首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
外语
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the
admin
2018-08-25
30
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.
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://jikaoti.com/ti/wOSFFFFM
0
大学英语六级
相关试题推荐
Morethanfiftyyearsago,theUnitedNationsdeclaredthatliteracyisabasichumanright.It’sveryimportantfor【B1】______th
Ifyou’relikemostpeople,you’ve【B1】______fakelisteningmanytimes.Yougotohistoryclass,sitinthethirdrow,andlooks
A、Powerplantsbumcoal.B、Factoriespoursewage.C、PeopleburytrashundergroundD、Citypopulationincreasesgreatly.A
A、Becausehumanbeingsarepowerfulenoughtokilloneanother.B、Becauseeveryspecieswillbecomeextinctbynaturalselection
A、JapanesestudentsstudymuchharderthanColumbianstudents.B、ColumbianstudentsscorehigherthanJapanesestudentsinmaths
A、Heoftenborrowsmoneyfromothers.B、Hehasjustreceivedhismonthlypay.C、Hecan’tpayoffhiscreditcards.D、Hehaskept
A、ToshortenthegapbetweentheruralcommunityandtheSiliconValley.B、Toprovidesomepropertrainingforstudentsinarur
Itbeganwithsomemarshmallows(棉花软糖).Inthe1960sWalterMischel,apsychologistthenworkingatStanfordUniversity,started
Thehumancriterionforperfectvisionis20/20forreadingthestandardlinesonaSnelleneyechartwithoutahitch.Thescore
Anewstudyfindsthatevenmildstresscanaffectyourabilitytocontrolyouremotions.AteamofneuroscientistsatNewYork
随机试题
A、Itwascomplicatedbecauseofthepictures’magicpower.B、Itwasaweirdlanguagewhichonlyafewpeopleunderstood."C、Itw
引出活动主题
A.甲状腺疼痛B.宜手术治疗C.多见于老年人D.甲状腺触诊质硬淡漠型甲亢可见
A.胃液酸度升高B.胃液酸度正常或减少C.胃液酸度常减少D.胃液酸度明显升高E.胃液酸度明显减少慢性萎缩性胃窦胃炎
环境卫生学所研究的环境是
下列选项中,()按照项目占用土地而使社会成员由此损失的该土地“最佳可行替代用途”的净效益计算。
付款凭证左上角的“贷方科目”可能登记的科目是()。
继续承诺是指()。
某公司普通股目前的股价为10元/股,筹资费率为6%,刚刚支付的每股股利为2元,股利固定增长率2%,则该企业利用留存收益的资本成本为()。
根据目标管理的基本原理,在实施目标管理的全过程中,必须牢牢抓住的主线包括()。
最新回复
(
0
)