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
2010-09-25
80
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 carder or government ) -- the physician makes the essential decision 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 to 80 percent of healthcare expenditures are determined by physicians, not patients. For this reason, economy directed at patients or the general are relatively ineffective.
It can be inferred from the passage that doctors are able to determine hospital policies 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 patient’s bills are paid by his health insurance
D、some patients might refuse to accept their physician’s advice
答案
A
解析
定位于第三段末句“As a consequence,the medical staff represents the ’power center’... not the administration”,由此可知在医院看来,真正的“权力中心”不是医院,而是医生,故A项为答案。而其他三项讲的都不是医生与医院之间的关系,故排除。
转载请注明原文地址:https://kaotiyun.com/show/TUz7777K
0
大学英语六级
相关试题推荐
A、Theincomegapreallydoesharmtosocialorder.B、Governmentagenciesareworkinghardtomakemonopolystatus.C、Peopleofl
WhetherChina’shousingreformcanbecarriedonsuccessfullywillhave【S1】______aprofoundbearingonthefutureofther
Allresidentsmustobeythetrafficregulations;high-rankingofficialsandforeigners_______________(均不例外).
FactsaboutDepressionInanygivenone-yearperiod,9.5%ofthepopulation,orabout18.8millionAmericanadults,sufferf
TheDebateoverGeneticallyModifiedFoods•Ricewithbuilt-inVitaminAthatcanhelppreventblindnessin100millionchil
FourMinutesthatGetYouHiredBayStateralwayswantstobeateacher.Withthehelpoffriendswhoteachatschool,shel
A、Theythinkituseful.B、Theythinkitvalueless.C、Theythinkitawasteoftime.D、Theythinkitmisleadsthestudents.A
Whileitcan’tyetbesaidthateverymouthfuloffoodhasbeenchangedthroughgeneticengineering,itislikelythatalmostev
A、No,alltheroomsarebookedup.B、Yes,becausehereservedadoubleroom.C、Yes,therearestillsomeroomsavailable.D、No,
Themostimportanttechnologicaleventofourtimeistheriseofthecomputer.Computersalready【B1】______manyaspectsofour
随机试题
邓小平提出“一国两制”构想最初是为了解决
下列有关在Word2010中打印一个文档的第10页的操作,不正确的是________。
A.雌激素水平过高B.雄激素减少,雌激素相对增多C.尿中hCG明显增高D.雄激素水平过高子宫内膜腺癌是由于
关于急性白血病的化疗方案,错误的是
煤矿安全监察机构实行的是上下垂直的管理体制,与地方政府没有人、财、物的关系,因此是代表国家行驶对煤矿安全的监察职能,这属于安全监察体制的()的特点。
中学化学教学的难点与重点的关系是()。
材料3:刚刚范读完课本,我发现坐在后排的尹洋在偷偷地写什么东西。我不动声色走过去,原来是一张小纸条,我把它没收了,展开一看,只见上面赫然写着班上一个男生的名字,还有几句稚气的话,我忍不住笑了起来,我这一笑不打紧,全班同学的好奇心都被激发起来了,特别是几个调
若2x+y=z,4x=7y+5z,则x:y:z=().
《民法典》第1133条规定:“自然人可以依照本法规定立遗嘱处分个人财产,并可以指定遗嘱执行人。自然人可以立遗嘱将个人财产指定由法定继承人中的一人或者数人继承。自然人可以立遗嘱将个人财产赠与国家、集体或者法定继承人以外的组织、个人。自然人
已知矩阵A与B相似,其中求x与y;
最新回复
(
0
)