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
2024-04-04
45
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] Doctors are able to determine hospital policies most probably because ______.
选项
A、it is doctors who generate income for the hospital
B、a doctor is ultimately responsible for a patient’s health
C、most of the patients don’t challenge the doctor’s decisions
D、the administration doesn’t know about medicine as much as doctors
答案
A
解析
第3段末句开头的As a consequence表明医护人员能够决定医院政策的原因在前一句有提到,前一句指出医生才是真正的“消费者”,即医生才是给医院带来收入的人,由此可见,选项A为本题答案。
转载请注明原文地址:https://tihaiku.com/zcyy/3541013.html
相关试题推荐
Thehealth-careeconomyisfilledwithunusualandevenuniqueeconomicrela
Thehealth-careeconomyisfilledwithunusualandevenuniqueeconomicrela
Thehealth-careeconomyisfilledwithunusualandevenuniqueeconomicrela
EconomistssayconfidenceintheU.S.economyhasimprovedsincethefinanci
EconomistssayconfidenceintheU.S.economyhasimprovedsincethefinanci
EconomistssayconfidenceintheU.S.economyhasimprovedsincethefinanci
Wesometimesthinkhumansareuniquelyvulnerabletoanxiety,butstresssee
Wesometimesthinkhumansareuniquelyvulnerabletoanxiety,butstresssee
Wesometimesthinkhumansareuniquelyvulnerabletoanxiety,butstresssee
Thehealth-careeconomyisfilledwithunusualandevenuniqueeconomicrela
随机试题
BuildYourSelf-confidence1.【T1】______fearSelf-confidence≠【T2】______Fea
Winterinmanyplacesmeansiceskating,sleddingandsnowballfights.Butu
Theremusthavebeensomeonewhohasinstigatedarebellionbecausethepeoplea
粉末镜检可见细胞壁三面加厚一面菲薄的石细胞、油细胞、纤维及草酸钙针晶的药材是A.
慢性阻塞性肺病稳定期应用长效抗胆碱药噻托溴铵的治疗剂量为A、80-120μg/D
近日,某地出现了严重的雾霾,一些家长担心孩子的健康,提议在学校安装空气净化器,但
从所给的四个选项中,选择最合适的一个填入问号处,使之呈现一定的规律性:
银行承兑汇票的承兑银行,应当按照票面金额向出票人收取()的手续费。A:千分之一
在监理实施细则中,不属于监理工作涉及的流程的是()。A.进度控制流程 B.造价
A.滑膜炎 B.关节腔炎症 C.附着点炎 D.小血管炎 E.关节软骨变性
最新回复
(
0
)