首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
考研
Crippling health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surfa
Crippling health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surfa
admin
2014-11-24
42
问题
Crippling health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily.
Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The U. S. takes the opposite approach by emphasizing the specialist rather than the primary care physician.
A recent study analyzed the providers who treat Medicare beneficiaries(老年医保受惠人). The startling finding was that the average Medicare patient saw a total of seven doctors—two primary care physicians and five specialists—in a given year. Contrary to popular belief, the more physicians taking care of you don’t guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors.
How did we let primary care slip so far? The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he’s reimbursed(返还费用). Moreover, the amount a physician receives leans heavily toward medical or surgical procedures. A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient’s disease. Combine this fact with annual government threats to indiscriminately cut reimbursements, physicians are faced with no choice but to increase quantity to boost income.
Primary care physicians who refuse to compromise quality are either driven out of business or to cash-only practices, further contributing to the decline of primary care.
Medical students are not blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. The recent numbers show that since 1997, newly graduated U. S. medical students who choose primary care as a career have declined by 50% . This trend results in emergency rooms being overwhelmed with patients without regular doctors.
How do we fix this problem?
It starts with reforming the physician reimbursement system. Remove the pressure for primary care physicians to squeeze in more patients per hour, and reward them for optimally(最佳地)managing their diseases and practicing evidence-based medicine. Make primary care more attractive to medical students by forgiving student loans for those who choose primary care as a career and reconciling the marked difference between specialist and primary care physician salaries.
We’re at a point where primary care is needed more than ever. Within a few years, the first wave of the 76 million Baby Boomers will become eligible for Medicare. Patients older than 85 , who need chronic care most, will rise by 50% this decade.
Who will be there to treat them?
Why do many new medical graduates refuse to choose primary care as their career?
选项
A、They think working in emergency rooms tedious.
B、The current system works against primary care.
C、They find the need for primary care declining.
D、Primary care physicians command less respect.
答案
B
解析
细节题。根据题干中的choose primary care as their career将答案出处定位到第六段第三句。该句提到医学专业刚毕业、选择基本医疗作为职业的学生数量下降了50%,题干中manv new…career是对该句的同义转述。B项与对上句提到的原因“他们看得到返还报酬的平台有多么不利于基本医疗”意思一致,故B项为正确答案。
转载请注明原文地址:https://kaotiyun.com/show/lwK4777K
0
考研英语一
相关试题推荐
Moneyisakeyelementineconomicandbusinessactivitiesandhasbeenthethemeofmanywittyremarks.BenjaminFranklinonce
Moneyisakeyelementineconomicandbusinessactivitiesandhasbeenthethemeofmanywittyremarks.BenjaminFranklinonce
PsychologistAlfredAdlersuggestedthattheprimarygoalofthepsyche(精神)wassuperiority.Although【C1】______hebelievedthat
PsychologistAlfredAdlersuggestedthattheprimarygoalofthepsyche(精神)wassuperiority.Although【C1】______hebelievedthat
PsychologistAlfredAdlersuggestedthattheprimarygoalofthepsyche(精神)wassuperiority.Although【C1】______hebelievedthat
Musiccomesinmanyforms;mostcountrieshaveastyleoftheirown.【C1】______theturnofthecenturywhenjazz(爵士乐)wasborn,
Musiccomesinmanyforms;mostcountrieshaveastyleoftheirown.【C1】______theturnofthecenturywhenjazz(爵士乐)wasborn,
Yourinefficiency,______fartoolong,isbeginningtoannoyourcustomers.
The"standardofliving"ofanycountrymeanstheaverageperson’sshareofthegoodsandserviceswhichthecountryproduces.A
随机试题
我国古代儒家和道家思想的核心分别为()。
管理循环的工作程序是()
奶牛,表现痛性咳嗽,叩击胸壁时咳嗽增多并躲闪,胸腔穿刺见含有大量纤维蛋白的黄色液体,X线检查肺部无明显异常,则该奶牛呈现
慢性肾小球肾炎蛋白尿形成的主要病机是
[2011年第035题,2003年第044题]被动式太阳能建筑(passivesolarbuilding)是指:
义务教育是依照法律规定,适龄儿童和青少年必须接受,国家、社会、家庭必须予以保证的国民教育,它具有强制性。()
公园只售两种门票:个人票每张5元,10人一张的团体票每张30元,购买10张以上的团体票的可优惠10%。甲单位45人逛公园,按以上规定买票,最少应付多少钱?()
几年来,北京部分地区的房价翻了两番,使许多年轻人买不起理想小区中的房子。不论房价高涨是什么原因造成的,都会加重家长的经济压力。老百姓对此无计可施,只能表达自己的不满。所幸的是,有数据表明中央政府控制房价的努力已初见成效。
TheNewZealanderwhorepresentsQueenElizabethHinNewZealandiscalled
______muchadviceyougivehim,hedoesexactlywhathewants.
最新回复
(
0
)