Physician self-referral is a term describing the practice of a physician ordering tests on a patient that are performed by either the referring physician himself or a fellow faculty member from whom he receives financial compensation in return for the referral. Examples of self-referral include an internist performing an EKG, a surgeon suggesting an operation that he himself would perform, and a physician ordering imaging tests that would be done at a facility he owns or leases.
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| - Physician self-referral (en)
- 醫師自我推薦 (zh)
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| - 醫師自我推薦（英語：Physician self-referral）這個名詞，描述的是一種做法-醫師要求經由醫師自己，或者推薦他的執業同伴對患者做檢測，從中獲取經濟補償的行為。自我推薦的例子包括內科醫生做心電圖（EKG）檢查、建議由醫師本人執行的外科手術、以及要求在醫師自己擁有或租用的設施做影像檢查的行為。 因為有機會做自我推薦，會激勵醫師要求做更多的測試。在美國，《》（特別是在第一節和第二節）通過的目的就是要對這種推薦做控制（尤其是針對聯邦醫療保險（Medicare）和聯邦醫療補助（Medicaid）的患者）。但是，允許在醫生辦公室進行必要測試的例外條款已被濫用，來規避法律規定。這種在辦公室的例外允許，造成許多醫師在自己的辦公室裝設高科技，而且價格高昂的設備，例如CT掃描儀、MRI掃描儀、和核醫學掃描儀。 前面提起自我推薦做法的動機，主要是由於醫師的"認知"式診斷護理（即花費時間與患者交談，並找出最佳診斷測試，或者是治療過程），所能報銷的費用快速下降而導致的結果。 (zh)
- Physician self-referral is a term describing the practice of a physician ordering tests on a patient that are performed by either the referring physician himself or a fellow faculty member from whom he receives financial compensation in return for the referral. Examples of self-referral include an internist performing an EKG, a surgeon suggesting an operation that he himself would perform, and a physician ordering imaging tests that would be done at a facility he owns or leases. (en)
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| - What are "point-of-order" and "point-of-service" systems? (en)
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| - Physician self-referral is a term describing the practice of a physician ordering tests on a patient that are performed by either the referring physician himself or a fellow faculty member from whom he receives financial compensation in return for the referral. Examples of self-referral include an internist performing an EKG, a surgeon suggesting an operation that he himself would perform, and a physician ordering imaging tests that would be done at a facility he owns or leases. The ability to self-refer is an incentive for physicians to order more tests than they otherwise might. In the United States, the Stark Law (specifically sections I and II) was designed to control self-referrals. However, the exceptions designed to allow necessary testing in physicians' offices have been exploited to circumvent the law. The in-office exception, which allows testing on equipment in the physician's office, has resulted in many physicians purchasing high-tech and expensive equipment such as CT scanners, MRI scanners, and nuclear scanners for their own offices. The incentive for this practice is largely the result of rapidly declining reimbursements for what has been termed "cognitive" physician care, i.e. the time spent talking to a patient and determining what course of diagnostic testing or treatment would be best. (en)
- 醫師自我推薦（英語：Physician self-referral）這個名詞，描述的是一種做法-醫師要求經由醫師自己，或者推薦他的執業同伴對患者做檢測，從中獲取經濟補償的行為。自我推薦的例子包括內科醫生做心電圖（EKG）檢查、建議由醫師本人執行的外科手術、以及要求在醫師自己擁有或租用的設施做影像檢查的行為。 因為有機會做自我推薦，會激勵醫師要求做更多的測試。在美國，《》（特別是在第一節和第二節）通過的目的就是要對這種推薦做控制（尤其是針對聯邦醫療保險（Medicare）和聯邦醫療補助（Medicaid）的患者）。但是，允許在醫生辦公室進行必要測試的例外條款已被濫用，來規避法律規定。這種在辦公室的例外允許，造成許多醫師在自己的辦公室裝設高科技，而且價格高昂的設備，例如CT掃描儀、MRI掃描儀、和核醫學掃描儀。 前面提起自我推薦做法的動機，主要是由於醫師的"認知"式診斷護理（即花費時間與患者交談，並找出最佳診斷測試，或者是治療過程），所能報銷的費用快速下降而導致的結果。 (zh)
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