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
2023-08-12
58
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] The author is most probably leading up to ______.
选项
A、an analysis of the role of the hospital administration
B、a study of lawsuits against doctors’ malpractice
C、a discussion of a new medical treatment
D、a proposal to control medical costs
答案
D
解析
原文主要分析了医生和病人之间特殊的经济关系,末段最后两句指出大部分卫生保健费用由医生决定,正因为如此,这样的体制显得ineffective。由此可以推断,作者接下来会提出对这种体制进行改革,选项D与此最为接近。
转载请注明原文地址:https://tihaiku.com/zcyy/2918335.html
相关试题推荐
[originaltext]TheeconomiccrisisinEuropeandNorthAmericaledtomoreth
TheAmazon-WalmartShowdownThatExplainstheModernEconomy[A]WithA
TheAmazon-WalmartShowdownThatExplainstheModernEconomy[A]WithA
TheAmazon-WalmartShowdownThatExplainstheModernEconomy[A]WithA
TheAmazon-WalmartShowdownThatExplainstheModernEconomy[A]WithA
TheAmazon-WalmartShowdownThatExplainstheModernEconomy[A]WithA
TheAmazon-WalmartShowdownThatExplainstheModernEconomy[A]WithA
Somethingveryunusualhappenedabout80,000yearsago,asEarth’slastice
Somethingveryunusualhappenedabout80,000yearsago,asEarth’slastice
Somethingveryunusualhappenedabout80,000yearsago,asEarth’slastice
随机试题
TheRedCrossisaninternationalorganization,whichcaresforpeoplewhoa
中国是世界上公认发明指南针的国家。早在2400多年前,中国人就创造出世界上最早的指南针。后来经过不断改进,到宋朝(theSongDynasty)人们
WASTstandsfor______.A、WesternAustraliaSupplyandTransportB、WebsterAptitu
[originaltext]Now,listentoPartTwooftheinterview.W:Absolutely.(6-1)But
A.心率加快 B.体循环静脉淤血 C.毛细血管通透性增高 D.肺淤血,肺水
男性,52岁,原发性肝癌患者,行肝右叶切除术。术后护理中预防肝断面出血的措施是
以下取气样的方法不正确的是()。(A)转动三通阀,用气体继电器内的气体冲
以下哪种情况属于认知策略()A.为了记住要点.看书时划出关键词 B.学生
下列各项中著作与作者对应不正确的是()A.《广义相对论基础》爱因斯坦 B.《
某心理治疗师在路上遇到一位治疗过的患者及其同事,上前过去打招呼,并询问患者最近的
最新回复
(
0
)