题目内容
（请给出正确答案）
The services GP cooperatives provide are ______.
A．medical advice on the phone and treatment of patients who are sent to hospitals
B．arranging ambulance for patients and home visits for certain groups of patients
C．home visits for children and elderly people
D．establishment emergency ward
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第一篇
An independent inquiry into out of hours services of family doctors in Scotland has concluded that the introduction of GP cooperatives has been a positive development that is benefiting both patients and doctors.
The working group that drew up the report, however, has expressed some concern about the treatment of children and difficulties faced by some patients in arranging their own transport to travel to emergency centers. Improvements are being sought by the Scottish Office on these issues to improve the quality, fairness, and responsiveness of the system.
The inquiry was prompted by the deaths of two babies in Ayrshire after the local cooperative, Ayrshire Doctors on Call, provided telephone advice but declined requests for home visits. Parents of the dead children criticized the cooperative for failing to send out a doctor.
The parents supported a campaign that called for automatic home visits to be provided for certain groups of patients, such as children and elderly people. That idea has been rejected by the inquiry team, which said that neither patient nor professional groups accepted the value of policies that would provide automatic home visits. Instead, it is recommended that cooperatives carry out more effective monitoring of treatment for children, including reviewing complaints and critical incidents.
The first GP cooperatives were formed three years ago to take over out of hours calls from individual practices, but they were established with different working practices. The report notes that variation exists in transport arrangements, with some cooperatives providing free transport to emergency centers and others requiring people often make their own arrangements. Health board have been ordered to report on the fairness of transport arrangements in their area.
Guidelines are also to be introduced to ensure that cooperatives are working to similar high standards. They will include arrangements that will allow patients to make contact with an out of hours service with a single phone call. Initiatives are also planned to help GPs in rural areas who have been unable to benefit from the development of cooperatives. An extra 540 000 is being provided to pay for these developments.
What does the passage mainly deal with？
A. The introduction of GP cooperatives has been a negative development.
B. GP Cooperatives in Scotland benefit patients and doctors.
C. GP cooperatives have some disadvantages which would do harm to patients.
D. GP cooperatives are well-developed in Scotland.
A family doctor charged the Night Home Service (NHS) more than ￡ 500,000 in seven years for night visits that his patients did not need, a General Medical Council disciplinary hearing was told yesterday.
Jagdeep Gossain charged for up to 540 emergency call-outs a month, increasing his annual salary to close to ￡200,000 a year and using almost a third of the local health authority's out-of-hours GP budget.
Dr Gossain, 46, had a target list of about 100 patients in his practice at Fulham, southwest London, whom he used repeatedly on claim forms to Ealing, Hammersmith and Hounslow Health Authority.
Nearly all emergency visits conducted by the doctor, who often made up to 40 calls a night, were "clinically inappropriate". He had also duped the GMC into postponing his hearing, before the professional conduct committee, four times by claiming that his bad back made him unfit to attend, Sarah Plaschkes, for the GMC, said.
But that injury had not prevented him enjoying his favourite sport — weightlifting — at an exclusive gym in Heston.
Ms Plaschkes added: "The council submits that Dr Gossain deliberately, dishonestly deceived this professional body by pretending he was too ill to attend the heating when, in fact, he was at a leisure centre."
Between May 1990 and April 1998 he claimed an "inordinate and extraordinary number" of night visits, she said. The average GP makes 50 emergency night calls a year. In September 1997 alone Dr Gossain put in 542 claims.
Ms Plaschkes alleged that it was unjustifiable reward in the sum of about ￡500,000 from the public purse. Dr Gossain's claims escalated over the years. In 1991 he claimed￡1,000; by 1995 the sum had risen to more than ￡75,000, peaking in 1996 at almost￡160,000. Over the seven-year period he allegedly fleeced the NHS of ￡514,593.
In 1998 he claimed ~ 124,591, when the average GP in his health authority claimed￡670. Dr Gossain is accused of doing so many night visits that he "could not have provided adequate care and attention" for the patients he visited. It is also said that his ability to provide competent daytime services "was compromised".
Dr Gossain denies serious professional misconduct but, if found guilty, could be struck off the medical register.
A BBC Panorama investigation found that his three children went to private school and he drove a Mercedes with private number plates. His wife, Shashi, a pharmacist, has said that his only crime was to have been a workaholic. The hearing continues.
For what was the doctor in the passage charged？
A．For his incompetence.
B．For his unnecessary services to the patients.
C．For unusually large number of night visits.
D．All the above.
A.ADL量表
B.COOP/WONCA功能状态量表
C.COOP量表
D.SCL-90
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