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
职业资格
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
2016-08-31
64
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. 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. 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 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?
What suggestion does the author give in order to provide better health care?
选项
A、Bridge the salary gap between specialists and primary care physicians.
B、Extend primary care to patients with chronic diseases.
C、Recruit more medical students by offering them loans.
D、Reduce the tuition of students who choose primary care as their major.
答案
A
解析
根据文中信息“Make primary care more attractive to medical students by for—giving student loans for those who choose primary care as a career and reconciling the marked difference between specialist and primary care physician salaries.”可知,选择A项。
转载请注明原文地址:https://kaotiyun.com/show/xo3v777K
本试题收录于:
英语学科知识与教学能力题库教师资格分类
0
英语学科知识与教学能力
教师资格
相关试题推荐
简述历史教学评价的功能。
Socialchangeismorelikelytooccurinsocietieswherethereisamixtureofdifferentkindsofpeoplethaninsocietieswhere
Writingexercisessuchascompletion,reproduction,compression,andtranslationaremainlythetypeofexercisesusedin______.
USresearchershavefoundtracesofanancientlakeonMarsrecently,increasinghopesofdiscoveringevidencethatbillionsof
TheAncientGreekphilosopherPythagorasisbestknowntodayforhismathematicaltheorem,whichhauntsthedreamsofmanygeome
Thephrase"______"exemplifiestheincompleteplosionatthejunctionofwords.
Birdsareacriticalpartofourecologicalsystem.Butmorethanever,birdsarethreatenedbyhumanpollutionandclimatechan
Carterwassayingalltherightthings,buthissmilewas______,andIknewIcouldn’ttrusthim.
Theoldmanenteredthehall,______inhand.
随机试题
上颌骨高位骨折出现脑脊液鼻漏时,可考虑下列哪类颅脑损伤
某甲是某公安局的刑侦人员,根据刑事诉讼法的规定,下列哪些情形甲某应当回避?()
下列有关建设项目环境影响评价文件审批权力的说法正确的是:()
冬期施工混凝土宜选择较小的配合比指标是()。
当前,对于大部分消费者来说,智能化家居产品既熟悉又陌生,很多人的概念还停留在电动窗帘或别墅防盗系统。从技术层面来说,一键控制、远程遥控、感应人体、自动开启这些电影里才出现的产品如今并非“高科技”。但由于价格昂贵等原因,智能家居并未普及。根据这段文字,以下
以下关于“金刚石”说法中错误的是( )。
0
Mainstreampro-marketeconomistsallagreethatcompetitionisan______spurtoefficiencyandinnovation.(2014年厦门大学考博试题)
WritingExperimentalReportsI.Contentofanexperimentalreport,e.g.—studysubject/area—studypurpose【T1】______【T1】______
Itwas______oftheQueentospeaktotheelderlypatients.
最新回复
(
0
)