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  3. The medical wrongdoing debate often pits physicians—who say the threat of lawsuits pushes them to order expensive, unnecessary t

The medical wrongdoing debate often pits physicians—who say the threat of lawsuits pushes them to order expensive, unnecessary t

admin2012-12-13  29
问题     The medical wrongdoing debate often pits physicians—who say the threat of lawsuits pushes them to order expensive, unnecessary tests—against lawyers who believe that lawsuits are needed to hold doctors accountable.
    Obviously, no one wants medical mistakes. And no one, perhaps with the exception of lawyers, wants lawsuits, which put the victims, their families and the doctors involved through painful affairs.
    How can physicians avoid the courtroom? If an error was made, many insurers advise physicians not to talk to patients. That’s wrong. Physicians should disclose their mistake, apologize and, when appropriate and through mutual agreement, compensate injured patients.
    For more than a decade, the University of Michigan Health System has used such a program, and its incidence of has since dropped 36% . This approach should be spread nationwide. Actually, in 2005, Hillary Clinton and Barack Obama co-sponsored the National MEDiC Act, which among other things would have implemented apology laws throughout the U. S.
    Doctors also must create and maintain open lines of communication with patients, which is critical to preventing lawsuits in the first place. Doctors have to better explain, and patients better understand, that not all adverse outcomes are due to physician errors.
    Consider the seemingly simple task of dispensing (配药) a drug at a hospital. It’s actually a complex process that requires five interdependent steps: ordering, transcribing, dispensing, delivering and administering. A poorly designed system can lead to an error in any of those steps, with a potentially deadly outcome. Bad outcomes can also occur despite proper patient care.
    Finally, fewer lawsuits might lead to better medical treatment. A 2011 study from the Journal of the American College of Surgeons found that doctors who had been sued were more prone to burnout, depression and suicide, and, in turn, often make significantly more mistakes.
    There’s no cure-all for eliminating mistakes, but a starting point is clearly communication. Better doctor-patient exchanges improve medicine, and when patients and their families are kept in the loop, they also are less likely to pursue a lawsuit. And, then, if errors are made, doctors should apologize and work with the patient and, when necessary, their lawyer, to find a compromise.
According to many insurers, what should a doctor do if an error was made?
选项 A、Express his apology.
B、Disclose his mistakes.
C、Avoid talking to patients.
D、Offer thorough examination.
答案C
解析 事实细节题。由定位句可知，在出现医疗事故的时候，许多保险公司建议医生不要和病人交流，故C)正确。A)“向病人道歉”和B)“坦承他的错误”都是作者建议医生去做的事，这恰恰是很多保险公司反对医生做的，故排除；D)“提供全面的检查”，原文并未提到，故排除。
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