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
2016-01-10
245
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://jikaoti.com/ti/6wZ7FFFM
0
考研英语一
相关试题推荐
Thecountry’sinadequatementalhealthsystemgetsthemostattentionafterinstancesofmassviolencethatthenationhasseen
YouhavejustenjoyedyourMayDayholidaysinQingdao,ShandongProvince.WritealettertoyourfriendJimto1)describetheh
HowtheUnitedStatesbecamethemostprosperoussocietyintheworldhasalwaysbeensuchahotspotissue.Certainlong-standin
Inthesummer,whenthesunplayedonthejuniperbushes,andinthefall,whentheairwasclearenoughtoseetothewhitelig
TheFederalReservedoesn’twantanyonetothinkit’stakingsidesinpolitics.Soinanelectionyear,theFedismorelikelyt
AnewmaladyisrunningrampantlyincorporateAmerica:managementphobia.Manypeopledon’twanttobemanager,andmanypeople
Thereisnomarketwithoutincome,andtheyouthsegmentqualifiesonthisimportantdimension.Theirspendingreachedabout$55
CompanyIsMoreImportantthanGifts陪伴比礼物更重要Writeanessayof160-200wordsbasedonthedrawing.Inyouressay,youshould1)
WhenGeorgeBushleftthepresidencyonJanuary20th,manyAmericanswerekeentoturnthepage.Theyhavewarmlywelcomedanew
随机试题
政策问题发生在社会公共领域,一般都影响到国家或某一地区的大多数人,与多数人的生活息息相关,这表现的是政策问题的()
A、>2000mlB、>2500mlC、<1500mlD、1500mlE、500ml肾盂肾炎每日入液量()
女,18岁。近2个月来咳嗽,以干咳为主,夜间明显,无发热、盗汗,先后用“三代头孢”“阿奇霉素”抗感染治疗无效。查体:体温36.5℃,咽稍红,双肺未闻及干、湿性啰音。胸部x线正常。为明确诊断行PPD试验,其结果判定的依据是()
关于蛋白质二级结构的叙述正确的是()
精神系统常见疾病有癫痫、帕金森病、痴呆、焦虑症、抑郁症和失眠症。抑郁障碍是一种常见的心境障碍,可由各种原因引起,以显著而持久的心境低落为主要临床特征,且心境低落与其处境不相称。如育龄期妇女患有癫痫,则首选的药物是()。
在存在通货膨胀的情况下,下列哪些表述正确的有()。
婴幼儿呼吸方式的特点是()。
公安机关依法对因利用职业便利实施犯罪,或者实施违背职业要求的特定义务的犯罪给予处罚。()
对某农村家庭的调查显示,电冰箱拥有率为49%,电视机拥有率为85%,洗衣机拥有率为44%,至少有两种电器的占63%,三种电器齐全的占25%,则一种电器都没有的2比例为().
不对其他物体产生作用的物体运动是不可能存在的。以下哪项最为准确地表达了上述断定的含义?
最新回复
(
0
)