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  3. American Private Clinics Transform Toward the Medical Institutions A quiet revolution is transforming how medical care is de

American Private Clinics Transform Toward the Medical Institutions A quiet revolution is transforming how medical care is de

admin2013-07-08  50
问题            American Private Clinics Transform Toward the Medical Institutions
    A quiet revolution is transforming how medical care is delivered in this country. Traditionally, American medicine has been largely a cottage industry. Most doctors cared for patients in small, privately owned clinics—sometimes in rooms adjoining their homes. But an increasing share of young physicians, burdened by medical school debts and seeking regular hours, are deciding against opening private practices. Instead, they are accepting salaries at hospitals and health systems. And a growing number of older doctors—facing rising costs and fearing they will not be able to recruit junior partners—are selling their practices and moving into salaried jobs, too.
    As recently as 2005, more than two-thirds of medical practices were physician-owned—a share that had been relatively constant for many years, the Medical Group Management Association says. But within three years, that share dropped below 50 percent, and analysts say the slide has continued. For patients, the transformation in medicine is a mixed blessing. Ideally, bigger health care organizations can provid better, more coordinated care. But the intimacy of longstanding doctor-patient relationships may be going the way of the house call.
    The trend away from small private practices is driven by growing concerns over medical errors and changes in government payments to doctors. But an even bigger push may be coming from electronic health records. The computerized systems are expensive and time-consuming for doctors, and their substantial benefits to patient safety, quality of care and system efficiency accrue almost entirely to large organizations, not small ones. The economic stimulus plan Congress passed early last year included $ 20 billion to spur the introduction of electronic health records.
    In many ways, patients benefit from higher quality and better coordinated care, as doctors from various fields join a single organization. In such systems, patient records can pass seamlessly from doctor to specialist to hospital, helping avoid the kind of dangerous slip-ups that cost the lives of an estimated 100,000 people in this country each year. And yet, the decline of private practices may put an end to the kind of enduring and intimate relationships between patients and doctors that have long defined medicine. A patient who chooses a doctor in private practice is more likely to see that same doctor during each office visit than a patient who chooses a doctor employed by a health system.
Hospitals and health systems can avoid the dangerous______ that kill the lives Of many patients.
选项
答案slip—ups
解析 根据题干关键词avoid，dangerous定位到第四段第二句：In such systems．．．helping avoid the kind of dangerous slip-ups that cost the lives of an estimated 100，000people in this country each year．题干中hospitals and health systems对应原旬中suchsystems．可知在医院和保健机构这种体质下，病人的病历能够很顺利地在医生、专家和医院之间转交，这样能避免造成危险后果的失误。
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