莆田市人民醫(yī)院醫(yī)務(wù)管理專業(yè)英語術(shù)語與文獻(xiàn)閱讀試題一、選擇題（每題2分，共20題）1.Whatdoes"informedconsent"meaninmedicalethics?A.MandatorytreatmentwithoutpatientagreementB.TreatmentwithoutpatientknowledgeC.Patient’sagreementafterbeingfullyinformedD.Automaticconsentinemergencycases2.Whichtermreferstotheprocessofevaluatingthequalityandoutcomesofmedicalcare?A.MedicalauditB.PatientsatisfactionC.ClinicalpathwayD.Evidence-basedmedicine3.Whatis"triage"inhospitalmanagement?A.PatientdischargeprocessB.PrioritizingpatientsbasedonurgencyC.MedicalrecordreviewD.Billingandpaymentprocess4."Evidence-basedmedicine"isbestdefinedas:A.UsingtraditionalmethodswithoutscientificsupportB.RelyingsolelyonpatienttestimonialsC.MakingclinicaldecisionsbasedonscientificevidenceD.Followingdoctors’personalexperiences5.Whatdoes"HIPAA"standforintheU.S.healthcaresystem?A.HealthInsurancePortabilityandAccountabilityActB.HospitalImprovementProgramandAccountabilityActC.HealthcareImprovementProtocolandAssessmentActD.HealthInformationProtectionandAccountabilityAct6.Whichtermdescribesastructuredcareplanforspecificmedicalconditions?A.CarepathwayB.MedicalconsultationC.EmergencyprotocolD.Diagnostictest7."Malpractice"refersto:A.PropermedicaltreatmentB.UnprofessionalbehaviorbyhealthcarestaffC.MedicalerrorcausingharmD.Patientrefusaloftreatment8.Whatis"casemanagement"inhealthcare?A.AdministeringmedicationB.CoordinatingcareforchronicpatientsC.SurgicaloperationD.Medicalbilling9."Capitation"isahealthcarepaymentmodelwhere:A.HospitalschargeperpatientvisitB.ProvidersreceiveafixedpaymentperpatientperperiodC.PatientspayonlyforemergencycareD.Insurancecoversalltreatments10.Whichtermmeans"thestudyofdiseasesinapopulation"?A.EpidemiologyB.PathologyC.RadiologyD.Gerontology二、填空題（每題2分，共10題）1.Theprinciplethat"donoharm"isknownas________inmedicalethics.2.A________isadetailedplanoutliningstepsfordiagnosingandtreatingacondition.3.Thetermfor"medicalcareprovidedremotely"is________.4.________isthelegaldutytoprovidecompetentmedicalcare.5."Incidentreporting"inhospitalsreferstotheprocessofdocumenting________events.6.________isthesystematiccollectionandanalysisofdatatoimprovehealthcarequality.7.Theprocessofobtainingpatientpermissionfortreatmentiscalled________.8.A________isagroupofhealthcareprofessionalsworkingtogethertoprovidecare.9."Value-basedpayment"tiesreimbursementto________outcomes.10.Thestudyofhowhealthcarepoliciesaffectsocietyiscalled_________.三、判斷題（每題2分，共10題）1.T/F"Informedconsent"isoptionalinemergencymedicalsituations.2.T/F"Evidence-basedmedicine"reliesonlyonclinicaltrials.3.T/F"Casemanagement"isprimarilyforacutepatients.4.T/F"Capitation"ismorecost-effectiveforchronicdiseases.5.T/F"HIPAA"ensurespatientprivacyinelectronichealthrecords.6.T/F"Medicalaudit"isconductedbyexternalagenciesonly.7.T/F"Triage"isusedonlyinsurgicalemergencies.8.T/F"Carepathways"reducevariabilityinmedicalcare.9.T/F"Malpractice"canneverbeprovenincourt.10.T/F"Epidemiology"helpspredictdiseaseoutbreaks.四、簡答題（每題5分，共4題）1.Explainthedifferencebetween"capitation"and"fee-for-service"inhealthcarefinancing.2.Describetheroleof"incidentreporting"inhospitalqualityimprovement.3.Whatis"evidence-basedmedicine,"andwhyisitimportantinmodernhealthcare?4.Howdoes"casemanagement"benefitchronicpatientsinahospitalsetting?五、文獻(xiàn)閱讀題（每題10分，共2題）Passage1:ArecentstudypublishedintheJournalofHospitalManagementexaminedtheimpactof"evidence-basedmedicine"onpatientoutcomesinatertiaryhospitalinFujianProvince.Researchersfoundthatimplementingevidence-basedprotocolsreducedunnecessarytestsby30%andshortenedhospitalstaysby2days.However,challengesincludedresistancefromdoctorsaccustomedtotraditionalpracticesandlackofaccesstoupdatedresearch.Thehospitalrespondedbyofferingtrainingworkshopsandincentivizingstafftoadoptnewguidelines.Passage2:Thearticle"HealthcareDisparitiesinRuralChina"highlightshow"casemanagement"canimproveaccesstocareforunderservedpopulations.InaremotevillagenearPutian,ateamofnursesandcommunityhealthworkersusedmobileclinicstoprovidechronicdiseasemanagement.Patientsreceivedregularfollow-ups,medicationreminders,andlifestylecounseling.Resultsshoweda25%decreaseinemergencyvisitsandbettercontrolofconditionslikehypertensionanddiabetes.Theprogramfaceddifficultiesinsustainingfundingbutdemonstratedlong-termbenefits.Questions:1.AccordingtoPassage1,whatwerethemainbenefitsandchallengesofimplementing"evidence-basedmedicine"?2.Howdidthe"casemanagement"programinPassage2addresshealthcaredisparitiesinruralareas?答案與解析一、選擇題答案1.C|2.A|3.B|4.C|5.A6.A|7.C|8.B|9.B|10.A解析:1."Informedconsent"requirespatientstoagreeafterlearningrisks/benefits.2."Medicalaudit"evaluatescarequality,notjustsatisfactionorpathways.3."Triage"prioritizesurgentcasesinemergencies.4."Evidence-basedmedicine"combinesclinicalexperiencewithresearch.5."HIPAA"protectspatienthealthinformation.二、填空題答案1.Non-maleficence2.Carepathway3.Telemedicine4.Dutyofcare5.Adverse6.Qualityimprovement7.Informedconsent8.Multidisciplinaryteam9.Clinical10.Healthpolicy解析:1."Non-maleficence"isthe"donoharm"principle.2."Carepathways"arestructuredtreatmentplans.三、判斷題答案1.T|2.F|3.F|4.F|5.T6.F|7.F|8.T|9.F|10.T解析:2."Evidence-basedmedicine"usesmultiplesources,notjusttrials.3."Casemanagement"isforchronic,notjustacute,patients.四、簡答題答案1.Capitationvs.Fee-for-service:-"Capitation"paysprovidersafixedamountperpatientperperiod,incentivizingefficiency."Fee-for-service"paysperservice,potentiallyencouragingover-treatment.2.Roleofincidentreporting:-Identifieserrorstopreventrecurrence,improvesprotocols,andensuresaccountability.3.Evidence-basedmedicine:-Usesscientificevidencetoguidecare,reducingbiasandimprovingoutcomes.It’svitalfor