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
70
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
Socialchangeismorelikelytooccurinsocietieswherethereisamixtureofdifferentkindsofpeoplethaninsocietieswhere
根据题目要求完成下列任务。用中文作答。以下材料是某高中老师设计的单元课教材的第一课时的教案片段:Step1Warming-upBeforeclass,TplaysasongSsarefamiliarwithtilltheb
Africanelephantshavebeenslaughteredatalarmingrateoverthepastdecade,largelybecausetheyaretheprimarysourceofth
Donna’sfourthgradeclassroomlookedtypicallytraditional.YetsomethingseemeddifferentthatdaywhenIentereditforthef
Coastsmarktheareawheredrylandmeetsoceansorotherlargebodiesofwater.Theyareoneofthemostactiveenvironmentsfo
Teachingcasesmainlyincludeteachingreflection,teachingrecord,and______.
USresearchershavefoundtracesofanancientlakeonMarsrecently,increasinghopesofdiscoveringevidencethatbillionsof
Againas______inthisexperiment,hedidn’tloseheart.
Themostsuitablequestiontypetocheckstudents’comprehensionanddeveloptheircriticalthinkingis______.
Duringthecomingsummervacation,I’mgoingtospendhalfofmytimeplayingbasketballand________readingbooksinthelibrar
随机试题
下列各项中,属于外购材料采购成本的有()。
《学记》中的“时过然后学,则勤苦而难成”,说明教学工作应遵循的个体身心发展规律是()
女性,80岁。慢性咳嗽、咳痰20余年,冬季加重。近5年活动后气促。1周前感冒后痰多,气促加剧。近2天嗜睡。血白细胞18.6×109/L,中性0.90,动脉血气:pH7.29,PaCO280mmHg,PaO247mmHg,BE一3.5mmol/L。引
在( )中,所谓成本即监理咨询单位为了开展工作而需花费的人员与物资费用,而且有一个规定完成该项设备工程的时间进度。而酬金是当事人双方根据技术知识和为了进行管理而以投入力量的水平为基础,协商确定的金额。
关于建设项目竣工验收,下列说法正确的是()。
根据下列资料,回答问题。据报道,2013年3月英国政府宣布,从10月份起,最低时薪将提高12便士(1英镑等于100便士)到6.31英镑(约合人民币59.5元),此政策受到低收入人群欢迎。美国也准备在现有的基础上将联邦最低工资提高24%,约1500万工人将
Despiteacoolingoftheeconomy,hightechnologycompaniesarestillcryingoutforskilledworkers.TheInformationTechnology
假定一个表单里有一个文本框Text1和一个命令按钮组CommandGroup1。命令按钮组是一个容器对象,其中包含Command1和Command2两个命令按钮。如果要在Command1命令按钮的某个方法中访问文本框的Value属性值,不正确的表达式是
Scotland:aLandofWisdomInthe1740s,thefamousFrenchphilosopherVoltairesaid,"WelooktoScotlandforallourideas
Jose:Pamela,canyoucometoameetingonFriday?Pamela:I’mnotsure.【D8】______Whenareyouhavingit?Jose:【D9】______Pamel
最新回复
(
0
)