手机APP下载

您如今的地位: 首页 > 英语听力 > 国外媒体资讯 > 密歇根消息广播 > 注释

密歇根消息广播(MP3+文本):21世纪新的医患形式

来源:可可英语 编辑:Wendy   VIP收费外教试听课 |  可可官方微信:ikekenet
  下载MP3到电脑  [F8键暂停/播放]   批量下载MP3得手机
加载中..

Before insurance companies, and co-pays, and filing claims, the relationship between doctors and patients was simple. Those who needed medical care would visit their doctor’s office or request a house call. Once that care was provided, the doctor was paid directly.

Some physicians are bringing that model into the 21st century by offering direct primary care to their patients on a subscription basis.

Dr. Matt Falkiewicz is a physician with Nova Direct Primary Care in Grand Rapids. His practice offers a membership-based model where patients pay a monthly fee in exchange for almost unlimited access to their primary care physician without co-pays.

Individual monthly subscriptions are based on age, and patients can expect to pay anywhere between $29 to $79 per month. Any care needed outside of their office, say a surgery or a specialist visit, would have to be covered by the patient or their insurance.

But Falkiewicz says many direct primary care offices do offer procedures like X-rays and lab work, and at a cheaper rate.

If you need to check what we call a basic metabolic profile, if you go through a hospital system or an insurance-based system, that can easily cost you $40-100 on an outpatient basis. But through us, it’s $2.50, Falkiewicz explained.

Another major difference between direct primary care and insurance-based models is the amount of time that doctors can spend with their patients. Falkiewicz says insurance guidelines generally allot about 20 minutes per visit. Direct primary care doctors have fewer patients and no time limit on visits, and that means they can spend more time talking through medical needs and concerns with the patient.

111.jpg

Falkiewicz argues that the direct primary care model works well for people who are uninsured, have high deductibles, or who generally aren’t happy with their current healthcare.

But Marianne Udow-Phillips, director of the Center for Healthcare Research and Transformation at the University of Michigan Health System, notes that this model isn’t affordable for everyone, particularly because direct primary care doesn’t replace insurance.

The patient will usually still have to buy insurance because this only covers a limited set of primary care services, Udow-Phillips said. So, if you need surgery or you need most medications, you would still need to either pay for that out of pocket or pay for insurance.

According to a 2019 report from the Center for Healthcare Research and Transformation, just 4% of physicians in Michigan say they’re participating in a direct primary care, but nearly one in four expressed interest in that model. Udow-Phillips suspects that’s because physicians are drawn to the idea of having a more intimate relationship with their patients.

It says to me that many primary care physicians feel frustrated with the current structure that they’re living under. That they feel pressed to see a lot of patients in a short period of time, that they don’t feel like they can build those personal relationships [like] the old days when primary care was seen as a very personal relationship, Udow-Phillips said.

Although the United States pays less for primary care compared to other countries, Udow-Phillips says that demands on primary care are going up while the actual number of primary care physicians is dropping. As newer health care models like direct primary care, patient-centered medical homes, and accountable care organizations are put to the test, Udow-Phillips says the focus needs to be on one broader question:

How do we better support primary care so we have viable numbers of primary care physicians for the future?

CORRECTION: A previous version of this post misspelled Dr. Matt Falkiewicz's last name. The error has been corrected above.

This post was written by Stateside production assistant Isabella Isaacs-Thomas.

重点单词   检查全部解释    
minutes ['minits]

想想再看

n. 会议记录,(双数)分钟

 
affordable [ə'fɔ:dəbl]

想想再看

adj. 付出得起的,不太昂贵的

联想记忆
physician [fi'ziʃən]

想想再看

n. 外科大夫

 
director [di'rektə, dai'rektə]

想想再看

n. 董事,经理,主管,指导者,导演

 
intimate ['intimeit,'intimit]

想想再看

adj. 密切的,私家的,机密的
n. 密友<

联想记忆
unlimited [ʌn'limitid]

想想再看

adj. 无穷的,不受控制的,无条件的

 
previous ['pri:vjəs]

想想再看

adj. 在 ... 之前,先,前,之前的

联想记忆
primary ['praiməri]

想想再看

adj. 重要的,早期的,根本的,初等教导的

联想记忆
rapids

想想再看

n. 激流,湍流

 
correction [kə'rekʃən]

想想再看

n. 校勘,改正,改正的处所

 

发布评论我来讲2句

    英语进修专题

    • 英语听写练习
      听写强化练习体系有听写比对,按句逗留,中文翻译、听写错词提示等特点功能.
    • 经济学人中英双语版
      供给经济学人中英双语版文章、音频、中英字幕,种别包含文艺、人物、科技、贸易等..
    • 可可英语微信:ikekenet
      存眷可可英语官方微信,每天将会向大年夜家推送短小精干的英语进修材料..

    可可英语官方微信(微旌旗灯号:ikekenet)

    每天向大年夜家推送短小精干的英语进修材料.

    添加方法1.扫描上方可可官方微信二维码。
    添加方法2.搜刮微旌旗灯号ikekenet添加便可。