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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 认知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.

答案选B。
题干是懂了,可是咋想也不明白为啥是B,也许是我还是没理解意思。
题目是不是在说美国现在很多医药保险公司的做法。医生看病人时,必须详细写出他们的诊断,并说明为什么。保险公司对各种病症都有治疗指示,说明什么可以做,什么疗程不付款。那么如果医生决定疗程后,与保险公司的指示不同,就要说明理由
然后说大夫们现在觉得给病人看病的时间由于保险公司的要求降低了。但是事实上时间是增加了。。
我就理解到这份上了。。求牛人指点!不胜感激!


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这题pardox是不是可以这样理解?
(1)医生认为现在与病人诊断的时间不够。
(2)病人在医院实际的时间变长。
(1)、(2)构成paradox
B解释,现在针对一种病诊断治疗的手法多了,开出的药方能有很多种。

然后病人在医院的时间由两部分构成。一个是医生看病的时间,一个是医生向病人确定最终药方的时间。(因为保险公司规定了有些药不保有些药可以保,所以医生需要更多的时间向病人解释延长了第二个时间,总时间也延长了,但是第一个时间可以变短,解释了paradox)

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No. The doctor explain all the available options to the patient.

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谢谢!你的意思是说现在医生开药前有很多选择,而且都要向保险公司解释,所以就用了很长时间吗?

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If physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing, they have to explain each and every possible options with the patient before prescribing.  That explanation step takes more time now than 10 years ago.  Thus, the average amount of time a patient spends with a physician during an office visit has actually increased somewhat over the last ten years

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