong1 时间: 2010-6-16 23:33
医生觉得现在跟病人呆的时间不够，但事实表明每一个VISIT的平均时间过去十年一直在增加啊？这是怎么回事？问SOLVE，就是SUPPORT呗～B选项意思是现在医生有更广阔空间诊治（新技术啊新的医学知识啊经验啊导致），所以需要更多的时间啊（题干中表明的增加的那点时间根本不够用）。这样说明白吗？

作者: ni10101010 时间: 2010-6-17 17:33
Thank you.

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