首页
登录
职称英语
With all the tools available to modern medicine--the blood tests and M.R.I.’
With all the tools available to modern medicine--the blood tests and M.R.I.’
游客
2023-07-29
19
管理
问题
With all the tools available to modern medicine--the blood tests and M.R.I.’s and endoscopes (内诊镜)--you might think that misdiagnosis (误诊) has become a rare thing. But you would be wrong. Studies of autopsies (尸体解剖) have shown that doctors seriously misdiagnose fatal illnesses about 20 percent of the time. So millions of patients are being treated for the wrong disease.
As shocking as that is, the more astonishing fact may be that the rate has not really changed since the 1930’s. "No improvement!" was how an article in the normally exclamation-free Journal of the American Medical Association summarized the situation. This is the richest country in the world--one where one-seventh of the economy is devoted to health care--and yet misdiagnosis is killing thousands of Americans every year.
How can this be happening? And how is it not a source of national outrage?
A big part of the answer is that all of the other medical progress we have made has distracted us from the misdiagnosis crisis.
Any number of diseases that were death sentences just 50 years ago---like childhood leukemia (白血病)--are often manageable today. But we still could be doing a lot better. Under the current medical system, doctors, nurses, lab technicians and hospital executives are not actually paid to come up with the right diagnosis. They are paid to perform tests and to do surgery and to give out drugs.
There is no bonus for curing someone and no penalty for failing, except when the mistakes rise to the level of malpractice. So even though doctors can have the best intentions, they have little economic incentive to spend time double-checking their instincts, and hospitals have little incentive to give them the tools to do so.
"You get what you pay for," Mark B. McClellan, who runs Medicare and Medicaid, told me. "And we ought to be paying for better quality."
There are some bits of good news here. Dr. McClellan has set up small pay-for-performance programs in Medicare, and a few insurers are also experimenting. But it isn’t nearly a big enough push. We just are not using the power of incentives to save lives. For a politician looking to make the often-bloodless debate over health care come alive, this is a huge opportunity. [br] According to the passage, misdiagnosis ______.
选项
A、has become a rare thing
B、takes up 20 percent of the diagnosis of deadly diseases
C、has aroused much attention
D、started since the 1930’s
答案
B
解析
细节题。第一段提到“you might think that misdiagnosis has.become a rare thing”,但最后指出“But you would be wrong”。故选项A不正确。第一段中指出:Studies of autopsies have shown that doctors seriously misdiagnose fatal illnesses about 20 percent of the time,该句与选项B意思一致,故选项B正确。选项C说误诊问题引起了关注,与第四段和第五段内容不符:民众未对此感到愤慨,因为学的其他进步转移了人们的注意力,即人们未注意到此问题,故选项C不正确。第二段指出误诊问题令人更为震惊的是该问题从二十世纪三十年代起并没有改观,并非这一问题自二十世纪三十年代开始,故选项D不正确。
转载请注明原文地址:https://tihaiku.com/zcyy/2879201.html
相关试题推荐
Themodernageisanageofelectricity.Peoplearesousedtoelectriclights,
Themodernageisanageofelectricity.Peoplearesousedtoelectriclights,
Themodernageisanageofelectricity.Peoplearesousedtoelectriclights,
Themodernageisanageofelectricity.Peoplearesousedtoelectriclights,
Themodernageisanageofelectricity.Peoplearesousedtoelectriclights,
Twotypesoftestsarecommonlyusedinmodernschools.Thefirst【C1】______isso
Twotypesoftestsarecommonlyusedinmodernschools.Thefirst【C1】______isso
Twotypesoftestsarecommonlyusedinmodernschools.Thefirst【C1】______isso
Twotypesoftestsarecommonlyusedinmodernschools.Thefirst【C1】______isso
Twotypesoftestsarecommonlyusedinmodernschools.Thefirst【C1】______isso
随机试题
配置管理计划是对如何开展项目配置管理工作的规划,是配置管理过程的基础,应该形成文
居民入住率达到()的新建住宅小区,应及时成立社区居民委员会;入住率不足(
缺血性脑卒中时水平或活性降低的指标是A.TXBB.TFC.t-PAD.PAIE.
药物与血浆蛋白结合后A.更易透过血脑屏障 B.作用增强 C.代谢加快 D.
患者男,55岁。诊断为2型糖尿病,身体一般状况尚好。护士进行评估后,建议其做有氧
9月初是幼儿园新学期开始的时节。但是一些小朋友和家长们却并不开心,“我不想上幼儿
臀横纹至胭横纹的骨度分寸是A.19寸 B.12寸 C.14寸 D.16寸
我国中央银行将货币供应量划分为()几个层次。 A.流通中现金B.狭义货币供
政府和社会资本投资人的合同体系是()的重点,需要对双方合作的核心边界条件,项目
(2012年真题)根据《工业企业厂界环境噪声排放标准》关于噪声测量的方法,说法正
最新回复
(
0
)