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gwd-25-12

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楼主
发表于 2006-10-19 21:39:00 | 只看该作者

gwd-25-12

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.

请解释为什么选B ?我选了C


[此贴子已经被作者于2006-10-20 14:32:34编辑过]
沙发
发表于 2006-10-20 23:26:00 | 只看该作者
DING!请大牛指点!
板凳
发表于 2006-10-26 19:07:00 | 只看该作者
参看这里,http://forum.chasedream.com/dispbbs.asp?BoardID=24&ID=175009。如果你用gwd-25-12找不到,请用gwd-25-q12。
地板
发表于 2007-4-30 11:44:00 | 只看该作者

看了以前的讨论~~还是觉得不清楚啊,b很牵强

哪位在指点一下~~

5#
发表于 2007-4-30 12:19:00 | 只看该作者

医生要记录下自己的处方以及诊断之类的东西供保险公司复核其deviation

医生因此觉的自己看病的时间少了,但是实际时间是增加的

医生比以前多了工序,要记录decision,并且要根据很多的其他的东西来做最后的诊断,以避免deviation from the companies’ treatment guidelines。

医生必须对其诊断有足够的证据来说明,为此再开药前,医生必须证明自己的开药是正确的有说服力的。因此很多的诊断是必须的。

病人和医生呆一起的时间长了,但是很多时间都是用在了选择适当的诊断方法上了,而真正的看病的时间其实是少了。

6#
发表于 2008-8-2 21:05:00 | 只看该作者

谢谢 大家的讨论呢 明白了

7#
发表于 2009-7-19 07:17:00 | 只看该作者
DD
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