大学英语四级阅读部分重视对文章信息的提取和剖析。通过训练理解文章主旨和细节，并提升语法理解，可以有效提升答卷得分。以下是“2025年12月大学英语四级阅读理解练习：医疗消费”，期望能对大伙的英语水平提高有所帮助!
2025年12月大学英语四级阅读理解练习：医疗消费
The health-care economy is filled with unusual andeven unique economic relationships. One of theleast understood involves the peculiar roles ofproducer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In mostsectors of the economy, it is the seller who attemptsto attract a potential buyer with various inducements of price, quality, and utility, and it is thebuyer who makes the decision, Such condition, however, does not prevail in most of thehealth-care industry.
In the health-care industry, the doctor-patient relationship is the mirror image of the ordinaryrelationship between producer and consumer. once an individual has chosen to see aphysician-and even then there may be no real choice-it is the physician who usually makesall 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 andsophisticated patient who will challenge such professional decisions or raise in advancequestions about price, especially when the disease is regarded as serious.
This is particularly significant in relation to hospital care. The physician must certify the needfor hospitalization, determine what procedures will be performed, and announce when thepatient may be discharged. The patient may be consulted about some of these decisions, but inthe main it is the doctors judgments that are final. Little wonder then that in the eye of thehospital it is the physician who is the real "consumer." As a consequence, the medical staffrepresents the "power center" in hospital policy and decision-making, not the administration.
Although usually there are in this situation four identifiable participants-the physician, thehospital, the patient, and the payer -thephysician makes the essential decisions for all of them. The hospital becomes an extensionof the physician; the payer generally meets most of the bills generated by thephysician/hospital, and for t/he most part the patient plays a passive role. We estimate thatabout 75-80 percent of health-care expenditures are determined by physicians, not patients. For this reason, the economy directed at patients or t.he general is relatively ineffective.
1.Whats the authors main purpose in writingthis passage?
A) To criticize doctors for exercising too muchcontrol over patients.
B) To analyze some important economic factors inhealth-care.
C) To urge hospitals to reclaim their decision making authority.
D) To inform potential patients of their health-care rights.
2.In the health-care industry, the patients
A) perform the role of being "providers”
B) decide which physician to consult
C) never raise questions about price
D) never consult with the doctors
3.According to the author, when a doctor tells a patient to "return next Wednesday", the doctor is in effect___________,
A) instructing the patient to buy more medical services
B) warning the patient that a hospital stay might be necessary
C) advising the patient to seek a second opinion
D) admitting that the initial visit, was ineffective
4.Doctors are able to determine hospital policies most probably because_______.
A) it is doctors who generate income for the hospital
B) a doctor is ultimately responsible for a patients health
C) most of the patients dont challenge the doctors decisions
D) the administration doesnt know about medicine as much as doctors
5.The author is most probably leading up to_________.
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 cosplayts
[page]1.作者写这篇文章的主要为了什么?
A)谴责大夫对患者的控制太多。
B)剖析卫生保健中的几个要紧经济原因。
C)催促医院收回他们的决策权。
D)让潜在患者了解他们的卫生保健权利。
[B]文章首段表明本文将要讨论卫生保健行业中大夫和患者的特殊经济关系，其余三段剖析了这种经济关系的特别之处，这样来看，选项B可以概括本文主题，故为本题答案。
2.在卫生保健行业，患者__________。
A)担当“提供者”的角色
B)决定向哪一位大夫咨询
C)从不问关于价钱的问题
D)从不向大夫咨询
[A]第2段首句中的mirror image表明医患关系与传统的生产者一买家的关系相反，即大夫充当买家的角色，而病人充当生产者的角色，结合首段第2句中指出的生产者即提供者，可以判断选项A为本题答案。
3.依据作者所述，当一位大夫告诉患者“下周三再来”时，大夫事实上是_________。
A)指示患者购买更多医疗服务
B)告诫患者需要住院治疗
C)建议患者寻求另一种看法
D)承认首次到访无效
[A]在第2段第2句中，三个whether引出的例子是为了说明冒号前的“一般是由大夫做出所有要紧的购买决定”。选项中只有A与“购买”有关，故为本题答案。
4.大夫可以决定医院策略，最可能是由于___________。
A)医院的财政收入靠大夫
B)患者的健康最后由大夫决定
C)大部分患者不会挑战大夫的决定
D)行政部门对医药的认知比大夫少
[A]第3段末句开头的As a consequence表明医护职员可以决定医院政策是什么原因在前一句有提到，前一句指出大夫才是真的的“买家”，即大夫才是给医院带来收入的人，这样来看，选项A为本题答案。
5.作者在下文最可能是会_______________。
A)剖析医院行政担当的角色
B)研究关于大夫失职的诉讼
C)讨论一种新的医疗
D)建议对医疗成本进行管控
[D]原文主要剖析了大夫和患者之间特殊的经济关系，末段最后两句指出大多数卫生保健成本由大夫决定，正由于这样，如此的体制看上去ineffective。由此可以判断，作者下面会提出对这种体制进行改革，选项D与此最为接近。
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