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
With all the tools available to modern medicine--the blood tests and M.R.I.’s and endoscopes (内诊镜)--you might think that misdiag
With all the tools available to modern medicine--the blood tests and M.R.I.’s and endoscopes (内诊镜)--you might think that misdiag
admin
2010-03-26
29
问题
With all the tools available to modern medicine--the blood tests and M.R.I.’s and endoscopes (内诊镜)--you might think that misdiagnosis (误诊) has become a rare thing. But you would be wrong. Studies of autopsies (尸体解剖) have shown that doctors seriously misdiagnose fatal illnesses about 20 percent of the time. So millions of patients are being treated for the wrong disease.
As shocking as that is, the more astonishing fact may be that the rate has not really changed since the 1930’s. "No improvement!" was how an article in the normally exclamation-free Journal of the American Medical Association summarized the situation. This is the richest country in the world--one where one-seventh of the economy is devoted to health care--and yet misdiagnosis is killing thousands of Americans every year.
How can this be happening? And how is it not a source of national outrage?
A big part of the answer is that all of the other medical progress we have made has distracted us from the misdiagnosis crisis.
Any number of diseases that were death sentences just 50 years ago---like childhood leukemia (白血病)--are often manageable today. But we still could be doing a lot better. Under the current medical system, doctors, nurses, lab technicians and hospital executives are not actually paid to come up with the right diagnosis. They are paid to perform tests and to do surgery and to give out drugs.
There is no bonus for curing someone and no penalty for failing, except when the mistakes rise to the level of malpractice. So even though doctors can have the best intentions, they have little economic incentive to spend time double-checking their instincts, and hospitals have little incentive to give them the tools to do so.
"You get what you pay for," Mark B. McClellan, who runs Medicare and Medicaid, told me. "And we ought to be paying for better quality."
There are some bits of good news here. Dr. McClellan has set up small pay-for-performance programs in Medicare, and a few insurers are also experimenting. But it isn’t nearly a big enough push. We just are not using the power of incentives to save lives. For a politician looking to make the often-bloodless debate over health care come alive, this is a huge opportunity.
What is the root of the misdiagnosis crisis?
选项
A、Lack of medical investment.
B、Lack of good medical professionals.
C、Lack of public attention.
D、Lack of reasonable medical system.
答案
D
解析
文章第六、第七、第八自然段讨论的都是现行医疗制度的不合理,即误诊问题产生的制度根源。故选D。
转载请注明原文地址:https://kaotiyun.com/show/Yyk7777K
0
大学英语四级
相关试题推荐
Thereisatrendthatdrugsaremorereadilyavailableandusedbyyouthatayoungeragethaneverbefore.Parentalinvolvemen
Thereisatrendthatdrugsaremorereadilyavailableandusedbyyouthatayoungeragethaneverbefore.Theauthorsuggests
Arecentinvestigationshowsthatabout80percentofpupilshaveprivatetutors.Inthispart,youaretowriteacompositiono
ThepassagefocusesontheneedforAmericanstolearnforeignlanguages.ThewriterbelievesthatAmericansdonotlearnforei
In1993,womenheld46percentofthepayingjobsintheUnitedStates.Theapplicationofadvancedautomatedandcomputerized
Throughouthistorymanhaschangedhisphysicalenvironmentinorderto【B1】______hiswayoflife.Withthetoolsoftechnology
Depression:ItIsReal,andItIsTreatableDepressionandtheAmericansPeoplewithsymptomsofdiabetesorotherphysica
A、Becausetheyareshortoflaborforce.B、Becausetheyneedengineerstohelpmodernizethefactory.C、Becausethestaffneedt
A、Thebenefitsofstrongbusinesscompetition.B、Aproposaltoreducethecostofproduction.C、Theexpenseofmodernizingthef
随机试题
负责对零售药店定点资格进行审查的是负责在取得定点资格的医疗机构中确定定点医疗机构的是
治疗瘀血停着型之胁痛,选用
急性牙髓炎的病理表现为( )
赭石的主治病证有
宜选用利尿剂、长效二氢吡啶类的钙通道阻滞剂的高血压病人是不宜选用β受体阻滞剂的高血压病人是
如何确定技术改造项目的建设规模的合理性?
关于GPS测站观测要求的说法,正确的有()。
下列不属于我国社会保障制度中社会救助范畴的是()。
文化如同一种生物,它同样具有遗传与变异两种倾向。文化一旦产生,它就会不断_______自己的“基因”,规定后来文化的大体_______,这就是文化的遗传。同时,由于一切皆以时间条件的变化为转移,一种_______文化不可能总是适应不断变化了的社会现实,它对
浮动汇率
最新回复
(
0
)