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 Planning Commission asserts that the needed reduction in acute care hospital beds can best be accomplished by closing the sm
The Planning Commission asserts that the needed reduction in acute care hospital beds can best be accomplished by closing the sm
admin
2017-04-21
123
问题
The Planning Commission asserts that the needed reduction in acute care hospital beds can best be accomplished by closing the smaller hospitals, mainly voluntary and proprietary. This strategy follows from the argument that closing entire institutions saves more money than closing the equivalent number of beds scattered throughout the health system.
The issue is not that simple. Larger hospitals generally are designed to provide more complex care. Routine care at large hospitals costs more than the same care given at smaller hospitals. Therefore, closure of all the small hospitals would commit the city to paying considerably more for in-patient care delivered at acute care hospitals than would be the case with a mixture of large and small institutions. Since reimbursement rates at the large hospitals are now based on total costs, paying the large institutions a lower rate for routine care would simply raise the rates for complex care by a comparable amount. Such a reimbursement rate adjustment might make the charges for each individual case more accurately reflect the actual costs, but there would be no reduction in total costs.
There is some evidence that giant hospitals are not the most efficient. Service organizations and medical care remains largely a service industry — frequently find that savings of scale have an upper limit. Similarly, the quality of routine care in the very largest hospitals appears to be less than optimum. Also, the concentration of all hospital beds in a few locations may affect the access to care.
Thus, simply closing the smaller hospitals will not necessarily save money or improve the quality of care.
Since the fact remains that there are too many acute care hospital beds in the city, the problem is to devise a proper strategy for selecting and urging the closure of the excess beds. However many it may turn out to be.
The closing of whole buildings within large medical centers has many of the cost advantages of closing the whole of smaller institutions, because the fixed costs can also be reduced in such cases. Unfortunately, many of the separate buildings at medical centers are special-use facilities. The relocation of which is extremely costly. Still a search should be made for such opportunities.
The current lack of adequate ambulatory care facilities raises another possibility. Some floors or other large compact areas of hospital could be transferred from in-patient to ambulatory uses. Reimbursement of ambulatory services is chaotic, but the problem is being addressed. The overhead associated with the entire hospital should not be charged even pro rate to the ambulatory facilities. Even if it were, the total cost would probably be less than that of building a new facility. Many other issues would also need study, especially the potential overcentralization of ambulatory services.
The Planning Commission language seems to imply that one reason for closing smaller hospitals is that they are "mainly voluntary and proprietary". Thus, preserving the public hospital system by making the rest of the hospital system absorb the needed cuts. It is important and not hidden behind arguments about hospital size. If indeed that was the meaning.
The author’s purpose in discussing ambulatory care is to ______.
选项
A、discuss alternatives to closing hospital beds
B、present a method or reducing the fiscal disadvantages ages or closing only parts of large hospitals
C、attack the inefficient use of space in larger hospitals
D、show another opportunity for saving money
答案
B
解析
本题是推理题。文章第7段提出医院中有些地区可以从住院部转为护理处。这种花费要比建造一种新的设备要少得多。由此可推出作者提出流动护理的概念就是尝试一种新的方法并有可能减少财政紧张。
转载请注明原文地址:https://kaotiyun.com/show/uD9d777K
本试题收录于:
BFT阅读题库国际化人才外语考试(BFT)分类
0
BFT阅读
国际化人才外语考试(BFT)
相关试题推荐
ATVstationisplanningtodevelopanewprogramoftalkshow,hencesomeguestsareneeded.Guestsforthetalkshowprograms
Readthefollowingletterandcompletethegiveninformationform.Writeaword,phraseornumberinthespaces1-5.De
WildBillDonovanwouldhavelovedtheInternet.TheAmericanspymasterwhobuilttheOfficeofStrategicServicesinWorldWar
Somepeoplebelievethatinternationalsportcreatesgoodwillbetweenthenationsandthatifcountriesplaygamestogetherthey
Somepeoplebelievethatinternationalsportcreatesgoodwillbetweenthenationsandthatifcountriesplaygamestogetherthey
Somepeoplebelievethatinternationalsportcreatesgoodwillbetweenthenationsandthatifcountriesplaygamestogetherthey
Somepeoplebelievethatinternationalsportcreatesgoodwillbetweenthenationsandthatifcountriesplaygamestogetherthey
ThePlanningCommissionassertsthattheneededreductioninacutecarehospitalbedscanbestbeaccomplishedbyclosingthesm
CarsaccountforhalftheoilconsumedintheU.S.,abouthalftheurbanpollutionandonefourththegreenhousegases.Theyta
1.Ancientpeoplemadeclaypotterybecausetheyneededitfortheirsurvival.Theyusedthepotstheymadeforcooking,storing
随机试题
硫化物竟是钻石的“好朋友”?根据2016年6月21日发表在英国《自然一通讯》杂志上的一项地质学研究,地幔中硫化物的氧化反应可能会诱发钻石的形成。这项发现构成了一个直接证据,可以证明钻石是在地幔中硫化物之上成核形成的。以下如果为真,哪项最能削弱上述观点?(
导线线端如接触不良,可能会烧毁电动机。()
社会变迁
免疫增强剂常用于:
双位点一步法中,若怀疑存在钩状效应,应采用的措施是
斯基德莫尔认为:行政过程中最常用的方法为计划、组织、人事、指导、()等活动。
福利管理的主要内容包括()
测验中某些项目的分数与测验中另一些项目的相关称作()。
赵维和郭晴是某公司企划部的员工,该部门的所有员工都是旅游爱好者。他们或者喜欢韩国,或者喜欢日本。赵维喜欢韩国,郭晴不喜欢日本。如果以上论述为真,下列哪项必然为真?Ⅰ.郭晴喜欢韩国Ⅱ.赵维不喜欢日本Ⅲ.企划部不喜欢韩国的人喜欢日本Ⅳ.企划部一半喜欢韩
进行软件测试的目的是_____。A.尽可能多地找出软件中的缺陷B.缩短软件的开发时间C.减少软件的维护成本D.证明程序没有缺陷
最新回复
(
0
)