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
2024-06-02
8
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 carder or government ) -- the physician makes the essential decision 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 to 80 percent of healthcare expenditures are determined by physicians, not patients. For this reason, economy directed at patients or the general are relatively ineffective. [br] It can be inferred from the passage that doctors are able to determine hospital policies 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 patient’s bills are paid by his health insurance
D、some patients might refuse to accept their physician’s advice
答案
A
解析
定位于第三段末句“As a consequence,the medical staff represents the ’power center’... not the administration”,由此可知在医院看来,真正的“权力中心”不是医院,而是医生,故A项为答案。而其他三项讲的都不是医生与医院之间的关系,故排除。
转载请注明原文地址:https://tihaiku.com/zcyy/3615839.html
相关试题推荐
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
随机试题
Manydogownersregardtheirfurryfriendsastheirchildren,andtalktoth
奥瑞姆将护理系统分为完全补偿系统、部分补偿系统和()。
一平面余弦波波源的振动周期T=0.5s,所激起的波的波长λ=10m,振幅为0.5
下列关系中,适用《合同法》的有()。A:借贷B:婚姻C:租赁D:监护E:
下列说法中,正确的是( )。A.大赦既赦其刑,又赦其罪B.特赦只赦其刑
长期以来的教育实践证明,学校工作必须做到()。 A.以教学为主 B.教学、科
甲的私营企业在2004年生产的产品全部内销,并缴纳了各种税收50万元。甲在年底向
患者,男,因哮喘就诊。医生开具丙酸氟替卡松吸入气雾剂控制哮喘症状,建议使用2周,
事故树分析法是事故调查分析的重要方法之一。下列符号为事故树逻辑门符号,其中表示任
鉴别轻症和重症急性胰腺炎,下列哪项意义不大A.血清淀粉酶增高 B.血钙降低
最新回复
(
0
)