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
2024-04-09
5
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://www.tihaiku.com/zcyy/3547774.html
相关试题推荐
Somethingveryunusualhappenedabout80,000yearsago,asEarth’slastice
Somethingveryunusualhappenedabout80,000yearsago,asEarth’slastice
Somethingveryunusualhappenedabout80,000yearsago,asEarth’slastice
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
RisingInequalityIsHoldingBacktheU.S.Economy[A]Inannoun
Theselfishnessofhumansisacentralassumptionoforthodox(传统的)economics,
Theselfishnessofhumansisacentralassumptionoforthodox(传统的)economics,
随机试题
Asfarashobbiesareconcerned,Janeandhersister______(几乎没有什么共同之处).havelitt
Itadvocatedbythebookthataman,nomatterhow________hisoriginmayhe,c
CanBurglarsJamYourWirelessSecuritySystem?A)Anyproductth
维生素C的主要适应证是()A:防治坏血病 B:治疗脂溶性皮炎 C:治疗佝偻
2017年7月8日,在第四届世界遗产大会上,中国福建的()获得列入时间文化遗产名
陶行知提出用生活来教育,为生活而教育的“活教育”理论。
教育基本法适用于中华人民共和国境内( )。A.高等教育 B.中小学教育
(2019年真题)大额风险暴露是指商业银行对单一客户或一组关联客户超过其一级资本
收入的特点不包括()。 A.收入从企业的日常活动中产生,而不是从偶发
下列债中,属于当事人之间按照约定生产的债是( )。2016A、侵权之债 B
最新回复
(
0
)