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
2023-01-29
5
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
根据题干关键词doctors,hospital policy定位到第3段。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提到,该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来源,由此可见,选A。本题的答案应与本文的主题相关,讨论的是经济方面的问题,因为医生给医院带来收入,所以他们决定医院政策,这与医生的医德、专业知识等无关,因此,虽然其他三个选项在脱离题干的情况下都可能是符合实情的,但它们并不与题干直接构成因果关系。
转载请注明原文地址:https://kaotiyun.com/show/nPvD777K
0
大学英语六级
相关试题推荐
Agingbabyboomersaredeterminedtofighttheagingprocess.Theyspendmillionsofdollarsayearon【C1】________theyperceive
Eyesightplaysaveryimportantroleinourdailylife.Everywakingmoment,theeyesareworkingtoseetheworldaroundus.Ov
Overtheyears,collegestudentshavestoodtogetherforwhattheybelievein,fromcivilrightstoanti-warpoliciestothemor
Steve:Ineedtwotickets,please.Ticketseller:Sorry,butwehavenomoretickets.Steve:Ohno!【D1】________Henry:What’swr
Duringthemiddleofthe19thcentury,【T1】Germany,alongwithotherEuropeannations,sufferedfromworkplacedeathsandacciden
Sinceitsfoundingin1948,McDonald’shasgrownfromafamilyburger(汉堡包)standtoaglobalfast-foodchain,withmorethan30,
Despiteherrather________choices,Morelandwasneitherarebelliousspiritnorsomeonewhosawherselfasanythingoutoftheo
TothesurpriseofDemocrats,manyRepublican-controlledstatesoptednottoexpandMedicaidhealthcarecoverageforthepoor.
Huntedasthewildturkeyis,ithasdevelopedahighdegreeofingenuityinescapingfromitspursuers.Itappearstohavelear
Lowwages,chronicunemploymentandunderemploymentleadtolowincome,lackofpropertyownership,absenceofsavings,absence
随机试题
采集痰培养标本应嘱患者()
全民教育
中、晚期原发性肝癌最常见的主要体征是
患者,男性,70岁。腰背部疼痛半年前来就诊,体检:肝肋下2cm,脾肋下3cm,多个腰椎骨压痛明显,实验室检查:Hb85g/L,WBC4.6×109/L,PLT110×109/L,ESR120mm/h,尿蛋白定性(一),24小时尿蛋白定量5g
饥不欲食可见于
产后1小时,再次出血,BP7.5/4kPa(70/30mmHg),面色苍白,出冷汗,子宫轮廓不清,此时出血原因可能是
下列各项中,不属于会计对经济活动的合理性审查的有()。
APowerfulInfluenceTherecanbenodoubtatallthattheInternethasmadeahugedifferencetoourlives.Parentsareworr
妈妈要带两个女儿去参加一个晚会,女儿在选择搭配衣服。家中有蓝色短袖衫、粉色长袖衫、绿色短裙和白色长裙各一件。妈妈不喜欢女儿穿长袖配短裙。以下哪种是妈妈不喜欢的方案?
(2011下项管)某大型项目进行到两年时,使用挣值法所需要的三个中间变量的数值分别是:计划值PV为400万元,实际成本AC为200万元,挣值EV为100万元。基于该项目的成本偏差,下列描述正确的是______(1),基于该项目的成本绩效指数,下列描述中正确
最新回复
(
0
)