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
2024-06-02
54
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 carder or government ) -- the physician makes the essential decision 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 to 80 percent of healthcare expenditures are determined by physicians, not patients. For this reason, economy directed at patients or the general are 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、advising the patient to seek a second opinion
B、admitting that the initial visit was ineffective
C、instructing the patient to buy more medical services
D、warning the patient that a hospital stay might be necessary
答案
C
解析
根据第二段第二句“... it is the physician who usually makes all significant purchasing decisions...”可推断出,医生叫病人再来就意味着病人要购买更多的医疗服务,由此可知C项为答案。A项、B项和D项在文中均未提及,故排除。
转载请注明原文地址:http://tihaiku.com/zcyy/3615840.html
相关试题推荐
Ourworldisfilledwithsoundsweneverhear.Thehumanauditory(听觉的)rang
Ourworldisfilledwithsoundsweneverhear.Thehumanauditory(听觉的)rang
Ourworldisfilledwithsoundsweneverhear.Thehumanauditory(听觉的)rang
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
随机试题
【B1】[br]【B19】A、ThoughB、ForC、ThenD、BecauseA
[originaltext]W:Goodmorning.Ireadtherecruitingadinthepaperyesterday
[originaltext]W:YoursisterJanedidn’trecognizemeatfirst.M:I’mnotsurp
若某土样试件无侧限抗压强度试验的应为应变曲线中最大轴向应力不明显,取轴向应变(
以下各月中,哪个月全行业保险赔付支出额与保险保费收入额的比值最低?A.1
事先知道事件的发生是等可能的,从而计算概率的方法叫做()。A:主观概率 B:统
某护理人员研究对糖尿病患者健康教育的效果,在选择干预组和对照组时,她将病情较轻的
A.胸腔积气 B.胸腔积液 C.肺气肿 D.肺实变 E.胸膜粘连与增厚可
下列关于企业所得税特别纳税调整的表述正确的有()。A.企业可以按照独立交易
建设工程监理实施的前提是( )。A.建设单位授权 B.监理单位公平性的体现
最新回复
(
0
)