首页
登录
职称英语
Saying they can no longer ignore the rising prices of health care, some of t
Saying they can no longer ignore the rising prices of health care, some of t
游客
2023-08-10
28
管理
问题
Saying they can no longer ignore the rising prices of health care, some of the most influential medical groups in the nation are recommending that doctors weigh the costs, not just the effectiveness of treatments, as they make decisions about patient care.
The shift, little noticed outside the medical establishment but already controversial inside it, suggests that doctors are starting to redefine their roles, from being concerned exclusively about individual patients to exerting influence on how healthcare dollars are spent.
In practical terms, the new guidelines being developed could result in doctors choosing one drug over another for cost reasons or even deciding that a particular treatment—at the end of life, for example—is too expensive. In the extreme, some critics have said that making treatment decisions based on cost is a form of rationing.
Traditionally, guidelines have heavily influenced the practice of medicine, and the latest ones are expected to make doctors more conscious of the economic consequences of their decisions, even though there’s no obligation to follow them. Medical society guidelines are also used by insurance companies to help determine reimbursement(报销)policies.
Some doctors see a potential conflict in trying to be both providers of patient care and financial overseers.
"There should be forces in society who should be concerned about the budget, but they shouldn’t be functioning simultaneously as doctors," said Dr. Martin Samuels at a Boston hospital. He said doctors risked losing the trust of patients if they told patients, "I’m not going to do what I think is best for you because I think it’s bad for the healthcare budget in Massachusetts. "
Doctors can face some grim trade-offs. Studies have shown, for example, that two drugs are about equally effective in treating macular degeneration, and eye disease. But one costs $ 50 a dose and the other close to $ 2,000. Medicare could save hundreds of millions of dollars a year if everyone Used the cheaper drug, Avastin, instead of the costlier one, Lucentis.
But the Food and Drug Administration has not approved Avastin for use in the eye, and using it rather than the alternative, Lucentis, might carry an additional, although slight, safety risk. Should doctors consider Medicare’s budget in deciding what to use?
"I think ethically(在道德层面上)we are just worried about the patient in front of us and not trying to save money for the insurance industry or society as a whole," said Dr. Donald Jensen.
Still, some analysts say that there’s a role for doctors to play in cost analysis because not many others are doing so. "In some ways," said Dr. Daniel Sulmasy, "it represents a failure of wider society to take up the issue. " [br] What were doctors mainly concerned about in the past?
选项
A、Specific medicines to be used.
B、Effects of medical treatment.
C、Professional advancement.
D、Patients’ trust.
答案
B
解析
推理判断题。从定位句及其所在段落可以看出,作者提到一个关于医生角色的关键性的变化,即从单纯考虑病人个体转为对医疗费用的使用施加影响,可见,医生过去只考虑治疗效果,故答案为B)。
转载请注明原文地址:https://tihaiku.com/zcyy/2912761.html
相关试题推荐
ThereisnothingnewaboutTVandfashionmagazinesgivinggirlsunhealthyi
ThereisnothingnewaboutTVandfashionmagazinesgivinggirlsunhealthyi
ThereisnothingnewaboutTVandfashionmagazinesgivinggirlsunhealthyi
ThereisnothingnewaboutTVandfashionmagazinesgivinggirlsunhealthyi
ThereisnothingnewaboutTVandfashionmagazinesgivinggirlsunhealthyi
NowomancanbetoorichortoothinThissayingoftenattributedtothelat
NowomancanbetoorichortoothinThissayingoftenattributedtothelat
NowomancanbetoorichortoothinThissayingoftenattributedtothelat
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
随机试题
PeopleintheUnitedStateslovetheirdogsandtreatthemwell.Theyusema
Judgingfromrecentsurveys,mostexpertsinsleepbehavioragreethatthere
关于蛋白质净利用率说法正确的是()。A.食物蛋白质被消化吸收后在体内利用的程
管道绝热工程量计算单位,正确的是( )。A.m B.根 C.kg D.m
下列哪个经典唱段出自歌剧《江姐》?()A.《扎红头绳》 B.《清粼粼的水蓝
支气管肺癌由原发肿瘤引起的症状是( )。A.霍纳综合征 B.咳嗽、咯血、胸闷
共用题干 某一房地产开发公司A公司拟获得某城市规划区内一地块建设商品住宅。某职
在GB/T13262中,确定抽检方案的基本要素为()。 A.AQLB.
影响注意转移快慢和难易的条件有( )A.个体神经过程的强度 B.个体神经过程
一般企业投资项目编制项目申请书的前置审批事项包括( )。A.规划选址意见书B.节
最新回复
(
0
)