primry healthcare的含义是( )A.低级的卫生服务B.初步的卫生服务C.社会主义初级阶段卫生服务D.适合我国农村的卫生服务E.全民需要基本卫生服务

primry healthcare的含义是( )

A.低级的卫生服务
B.初步的卫生服务
C.社会主义初级阶段卫生服务
D.适合我国农村的卫生服务
E.全民需要基本卫生服务

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According go the author, health-savings plans will[A] help reduce the cost of healthcare.[B] popularize among the middle class.[C] compensate for the reduced pensions.[D] increase the families investment risk.

Thomson Healthcare公司出版的是A.《医师案头参考》B.《药物事实与比较》C.《美国药典药物信息》D.《马丁代尔药物大典》E.《美国医院处方集服务处:药物信息》

According go the author, health-savings plans willA.help reduce the cost of healthcare.B.popularize among the middle class.C.compensate for the reduced pensions.D.increase the families investment risk.

primry health care的含义是( )A.低级的卫生服务B.初步的卫生服务C.社会主义初级阶段卫生服务D.适合我国农村的卫生服务E.全民需要基本卫生服务

The American healthcare system has a unique problem with paperwork.The sheer number of participants-physicians,hospitals,clinics,insurance companies,patients--makes settling payments complicated,time-consuming and really expensive.The share of U.S.healthcare spending devoted to administrative costs is roughly three times what it is in other affluent countries.And it's a major reason the U.S.spends twice as much on healthcare.Some health clinics employ more clerks than care providers--not just to generate invoices but to send along the patient information insurers need to approve treatments,to dispute insurer decisions denying payment,to fix mistakes,to handle patients'questions,and on and on.For every I billion in revenue,the healthcare system employs the equivalent of 770 full-time people to settle the bills.That's almost eight times more than other industries.And doctors have to spend inordinate time dealing with red tape.Of course,if the U.S.were to magically switch to a single-payer healthcare system,these expenses would fall dramatically.The government would simply determine prices and write checks without dispute,as Medicare does for its direct beneficiaries.But such a change is neither realistic nor desirable in a country where half the population has employer-sponsored insurance.That said,it's still possible to trim administrative costs within the existing system.The best way to do so is for providers and insurers to standardize their billing practices and modernize their computer systems he federal government has long pushed for such efficiency.A 1996 law set some preliminary standards for the electronic processing of claims,payments and other transactions.But they weren't nearly enough,and insurers could still complicate invoices by requesting additional patient data.The HITECH Act of 2009 and the Affordable Care Act of 2010 gave providers further incentives to adopt electronic records and make them more uniform.Yet to a large extent,insurance companies continue to maintain distinct billing codes and torms,and providers still use separate computer systems for medical records and billing-making it im possible to automate claims processing.In this,healthcare stands apart from almost every other industry.Think of the way banks,for example,have standardized their operations to enable all customers to use the same ATMs and credit-card readers.The federal government needs to keep pushing for standardized electronic health systems,and also to change how healthcare prices are set.Bundled care and other alternatives to the fee-for-service model could greatly streamline billing.Patients have increasing cause to demand such change.With premiums,co-pays and deductibles rising,U.S.consumers now pay more for their health care than their employers do.Administrative inefficiency adds another layer of needless expense.Billing shouldn't have to be so complicated,or costly

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问答题Healthcare Reform  During the past two decades, all of the industrialized nations have enacted some form of healthcare reform. America is no exception. Just a few years ago, the U. S. was consumed by a vigorous public debate about healthcare. In the end, the debate reaffirmed that the U. S. would retain its essentially market-based system. Instead of reform imposed from the top down, 3 the American healthcare system underwent some rather profound self-reform, driven by powerful market forces. The market—not the government—managed to wring inflation out of the private healthcare market. 4  Today, it appears that U.S. healthcare costs are again on the rise. At the same time, American patients—like patients elsewhere—are becoming more vocal5 about the restrictions many face in their healthcare plans. Talk of government-led reform is once again in the air. 6  We must think twice, though, before embarking on “reform” if that means imposing further restrictions on our healthcare markets. The more sensible course is to introduce policies that make the market work better—that is, to the advantage of consumers. I base this argument on our company’s decades of experience in healthcare systems around the world, which has given us a unique global perspective on the right and wrong way to reform healthcare. The wrong way is to impose layer after layer of regulation and restrictions. We have seen this approach tried in many countries, and we have always see it fail—fail to hold down costs, and fail to provide the best quality care. Medicine is changing at so rapid a pace that no government agency or expert commission can keep up with it. Only an open, informed and competitive market can do that. This lesson holds true for the U. S., and for all countries contemplating healthcare reform. Free markets do what governments mean to do—but can’t.  The right approach10 is to foster a flexible, market-based system in which consumers have rights, responsibilities, and choices. Healthcare systems do not work if patients are treated as passive recipients of services: 11 they do work if consumers are well-informed about quality, costs, and new treatments, and are free to act responsibly on that knowledge.  Of course, reform should never be driven purely by cost considerations. Instead, we ought to devise new ways of funding healthcare that will make it possible for all patients to afford the best care. Ideally, these new approaches would not only reward individuals and families but also encourage innovation, which can make healthcare systems more efficient, more productive, and ultimately of greater value for patients.  The path we choose will have enormous implications for all of us. We are in a golden age of science, and no field of scientific inquiry holds more promise than that of biomedicine. 13 Not only can we look forward to the discovery of cures for chronic and acute disease, but also to the development of enabling therapies that can help people enjoy more rewarding and productive lives.14 New drugs are already helping people who would once have been disabled by arthritis or cardiovascular disease stay active and mobile.15 More effective anti-depressants and anti-psychotics are beginning to relieve the crippling illness of the mind, allowing sufferers to function normally and happily in society. The promise is quite simply—one of longer, healthier lives. 16  What is at issue are the pace and breadth of discovery, and how quickly we can make the benefits of our knowledge available to the patients who need them.  Therefore, the policy environment the biomedical industry will face in the next century may make or break the next wave of biomedical breakthroughs. 17 Will that environment include protection for intellectual property, freedom for the market to determine price, and support for a robust science base? 18 Will healthcare systems nurture innovation, or remove incentives for discovery? Will they give consumers information and options, or impose stringent rules and regulations that limit access and choice? For the U. S., as for the rest of the world, the healthcare debate is by no means over. And for all of us, the stakes are higher than ever.

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