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
32
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 do some experts say about doctors’ involvement in medical cost analysis?
选项
A、It may add to doctors’ already heavy workloads.
B、It will help to save money for society as a whole.
C、It results from society’s failure to tackle the problem.
D、It raises doctors’ awareness of their social responsibilities.
答案
C
解析
推理判断题。最后一段首句指出,尽管医生兼任医药成本监察员的职责并不合适,但又不得不为之,因为很少有其他群体能做到,而作者更进一步引用丹尼尔·赛尔马西医生的话指出,整个社会没能成功处理这一问题,故答案为C)。
转载请注明原文地址:https://tihaiku.com/zcyy/2912764.html
相关试题推荐
NowomancanbetoorichortoothinThissayingoftenattributedtothelat
NowomancanbetoorichortoothinThissayingoftenattributedtothelat
NowomancanbetoorichortoothinThissayingoftenattributedtothelat
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
TheHealthBenefitsofDrinkingWater—Isbottleddrinkingwaterhealthi
医疗和保健medicaltreatmentandhealthcare
有进取心enterprising
随机试题
圆心在原点、半径为5的圆上有多少个整数点?A、16B、10C、20D、14E、12E圆的方程可以表示为x2+y2=25,圆上的整数点可以分为两类:位于
材料一:某省是我国主要的手机生产地之一,并且生产有多个品牌的手机。下图是该省2
配置管理工作中,确定配置项的所有者及其责任、确定配置项进入配置管理的时间和条件是
A.国家食品药品监督管理局药品注册司 B.国家药典委员会 C.国家食品药品监
患者男,80岁。原发性高血压10年。长期服用排钾利尿剂控制血压,现因低血钾收入院
社会公德、职业道德和家庭美德的状况,最终都是以每个社会成员的道德品质为基础的,因
商业银行为客户进行风险评估时,评估结果认为某一客户不适宜购买某一产品,但客户仍坚
现浇(预应力)钢筋混凝土水池的施工方案应包括结构形式、材料与配比、施工工艺及流程
胰泌素引起的胰腺分泌胰液的特点是( )。A.水和HCO3-多,酶少 B.水和
下列施工进度控制工作中,属于施工进度计划检查的内容是( )。A.增加施工班组人
最新回复
(
0
)