Under a services-based system, doctors have no incentive to conserve. Quite the opposite: The more examinations a doctor gives and the more medicine he prescribes, the higher his profit. This has created a situation in which doctors rake in profits by requiring patients with chronic illnesses to visit the clinic every few days to get their medication and by giving patients with minor ailments all sorts of unnecessary tests.
「論量計酬制度下，節省對醫生沒有任何好處，相反的，醫生多做檢查、多開藥反而利潤更多」，於是造成「長病短看」，讓必需長期服藥的慢性病人，三天兩頭回診拿藥；或「小病大看」，為病人多做許多無謂的檢查，以牟取利潤。