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GWD-25-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.

Paradox题. 前提: 保险公司对医生有很多条例. 医生们觉得这些条例会限制他们在病人上花的时间. 但事实上, 时间上升了. 为什么

A: 不对. 病人急着走. 正好相反.

D: 无关

E: 不对. 医生想看越多病人越好, 正好相反

C: single vs. group practice是指一个医生或多个医生的诊所. 多个医生分上nights and weekends只能说明总时间增加, 和平均时间无关.

B: 医生的测病和治病方法多了. 如果医生一次行医同时一起用多种方法, 那时间就加长了. 注意: 前提中没说保险公司要求一定要用一种方法, 所以B most helps to resolve discrepancy.

仔细看: 这里discrepancy是 1) Most physicians believe that the companies’ requirements now prevent them from spending enough time with patient 2)average amount of time a patient spends with a physician during an office visit has actually increased.

注意, 1里的Most physicians的想法是关于companies’ requirements的. 并没涉及到a wide range of options. B指出physicians忽略了a wider range of options故答案.

我觉得B不能削弱结论:"如果医生一次行医同时一起用多种方法, 那(每次行医)时间就加长了."这只是跟结论说现在每个病人看病时间已经加长了是一致的,无法说明为什么医生觉得整体时间不够用?(注意原文说的时间不够用是针对所有病人来说的:spending enough time with patients).

按E的说法,由于按保险公司的规定医生为拿工资必须尽可能多地看病人,而结论又说每个病人看病的时间都加长了,由于工作时间是有限的(这是个隐含前提,因为医生不可能有无限的工作时间),那么医生在有限的工作时间内就无法完成尽量多的病人数,反而甚至有可能在有限工作时间内看的病人数下降,因此医生感觉整体时间不够用就是可以合理解释的了.

请大家讨论!

這道題應該這麼理解。B是正確答案。

醫生選擇多了﹐可以解釋為什麼每個病人看得時間長了。這點樓上也有解釋。

但是醫生對每個病人做的檢查多了﹐他需要花時間在記錄這些檢查﹐因為這是保險公司的要求。這些documentation的時間花多了﹐醫生就覺得看病人的時間減少了。

題目中用的是patients, not patient。 如果一個醫生每天看病人的時間固定。每個病人看的時間長了﹐documentation的時間也長了﹐他實際上看得病人數少了(隱含)﹐總體花在看病人上的時間也少了。這就解釋了題目。

照mba06的解释岂不是有两个假设？
1。选择多时间长，要求假设每个选择时间差不多，起码要求每个选择不是时间很短。
2。医生做记录的时间也要算在给病人看病的时间内。

我觉得这个题目答案很牵强，只能说B是相对较好，而且我认为ETS不会给这么不严谨的选项来做答案。

不同意7楼关于DOCUMENTATION占时间的说法~我的理解是:

which require

physicians to document their decisions in treating patients and to justify deviations

from the companies’ treatment guidelines.

这个REQUIREMENT是对医生做的DECISION的限制~而医生的DECISION是什么?是PRESCRIPTION!

也就是说现在医生所能开的药只能在一个限制范围~超过的话要向公司JUSTIFY

所以医生的DISCRETION(处理权)就不同10年前的多~

而医生开药肯定要一定时间的比如问病人对这种药过敏吗?以前有用过吗?等等~

而C说现在医生有 wider range of options in diagnosis and treatment to consider with the patient

因而医生和病人再一起的时间增多是诊断时间上的增多~而在开药方上仍旧不怎么花时间和病人沟通,直接在公司的限定范围内开药~