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在患者诊断和治疗时,常常需要进行会诊。有报告指出,会诊医生所推荐的实验和临床检查操作使住院的平均支出总额增加300美元(不包括会诊费用)。由于预付款体系产生的经济压力,迫使院方管理人员寻求压缩住院开支的途径,期望初级保健医生能成为有效的经济“守门人”,即内科医生承担遏制支出、提供优质保健服务的义务。在目前的研究中,人们都试图确定家庭保健医生安排的会诊是否比内科医生多,这种会诊是否会增加医院的支出总额。
Diagnosis and treatment often require consultation. Reports indicate that the trials and clinical examinations recommended by consulting doctors increased the average cost of hospitalization by US$300 (excluding consultation fees). Because of the economic pressures generated by the advance payment system, hospital administrators are forced to seek ways to reduce hospitalization expenses, and it is expected that primary care physicians can become effective economic “gatekeepers”, that is, physicians have the obligation to curb expenditures and provide quality health care services. In the current study, people are trying to determine whether family health doctors arrange more consultations than physicians. Whether this consultation will increase the hospital’s total expenditure.