首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
外语
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the
admin
2017-02-01
100
问题
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the peculiar roles of producer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a potential buyer with various inducements of price, quality, and utility, and it is the buyer who makes the decision. Such condition, however, does not prevail in most of the health-care industry. In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer. Once an individual has chosen to see a physician—and even then there may be no real choice—it is the physician who usually makes all significant purchasing decisions: whether the patient should return "next Wednesday", whether X-rays are needed, whether drugs should be prescribed, etc. It is a rare and sophisticated patient who will challenge such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.
This is particularly significant in relation to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed, and announce when the patient may be discharged. The patient may be consulted about some of these decisions, but in the main it is the doctor’s judgments that are final. Little wonder then that in the eye of the hospital it is the physician who is the real "consumer." As a consequence, the medical staff represents the "power center" in hospital policy and decision-making, not the administration.
Although usually there are in this situation four identifiable participants—the physician, the hospital, the patient, and the payer(generally an insurance carrier or government)—the physician makes the essential decisions for all of them. The hospital becomes an extension of the physician; the payer generally meets most of the bills generated by the physician/hospital, and for the most part the patient plays a passive role. We estimate that about 75-80 percent of health-care expenditures are determined by physicians, not patients. For this reason, the economy directed at patients or the general is relatively ineffective.
Doctors are able to determine hospital policies most probably because _____.
选项
A、it is doctors who generate income for the hospital
B、a doctor is ultimately responsible for a patient’s health
C、most of the patients don’t challenge the doctor’s decisions
D、the administration doesn’t know about medicine as much as doctors
答案
A
解析
第3段末句开头的As a consequence表明医护人员能够决定医院政策的原因在前一句有提到,前一句指出医生才是真正的“消费者”,即医生才是给医院带来收入的人,由此可见,选项A为本题答案。
转载请注明原文地址:https://kaotiyun.com/show/9zU7777K
0
大学英语六级
相关试题推荐
A、Dobusiness.B、Sellsomethinghalfprice.C、Goshopping.D、Drinkacupofcoffee.C
Aroundtheworldmoreandmorepeoplearetakingpartindangeroussportsandactivities.Ofcourse,therehavealwaysbeenpeop
Aroundtheworldmoreandmorepeoplearetakingpartindangeroussportsandactivities.Ofcourse,therehavealwaysbeenpeop
Aroundtheworldmoreandmorepeoplearetakingpartindangeroussportsandactivities.Ofcourse,therehavealwaysbeenpeop
Wikipedia’sTrembling[A]Wikipediaisdying!Wikipediaisdying!That’sthelinerepeatedbythemediaeverysixmonthsorsosi
A、Howimportantmoneyisinone’sday-to-daylife.B、Howonespendsmoneyshowswhatisimportanttohim.C、Moneyismoreimport
Secondhandsmokeisaccountablefor42,000deathsannuallytononsmokersintheUnitedStates,includingnearly900infants,acc
A、Herbusinessskills.B、Herstudyexperienceabroad.C、Hercriticalthinkingability.D、Herculturalknowledge.B短文开篇谈到,Ashley在
A、Theplanefliesathighaltitudes.B、Theplaneisfilledwithair.C、Themetalstructureoftheplaneisverystrong.D、Asmal
A、Lastweek.B、Threeweeksago.C、Twomonthsago.D、Threeyearsago.B细节题。文章详细说明了购物中心的情况:花费三年打造,终于在三个星期前正式营业,比预期晚了两个月,故选B。由选项可知,
随机试题
病毒性肝炎属于()。
诊断急性混合细胞白血病(MAL)除具备白血病的一般特征外,最重要的方法是
患者,男,71岁。2年来无诱因逐渐出现行动缓慢,行走时上肢无摆动,前倾屈曲体态。双手有震颤,双侧肢体肌张力增高。无智能和感觉障碍,无锥体束损害征。最适宜用于该患者的治疗药物是
正确论述露剂的贮存与养护的有
下列关于非国有投资项目的叙述中,错误的是()。
[背景资料]某工程项目难度较大,技术含量较高,经有关招投标主管部门批准采用邀请招标方式招标。业主于2011年1月20日向符合资质要求的A、B、C三家承包商发出投标邀请书,A、B、C三家承包商均按招标文件的要求提交了投标文件,最终确定B承包商中标,并于20
政府质量监督部门对施工中发生严重问题的单位可以发出( )。
幼儿对陌生人的反应比较积极,并不总是依偎在母亲身旁。这类依恋类型属于()
(对错题)水圈是地球外圈中作用最为活跃的一个圈层。水圈中的水,上界可达大气对流程顶部,下界可到深层地下水的下限。()
从记事图画发展成为独立的文字体系,必须具备如下三个条件:(清华大学考研试题)第一,();第二,();第三,()。
最新回复
(
0
)