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题型:阅读理解-阅读单选 难度:0.4 引用次数:73 题号:22952622

Huge health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily.

Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The U.S. takes the opposite approach by emphasizing the specialist rather than the primary care physician.

A recent study analyzed the providers who treat Medicare beneficiaries (老年医保受惠人). The startling finding was that the average Medicare patient saw a total of seven doctors—two primary care physicians and five specialists—in a given year. Contrary to popular belief, the more physicians taking care of you don’t guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors.

How did we let primary care slip so far? The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he’s reimbursed (返还费用). Moreover, the amount a physician receives leans heavily toward medical or surgical procedures. A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient’s disease. Combining this fact with annual government threats to indiscriminately (任意地) cut reimbursements, physicians are faced with no choice but to increase quantity to boost income.

Primary care physicians who refuse to compromise quality are either driven out of business or to cash-only practices, further contributing to the decline of primary care.

Medical students are not blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. The recent numbers show that since 1997, newly graduated U. S. medical students who choose primary care as a career have declined by 50%. This trend results I emergency rooms being overwhelmed with patients without regular doctors.

How do we fix this problem?

It starts with reforming the physician reimbursement system. Remove the pressure for primary care physicians to squeeze in more patients per hour, and reward them for optimally (最佳的) managing their diseases and practicing evidence-based medicine. Make primary care more attractive to medical students by forgiving students loans for those who choose primary care as a career and reconciling the marked difference between specialist and primary care physician salaries.

We’re at a point where primary care is needed more than ever. Within a few years, the first wave of the 76 million Baby Boomers will become eligible for Medicare. Patients older than 85, who need chronic care most, will rise by 50% this decade.

Who will be there to treat them?

1. We learn from the passage that people tend to believe that ________.
A.the more costly the medicine, the more effective the cure
B.seeing more doctors may result in more diagnostic errors
C.visiting the same doctor on a regular basis ensures good health
D.the more doctors a patient sees, the better
2. Faced with the government threats to cut reimbursements indiscriminately, primary care physicians have to ________.
A.increase their income by working overtime
B.improve their expertise and service
C.see more patients at the expense of quality
D.make various deals with specialists
3. What suggestion does the author give in order to provide better health care?
A.Bridge the salary gap between specialist and primary care physicians.
B.Extend primary care to patients with chronic diseases.
C.Recruit more medical students by offering them loans.
D.Reduce the tuition of students who choose primary care as their major.
4. The best title for this passage is ________.
A.The Health Care in TroubleB.The Imbalance System
C.The Declining Number of DoctorsD.The Ever-rising Health Care Costs

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文章大意:本文是一篇说明文,主要讲述了塔夫茨大学的科学家们研发出了一种可以自我移动的人体细胞群体——“anthrobots”,并希望这些细胞群体有朝一日能用于治疗疾病或帮助人体愈合。

【推荐1】Scientists from Tufts University have developed tiny groups of human cells that can move on their own-and in a lab experiment, these so-called “anthrobots” inspired sheets of human neurons to repair themselves when damaged. The researchers hope the collections of cells could one day be used to treat diseases or aid with healing in humans.

The study comes on the heels of earlier work from one of its authors, who produced tiny robots by stitching together frog embryo cells. These robots, known as “xenobots”, could assemble themselves, move across surfaces and travel through liquid.

Since they're not made from human cells, xenobots can't be used to treat humans, writes Matthew Hutson, a freelance science writer. But the anthrobots in the new study could theoretically. Each anthrobot started with a single cell from an adult human lung. It then grew into a multicellular biobot after being cultured (培养) for two weeks.

These lung cells are covered in cilia. But at this point in the research, the cilia were growing inside the clumps of cells. So, for the next week, the researchers grew the cells in a solution (溶液) that caused the cilia to face outward instead, enabling these structures to move the anthrobots, which could move in tight loops, travel in straight lines or wiggle in place. Their speed varied as well.

The researchers also tested how these robots might heal wounds. They mimicked (模拟) a wound by scratching a layer of neurons in a dish. Then, they introduced anthrobots to the site of the scratch, and within days, the neurons regrew, bridging the gap created by the wound. The findings show new structures that might have uses in biomedical settings can be developed without gene editing and without having to design the structures manually, the study authors write.

“Unlike xenobots, anthrobots don't require tools to give them shape, and we can use adult cells-even cells from elderly patients-instead of embryonic cells,” says Gizem Gumuskaya, the paper's lead author. "We can produce these robots in large amounts in parallel, which is a good start for developing a therapeutic tool.”

