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
14
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] According to the author, when a doctor tells a patient to "return next Wednesday", the doctor is in effect ______.
选项
A、advising the patient to seek a second opinion
B、admitting that the initial visit was ineffective
C、instructing the patient to buy more medical services
D、warning the patient that a hospital stay might be necessary
答案
C
解析
根据第二段第二句“... it is the physician who usually makes all significant purchasing decisions...”可推断出,医生叫病人再来就意味着病人要购买更多的医疗服务,由此可知C项为答案。A项、B项和D项在文中均未提及,故排除。
转载请注明原文地址:https://tihaiku.com/zcyy/3615840.html
相关试题推荐
Ourworldisfilledwithsoundsweneverhear.Thehumanauditory(听觉的)rang
Ourworldisfilledwithsoundsweneverhear.Thehumanauditory(听觉的)rang
Ourworldisfilledwithsoundsweneverhear.Thehumanauditory(听觉的)rang
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
Withtherapiddevelopmentofeconomy,oursocietyis,ingeneral,becoming
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
By2030,peopleover65inGermany,theworld’sthird-largesteconomy,willa
Evenastheeconomyimproves,ajoblessexecutivemayfaceuptoayearorm
随机试题
In1915EinsteinmadeatriptoGottingentogivesomelecturesattheinvit
某4跨简支梁桥,每跨上部结构由4片预应力T梁组成,请根据《公路桥梁技术状况评定标
关于母乳喂养知识,下列错谚的是A.可增强婴儿免疫力 B.贫血发生率较高 C.
下列选项中,供应商讨价还价的能力弱的是()。A:集中化程度高 B:须与替代产品
建筑物的耐久性能一般包括()。A:耐火性能B:抗冻性能C:抗蛀性能D:抗热
2014年11月1日,第十二届全国人民代表大会常务委员会第十一次会议通过《全国人
关于先天性髋脱位的检查,下列哪项在3岁患儿不宜采用?A.弹进弹出试验 B.单足
“应交税费”属于( )类会计科目。A.所有者权益 B.负债 C.成本 D.
(用户名:22;账套:705;操作日期:2014年1月31日)打开考生文件夹下的
以下情况中,评标委员会否决投标的情形是()。A.投标人未按招标文件要求提交技术
最新回复
(
0
)