在线词典09年英语六级阅读翻译~~很有用滴

2021年1月21日发(作者：散步)
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.
问题重 重的医疗保障费用，急诊室前排起的长队，以及无法找到初级护理医生，
这些仅是每天要面对的问题中的 一部分。

Primary care should be the ba health care system.
初级护理应该是所有医疗保障体系的支柱。

Countries with appropriate primary care resources score highly when it
comes to health outcomes and cost.
有充足的初级护理资源的国家在健康水平和费用支出上都获得甚佳的评价。

The
U.S.
takes
the
opposite
approach
by
emphasizing
the
specialist
rather
than the primary care physician.
美国却反其道而行之，注重专科医生而非初级护理医生。

A recent study analyzed the providers who treat Medicare beneficiaries
（老年医保受惠人）
.
最近一项
研究
分析了负责治疗老年医保受惠人的医生。

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.

这项令人震惊的研究发现，
老年医保受惠人平均每天要看 七名医生
----
包括两名
初级护理医生和五名专科医生。
与公众的想法刚好 相反，
更多的医生给你看病并
不能保证更好的医疗服务。

Actually, increasing fragmentation of care results in a corresponding
rise in cost and medical errors.
实际上，医疗服务的日益分化导致的是费用的上升和误诊数量的增多。

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.
我们怎么会使初级护理如此严重地滑坡呢？关键是医生的收入。< br>大部分医生的收
入来源于他们所提供的医疗服务。

The more a physician does, regardless of quality or outcome, the better
he’s reimbursed (返还费用
).
医生做的越多，不管质量或结果如何，他获得的返还费用就越高。

Moreover, the amount a physician receives leans heavily toward medical
or surgical procedures.
此外，医生的收入在很大程度上受到医疗或者外壳手术的影响。

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 patie
nt’s disease.

一名专科医生耗时
30
分钟进行某个手术，其收入要比比 一名初级护理医生花同
样多的时间去讨论一个病人病情的收入高
3
倍。

Combine
this
fact
with
annual
government
threats
to
indiscriminately
cut
reimbursements, physicians are faced with no choice but to increase
quantity to boost income.
再加上政府每年 都威胁要一视同仁地降低医疗返还费用，
初级护理医生没有选择
的余地，只好通过提升数量以增 加收入。

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. < br>对于拒绝牺牲质量的初级护理而言，
要么被迫停业，
要么就只从事能赚钱的业务，
这使得初级护理的质量进一步下滑。

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%.
医学院的学生对此并非一无所知。
他们看到了费用返还体 制是如何严重地弄虚作
假，不利于初级护理。最近的数据表明，自
1997
年以来，美 国医学院的毕业生
选择初级护理作为职业的人数下降了
50%
。

This trend results in emergency rooms being overwhelmed with patients
without regular doctors.
这样的趋势导致急诊室里人满为患，挤满了那些无法找到普通医生的病人。

How do we fix this problem?
我们怎么解决这个问题。

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.
首先需要改革医生费用返还体制。卸下初级护理医生每小时看更多病人的压力，< br>对于优化病患管理和机遇病症用药给予奖励。

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.