…”it is inperative to not undermine the patient’s relationship with the primary physician. A physician should avoid making negative comments about the quality of care rendered by that practitioner unless practices are imminently dangerous or far outside acceptable standards of care.”…

์š”์•ฝํ•˜์ž๋ฉด, ์ด์ „ ์น˜๋ฃŒ๋กœ ์ธํ•ดย  ์ž„๋ฐ•ํ•œ ์œ„ํ—˜์ด ๋‹ฅ์น˜์ง€ ์•Š์•˜๊ฑฐ๋‚˜, ํ‘œ์ค€ ์น˜๋ฃŒ๋กœ ๋ถ€ํ„ฐ ๋„ˆ๋ฌด ๋ฉ€๋ฆฌ์žˆ์ง€ ์•Š๋Š”ํ•œ, 1์ฐจ ์ง„๋ฃŒ์˜์˜ ์˜๋ฃŒํ–‰์œ„(practice)์— ๋Œ€ํ•ด ๋ถ€์ •์ ์ธ ๊ฒฌํ•ด๋ฅผ ํ‘œํ•˜๋ฉด ์•ˆ๋œ๋‹ค. ์ด๋Š” ํ™˜์ž์™€ 1์ฐจ ์ง„๋ฃŒ์˜์˜ ๊ด€๊ณ„๋ฅผ ์†์ƒ์‹œํ‚ฌ ์ˆ˜ ์žˆ๋‹ค.

์ž‘๋…„ USMLE 1์ฐจ ์‹œํ—˜๊ณต๋ถ€์ค‘์— Behavioral science ํŒŒํŠธ ๋ฌธ์ œ์˜ ํ•ด์„ค ์ผ๋ถ€.

์ƒ๊ฐํ•ด๋ณด๋ฉด ์šฐ๋ฆฌ๋‚˜๋ผ ์˜๋Œ€ ์ˆ˜์—…์—์„œ ํ™˜์ž-์˜์‚ฌ ๊ด€๊ณ„๋Š” ๋งŽ์ด ์–ธ๊ธ‰๋˜์ง€๋งŒ, ์ •์ž‘ ์ •๋ง ์ค‘์š”ํ•  ์ˆ˜ ์žˆ๋Š” ์˜์‚ฌ-์˜์‚ฌ ๊ด€๊ณ„์— ๋Œ€ํ•œ ๊ต์œก์€ ๋งŽ์ด ๋ฐ›์ง€ ์•Š๋Š”๋‹ค.

์ด์ „์— ์ผ๋ฐ˜์ง„๋ฃŒ ๋•Œ ๋ณด์•˜๋˜ ํ™˜์ž๊ฐ€ ๋‹ค๋ฅธ ๋ณ‘์›์— ๊ฐ€์„œ “๋‚ด ์ฒ˜๋ฐฉ์„ ๋ณธ ๋‹ค๋ฅธ ์˜์‚ฌ๊ฐ€ ์ด๋ ‡๊ฒŒ ์•ฝ์„ ์“ฐ๋ฉด ์•ˆ๋œ๋‹ค๊ณ  ํ•œ๋‹ค. ๋„ˆ๋ฌด ๊ฐ•ํ•œ ์•ฝ๋“ค์„ ์ผ๋‹ค” ๋ผ๊ณ  ์ด์•ผ๊ธฐ๋ฅผ ๋“ฃ๊ณ  ๋ฏผ์›์„ ์ œ๊ธฐํ•œ ์ ์ด ์žˆ์—ˆ๋‹ค. ํŽธ๋„์—ผ์— 3์„ธ๋Œ€ ์„ธํŒŒ๋ฅผ ์“ด ๊ฒƒ์ด ๋‹ค์˜€๊ณ , ๋ฌผ๋ก  ์™œ 1์ฐจ ์•ฝ์ œ์ธ amoxicillin์„ ์“ฐ์ง€ ์•Š์•˜๋ƒ๊ณ  ํ•œ๋‹ค๋ฉด ๋น„ํŒ๋ฐ›์„ ์ˆ˜ ์žˆ์ง€๋งŒ ์ด๊ฒƒ์ด ๊ทธ๋ ‡๋‹ค๊ณ  ํ‘œ์ค€์น˜๋ฃŒ๋กœ ๋ถ€ํ„ฐ ๋ฒ—์–ด๋‚œ ๋ฐฉ์‹์€ ์•„๋‹ˆ์—ˆ์—ˆ๋‹ค.

๋ฌผ๋ก  ์šฐ๋ฆฌ๋‚˜๋ผ ํ™˜์ž๋“ค์—๊ฒŒ ์ง„์ •ํ•œ 1์ฐจ ์ง„๋ฃŒ์˜์‚ฌ(primary physician)์ด๋ผ๋Š” ๊ฐœ๋…์ด ์กด์žฌํ•˜์ง€๋Š” ์•Š์ง€๋งŒ, ์ ์  ๊ฒฝ์Ÿ์ด ์น˜์—ดํ•ด์ง€๋ฉด์„œ ์˜๋„์ ์œผ๋กœ ์ž์‹ ์˜ ์˜ณ๋‹ค๋ผ๋Š” ๊ฒƒ์„ ์ฆ๋ช…ํ•˜๊ธฐ ์œ„ํ•ด ๋‹ค๋ฅธ ์˜์‚ฌ์˜ ํŒ๋‹จ์„ ๊นŽ์•„ ๋‚ด๋ฆฌ๋Š” ์ผ๋“ค์ด ๋Š˜์–ด๋‚˜๊ณ  ์žˆ์ง€ ์•Š๋‚˜ ํ•˜๋Š” ์ƒ๊ฐ์ด ๋“ ๋‹ค.

 

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