首页
登录
职称英语
The health-care economy is filled with unusual and even unique economic rela
The health-care economy is filled with unusual and even unique economic rela
游客
2023-08-18
60
管理
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. [br] According to the author, when a doctor tells a patient to "return next Wednesday", the doctor is in effect_____.
选项
A、instructing the patient to buy more medical services
B、warning the patient that a hospital stay might be necessary
C、advising the patient to seek a second opinion
D、admitting that the initial visit was ineffective
答案
A
解析
在第2段第2句中,三个whether引出的例子是为了说明冒号前的“通常是由医生做出所有重要的购买决定”。选项中只有A与“购买”有关,故为本题答案。
转载请注明原文地址:http://tihaiku.com/zcyy/2937410.html
相关试题推荐
MyViewonKnowledgeEconomy1.近年来,知识型经济在人们的经济生活中发挥着越来越大的作用2.它产生了哪些影响3.我的看法
Theselfishnessofhumansisacentralassumptionoforthodox(传统的)economics,
Theselfishnessofhumansisacentralassumptionoforthodox(传统的)economics,
Theselfishnessofhumansisacentralassumptionoforthodox(传统的)economics,
Theselfishnessofhumansisacentralassumptionoforthodox(传统的)economics,
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
随机试题
TherecentmilitarydrillofSouthKoreainvolvedthefollowingEXCEPT[original
将它握在手中仔细观察,它的暗红色中有血的感觉,那正是生命的痕迹。Ifyouholdtheglassinthehand,youwillobse
[originaltext]W:(12)Howisyourhousehuntinggoing?M:Notverywell.Ihaven’
ItiscommonlybelievedintheUnitedStatesthatschooliswherepeoplego
[originaltext]M:Hi,MissRowling,howoldwereyouwhenyoustartedtowrite?
缺铁性贫血所致外胚叶营养障碍可表现为()。A.皮肤干燥发皱 B.毛发干燥无
不寄生在细胞内的原虫是A.间日疟原虫 B.恶性疟原虫 C.杜氏利什曼原虫
下列不属于非系统性风险的是( )。A.市场风险 B.经营风险 C.流动性风
《变电验收管理规定》:分级负责指变电运检验收工作按照分级负责的原则管理,严格落实
副井井筒与车场连接硐室的规格尺寸与()无关。A.井筒深度 B.提升罐笼的类型
最新回复
(
0
)