17. 장문 독해(1) - 1~2
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노트나 질문을 통해 자신만의 지문 노트를 만들어 관리해 보세요.
노트나 질문을 통해 자신만의 지문 노트를 만들어 관리해 보세요.
수능 감 잡기(2020) 16~18강
수능 감 잡기(2020) 16~18강
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17. 장문 독해(1) - 1~2
Patients aren't randomly assigned to doctors. Two doctors will have two sets of clients who may differ on many dimensions. The better doctor's patients may even have a higher death rate. Perhaps the sicker patients seek out the best doctor, so even if he does a good job, his patients are more likely to die than the other doctor's. It can therefore be misleading to measure doctor skill solely by looking at patient outcomes. That is generally what doctor "report cards" do and, though the idea has obvious appeal, it can produce some undesirable consequences. A doctor who knows he is being graded on patient outcomes may turn down the high-risk patients who most need treatment so as not to damage his score. Indeed, studies have shown that hospital report cards have actually hurt patients precisely because of this kind of inappropriate physician incentive. Measuring doctor skill is also tricky because the impact of a doctor's decisions may not be detectable until long after the patient is treated. When a doctor reads an X ray of the breast, for instance, she can't be sure if there is breast cancer or not. She may find out weeks later, if a biopsy is ordered — or, if she missed a tumor that later kills the patient, she may never find out. Even when a doctor gets a diagnosis just right and prevents a potentially serious problem, it's hard to make sure the patient follows directions. Did he take the prescribed medication? Did he change his diet and exercise program as directed?
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