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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。
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