Session 47

In today's episode we are discussing the idea that healthcare improves when patients see the same doctor.

오늘은 환자가 같은 의사에게 진료를 볼 때 얻을 수 있는 효과에 대해 얘기해보겠습니다.

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    Activity 1

Activity 1

Continuity of care

In today's episode we are discussing the idea that healthcare improves when patients see the same doctor.
오늘은 환자가 같은 의사에게 진료를 볼 때 얻을 수 있는 효과에 대해 얘기해보겠습니다.

Quiz

What percentage of patients in the UK rated their experience with doctors as ‘very good’ in 2017?
2017년 영국 내 환자의 몇퍼센트가 의사 진료에 대해 ‘아주 좋은’이라는 평가를 했을까요

a) 50%
b) 70%
c) 90 %

Listen to the audio and take the quiz.

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Bolam
여러분 안녕하세요? English Together에 오신 것을 환영합니다. 저희 프로그램에서는 최신 주제에 대해 얘기해보고 관련 표현을 알려드리고 있습니다. 저는 손보람입니다.

Tom
And hi everybody! I’m Tom, thanks for joining us today.

Kee
And I’m Kee.  Welcome to today’s show!

Bolam
오늘은 의료서비스에 대해 얘기해보겠습니다. 시작하기 전에 오늘의 문제부터 내드릴게요. 영국의 NHS 에 따르면 2017년 영국 내 환자의 몇퍼센트가 의사 진료에 대해 ‘아주 좋은’이라는 평가를 했을 까요?

a) 50%
b) 70%
c) 90%

Tom
I don’t have a problem with healthcare here in the UK. I can normally get to see a G.P. pretty quickly.

Bolam
G.P. 또는  General practitioner는 환자의 일반적인 건강 관리를 담당하는 의사라는 뜻입니다.

Kee
But do you see the same G.P. each time you visit the doctor’s surgery? Apparently, that can have a positive impact on our health.

Bolam
맞아요. 오늘은 BBC Radio 4의Inside Health 중 한 부분을 들어보려고 하는데요. Sir Dennis Pereira Grey의 인터뷰 입니다. 같은 의사와 진료를 계속 보는 것이 사망률의 어떤 영향을 주는지에 대해 얘기하고 있습니다.

Dr. Porter
Continuity has long been regarded as a good thing in medicine. Lead researcher and ex-GP, Sir Dennis Pereira-Grey.

Sir Dennis
Continuity of care with a doctor, and that means a patient repeatedly seeing a single doctor, is associated with lower death rates.

Dr. Porter
Now your research found that relationship, can it explain why?

Sir Dennis
Yes, it can! I think there are a whole lot of reasons. The interesting, basic research showed that, in fact, just repeated meeting between two human beings means that the two start to like each other more. And then there was some very important research which showed that patients were more likely to tell doctors they know and trust important information which they won't necessarily tell a strange doctor.

Kee
Hmm, interesting, isn’t it! Seeing the same doctor can lead to lower rates of mortality amongst patients.

Tom
It’s very interesting, actually. I’m surprised.

Kee
It’s true! The doctor has research to back it up!

Bolam
Back up 지원하다, 뒷받침하다..라는 뜻입니다. 이 연구는 사람들이 같은 의사에게 진료를 받는 것을 더 편하게 느낀다는 주장을 뒷받침해주고 있네요.

Tom
And it’s probably easier for the doctor to diagnose people that he’s familiar with, too.

Bolam

Diagnose 진단하다..라는 뜻입니다. 맞아요! 그렇게 되면 환자 입장에서도 진단을 더 쉽게 받아드리게 되겠죠.

Kee
It sounds like a win-win situation to me.

Bolam
Win-win situation 양쪽 모두가 혜택을 받는 상황을 말하는 거죠?

Tom
Well, I think quality time with anyone is great…

Bolam
Quality time 귀중한 시간이라는 뜻이죠. Please continue.

Tom
Thank you. As I said, quality time with anyone is good, especially if it’s during a consultation. However, I think there’s a danger of placing an inordinate amount of trust in one person’s opinion.

Bolam
An inordinate amount of 무언가의 과도한 양…이라는 뜻입니다. Can you explain what you mean by that?

Tom
Well, a doctor provides you with an opinion based on the consultation. However, sometimes it might be good to get a second opinion, in case the diagnosis is wrong.

Kee
OK, I take your point. I do put a lot of trust in doctors, but that’s usually based on their track record.

Bolam
Track record 실적이죠. 실적에 기반해서 영국 내 환자들은 의사를 어떻게 평가하고 있는지 한 번 볼까요? 오늘의 문제 정답은 c.90퍼센트. 응답자중 90%가 의사를 ‘아주 좋은’으로 평가 했네요.

Kee
You see! To be honest, I think today’s episode shows a wider truth.

Bolam
A wider truth 좀 더 일반적인 사실이라는 뜻인데요. 어떤 사실 말하는 거에요?

Kee
That it’s always good to work with the same people!

Tom
Aw, thanks Kee!

Kee
That’s the truth!

Tom
Even me?

Kee
Uhh… yes!

Bolam
Yes, thanks! 여러분은 어떠세요? 환자와 의사간 Continuity of care 치료의 연속성이 장점이 있다고 생각하시나요? 아니면 여러분은 second opinion 다른 사람의 또다른 의견을  듣는 것을 선호하시나요? 다음시간에도 함께해요. 바이!

Meaning & Use

to back (something) up

To back up is a phrasal verb which means 'to support'. When we use it we need to include an object (the person/thing which provides the support).

  • Don’t worry, the mistake in the office wasn't your fault. If the boss asks you about it, I'll back you up.

We often use this expression with the passive if we want to emphasise the thing receiving support.

  • The claims about health benefits are backed up by recent scientific research.

a win-win situation

A win-win situation describes a situation in which two or more parties experience benefits or positive results. We can shorten the expression, saying that something is win-win. We always need to use a hypen with win-win.

  • The new pay structure is a win-win situation for the employees and their employer. Everyone is much happier!
  • If the football team become champions, that’s great! If not, they improved dramatically anyway. It’s win-win!

The opposite is a lose-lose situation or result.

based on (a) track record

In this expression, a track record relates to known information regarding a person or thing. This evidence is used to make judgements. The expression is neutral, but judgements made based on a track record can be positive or negative.

  • You've done a great job for the company and, based on your track record, we'd like to offer you a promotion!
  • I decided not to invite my friend to my birthday this year based on his track record. Last year he was very moody.

Continuity of care

4 Questions

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Session Vocabulary

  • G.P.
    (일반적인 건강 관리를 담당하는) 의사

    to back up
    뒷받침하다

    to diagnose
    진단하다

    a win-win situation
    양쪽 모두 혜택을 보는 상황

    quality time
    귀중한 시간

    an inordinate amount
    과도한 양

    based on a track record
    실적에 기반하여

    a wider truth
    더욱 일반적인 사실