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[求助]gwd25-12

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.

The answer is B. Don't know why.

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since there are a lot of methods availabled , surgens have to think about which one is the best and minimize deviate from the benchmark established by insurance companies.So surgen have to take more time to choose in terms of the principle by insurance company and then the periods for the patient treatment decreases ,and then the descrpeny occours above.

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不好意思 我不太懂為什麼要選B耶
B好像跟前提矛盾 前提說十年前醫生有較多的裁量權
我選D 病人比較信任醫生 因此願意花較多時間在看診上
有人可以告訴我為甚麼B對D錯嗎?

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 个人看法:
题干的意思:
保险公司要求医生写很详细的文档同时注意不要偏离公司的治疗准则.而十年前不是这样,

那时医生有更多的自主权.于是医生抱怨这样一来没有足够的时间去治疗病人.而实际情况

是现在医生平均花在每次治疗上的时间在过去十年中是增长的.
其实这种医生个人的感觉和实际情况的差异可以有很多解释,但落脚点应该是"花在每次治

疗上的时间是如何增加的.",选项中只有B直接而有明确地回答了这个问题.

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因为保险公司要求医生记录治疗方案并解释其选择的方案同原则有何偏差(保险公司给医生发工资,偏差多且理由不充分,就影响收入咯), 那么当医生有很多的检查/治疗方案选择的时候,他就要花多点时间去一项项的选择分析来决定最佳的方案.

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