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
2018-08-25
94
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/uhH7777K
0
大学英语六级
相关试题推荐
Tofindoutwhattheweatherisgoingtobe,mostpeople【B1】______theradio,television,ornewspapertogetanexpertweatherf
Morethanfiftyyearsago,theUnitedNationsdeclaredthatliteracyisabasichumanright.It’sveryimportantfor【B1】______th
Morethanfiftyyearsago,theUnitedNationsdeclaredthatliteracyisabasichumanright.It’sveryimportantfor【B1】______th
A、Incidentsofworkerscausedglobalanger.B、Kafalasystemleavesworkersopentoabuse.C、AnIndonesianworkerwasstarvedto
NineofthetencampusesoftheUniversityofCalifornia—ledbyBerkeley—onceagainmadeitintoanannualrankingoftheworld’
Attentiontodetailissomethingeveryonecanandshoulddo—especiallyinatightjobmarket.BobCrossley,ahuman-resourceexp
A、Helpingpeoplestarttheirownsmallbusinesses.B、Providingaccommodationforholidaymakers.C、Linkingprovidersofspareroo
TheValueofWritingWell[A]It’sthattimeofyearagain.No,not"theholidayseason".Imean,itisholidaytime,butfor
Individualsandbusinesseshavelegalprotectionforintellectualpropertytheycreateandown.Intellectualproperty【C1】______f
随机试题
患者,女,32岁。反复腰痛、尿频、尿痛3天。尿常规:白细胞30~40个/HP,红细胞20~30个/HP。中段尿培养有细菌生长。肾B超:双侧肾可见与肾锥体分布一致的强回声团,呈放射状排列,见多个小结石。1年前IVP示:双侧肾见多数囊肿和扩张的小管,肾锥体被造
女,48岁,月经不规律1年,现阴道淋漓出血20多天,伴乏力。患者下列哪种情况绝对不能激素替代治疗
下列()不符合汽车库安全疏散规定。
截面尺寸为370mm×740mm的砖柱,计算高度为5m,采用MU10黏土实心砖、M7.5水泥砂浆砌筑。配筋砖砌体的抗压强度设计值fn=3.20N/mm2,体积配筋率ρ=0.250%,则该砖柱的轴心受压承载力与()项数值最为接近。
影响资金等值的因素有()。
企业价格的制定应主要从()来考虑。
Sofarwehavedonealottobuildalow-carboneconomy,butitis________ideal.Wehavetoworkstillharder.
函数f(χ)=χ3-3χ+k只有一个零点,则k的范围为().
Questions8-13Answerthequestionsbelow.ChooseNOMORETHANTWOWORDSfromthepassageforeachanswer.Writeyouranswersin
Mostparents,Isuppose,havehadtheexperienceofreadingabedtimestorytotheirchildren.Andtheymusthave【B1】______howd
最新回复
(
0
)