Keenan C E, Brown G C, Pontell H N, Geis G
J Med Educ. 1985 Mar;60(3):167-73. doi: 10.1097/00001888-198503000-00002.
The authors in this paper report the findings of a survey of medical students at the University of California, Irvine, California College of Medicine regarding their views on the Medicare and Medicaid programs and on the problem of fraud and abuse in these government medical benefit programs. The students were asked their views on four issues: (a) the quality of various aspects of Medicare and Medicaid; (b) the seriousness and prevalence of physician fraud and abuse in the programs; (c) the punishment that should be given to violators; and (d) the causes and prevention of fraud and abuse in Medicare and Medicaid. They viewed fraud and abuse as serious but not as being widespread. They believed that physicians who violate program regulations are not likely to be punished by official agencies. They favored moderate penalties for violations. Explanations offered by the students for fraud and abuse focused on physicians' attitudes and motivations as well as on the structure of the Medicare and Medicaid programs.
本文的作者报告了一项针对加利福尼亚大学欧文分校医学院医学生的调查结果，该调查涉及他们对医疗保险和医疗补助计划的看法，以及对这些政府医疗福利计划中的欺诈和滥用问题的看法。学生们被问及他们对四个问题的看法：（a）医疗保险和医疗补助计划各方面的质量；（b）这些计划中医生欺诈和滥用行为的严重性和普遍性；（c）应该给予违规者的惩罚；（d）医疗保险和医疗补助计划中欺诈和滥用行为的原因及预防措施。他们认为欺诈和滥用行为很严重，但并不普遍。他们认为违反计划规定的医生不太可能受到官方机构的惩罚。他们赞成对违规行为处以适度的惩罚。学生们对欺诈和滥用行为给出的解释集中在医生的态度和动机以及医疗保险和医疗补助计划的结构上。
