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
2019-06-23
98
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.
The author is most probably leading up to ______.
选项
A、an analysis of the role of the hospital administration
B、a study of lawsuits against doctors’ malpractice
C、a discussion of a new medical treatment
D、a proposal to control medical costs
答案
D
解析
原文主要分析了医生和病人之间特殊的经济关系,末段最后两句指出大部分卫生保健费用由医生决定,正因为如此,这样的体制显得ineffective。由此可以推断,作者接下来会提出对这种体制进行改革,选项D与此最为接近。
转载请注明原文地址:https://kaotiyun.com/show/gxX7777K
0
大学英语六级
相关试题推荐
创新型经济(innovativeeconomy)一种可持续、健康的经济,体现了节约资源的理念。创新型经济强调经济发展要靠知识、人才和创新,而不是依赖自然资源、劳动力和资本的投入。知识和人才是创新型经济最重要的要素,知识是创新的源泉,人才是创新的主体。目前
TheIndustrialRevolution[A]TheIndustrialRevolutionisthenamegiventothemassivesocial,economic,andtechnologicalcha
Secondhandsmokeisaccountablefor42,000deathsannuallytononsmokersintheUnitedStates,includingnearly900infants,acc
A、Stayinginaglassboxfor44daysjustwithwater.B、ThrowingcheeseburgersonaplanearoundLondon.C、Havinghisresearchp
VideogameshavebecomeincreasinglypopularinbotharcadesandtheaverageAmericanhome.Peopleofallagesandfromallwalk
A、Herparents’hardworktofulfilltheirfullpotential.B、Herparents’thirstforopportunitiesofhighereducation.C、Herpar
Theincreaseinglobaltrademeansthatinternationalcompaniescannotaffordtomakecostlyadvertisingmistakesiftheywantt
Theincreaseinglobaltrademeansthatinternationalcompaniescannotaffordtomakecostlyadvertisingmistakesiftheywantt
KyleMaguirewantedtoattendtheUniversityofNebraskaassoonashegraduatedfromhighschoolyearsago.AnaspiringWebdev
AreTeenagersReallyCarelessAboutOnlinePrivacy?[A]Theyshare,like,everything.Howtheyfeelaboutasong,theirmathsho
随机试题
逆变电路的SPWM控制方式可分为单极性控制方式和______控制方式。
下列病因的胸腔积液是渗出液的是
轮椅的基本结构包括
A、分子内氢键B、N为酰胺型C、氮原子杂化方式不同D、诱导效应E、空间效应麻黄碱碱性小于伪麻黄碱是由于
执业药师注册有效期麻醉药品处方备查年限
[2005年]设二维随机变量(X,Y)的概率分布为若随机事件{X=0}与{X+Y=1}相互独立,则().
Please______fromsmokinguntiltheairplaneisairborne.[1997]
Jointhe"SleepChallenge"[A]Didyougetenoughsleeplastnight?Probablynot."Weareanationofsleep-deprivedwomen,"says
按期权所赋予的权利的不同可将期权分为()。
A、Hisanotherarticleisbetter.B、Onlypartofhisarticlewaspublished.C、Hisarticlewaspublishedtoolate.D、Hewouldrath
最新回复
(
0
)