1. How are the advantages of the anthrobot highlighted in the text?
A.By showing comments from users.B.By explaining some terms.
C.By making comparisons.D.By listing the data of questionnaires.
2. What is paragraph 4 mainly about?
A.The weaknesses of the anthrobot.B.The culture of the anthrobot.
C.The structure of the anthrobot.D.The application of the anthrobot.
3. What is the feature of the anthrobot?
A.It can travel both on land and in water.B.It requires no genetic modification.
C.It can be applied in a controlled way.D.It can develop from any cells of humans.
4. What can the study benefit?
A.Regenerative medicine.B.New materials.
C.Environmental protection.D.Individualized education.
2024-05-13更新 | 80次组卷
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文章大意:本文为说明文。文章主要叙述了专注于青少年的社会工作者的Jennifer,用自己创造的Positive Strides Therapy疗法,在户外散步时对青少年进行治疗,去除他们的烦恼。

【推荐2】Jennifer Udler was in the middle of a 50-minute session with a patient when it started to rain. Walking and talking about anxiety and stress, she and her teenage patient got wet. But when they made it back indoors, Jennifer said, “Hey, look at us! We’re wet, but we got through it! Now you can use that next time you have anxiety before and during an event.” This kind of insight is key to her practice.

Jennifer, a social worker whose practice focuses on adolescents, has been a therapist(治疗师)for 20 years. For most of that time, she practiced in a traditional office, but she noticed how easy it was for her running partners to open up about their problems. After doing some research, in 2013, Jennifer founded Positive Strides Therapy, where she conducts sessions while walking outdoors. She conducts all of her sessions outdoors and in all kinds of weather.

“When somebody asks me if I specialize in walking therapy, I say, ‘No, that’s how I practice,’” Udler said. “I specialize in family systems theory. Walking in the park is just where I practice.”

Despite the lack of formal research, Jennifer believes strongly in the benefits, saying that it can be helpful. “We’ll be talking about ‘moving forward’ as we are actually moving forward on the path, building muscle memory of how they can move forward and leave the anxiety behind.”

And outdoor walking therapy doesn’t just benefit teens. Jennifer says the adults in her practice welcome the humanizing effect of taking therapy outdoors.

1. What lesson did Jennifer teach her teenage patient through the rain?
A.Rain and suffering are a part of life.B.She is ready to help the young man.
C.We can beat our difficulty after all.D.Rain can help us deal with our trouble.
2. What can you infer from the passage?
A.Jennifer always talks with his patients in the rain.
B.Jennifer found it easy to talk with her patients in traditional office.
C.Jennifer conducts all of her sessions outdoors in Positive Strides Therapy.
D.Jennifer specializes in walking therapy.
3. How does Jennifer feel her therapy in her reply to people’s question?
A.Doubtful.B.Confident.C.Unconcerned.D.Disappointed.
4. What does the underlined word “it” in Paragraph 4 refers to?
A.The lack of formal research about the therapy.
B.Building physical memory of past experience.
C.Treating her teen patients in a traditional office.
D.Conducting walk-and-talk therapy for teens.
5. Why does Jennifer think her therapy will help her patients?
A.Walking outdoors is similar to managing worries.
B.Moving in the rain is a bit too difficult to tolerate.
C.The rain can make one excited and face the trouble.
D.Running in the rain or storm will make one healthy.
2022-10-09更新 | 163次组卷
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【推荐3】Patients in the early stages of Alzheimer’s disease often struggle to remember recently learned information, meaning they forget things like important appointments or where they left their keys. But it seems that these memories are not lost. They are still filed away in the brain somewhere; they just can’t be easily accessed.

Now, researchers at MIT have developed a means of getting back memories in mice suffering from Alzheimer’s. The method relies on a technique that uses light to control genetically modified neurons (转基因神经元). Currently it is too early to be used in human trials as it involves inserting light emitting (发光) equipment into the subjects’ brains, but the same principles still apply, the researchers said.

“The important point is that this is evidence of concept. That is, even if a memory seems to be gone, it is still there. It’s a matter of how to get it back,” said senior researcher Susumu Tonegawa.

The team took two groups of mice, one genetically engineered to develop Alzheimer’s and one healthy. They then placed them into a room and gave them a mild electric shock. All of the mice showed fear when put back in an hour later. When placed in the room a third time several days later, the Alzheimer’s mice acted normally. They had forgotten the shock.

The researchers were then able to bring back the memory of the shock by activating (激活) the cells in which the memories were stored. Even when the mice were put into an unfamiliar room, they showed fear when the cells associated with the shock were activated.

“Short-term memory seems to be normal, on the order of hours. But for long-term memory, these early-Alzheimer’s mice seem to be damaged,” said lead researcher Dheeraj Roy. “Directly activating the cells that we believe are holding the memory helps them get it back. This suggests that it is indeed an access problem to the information, not that they’re unable to learn or store this memory.”

1. What can we learn about the researchers at MIT?
A.They are the pioneers of brain research.
B.They have used the method in human trials.
C.They can cure Alzheimer’s using the new method.
D.They can get back memories in mice with Alzheimer’s.
2. Why did the Alzheimer’s mice behave normally a third time?
A.They failed to remember the electric shock.
B.They were accustomed to the situation.
C.They managed to overcome the fear.
D.They activated the association.
3. For long-term memory, the early Alzheimer’s mice _______.
A.can activate their blood cells
B.can’t learn new tricks well
C.can easily get back their memory
D.can’t access the information stored
4. The main purpose of the text is to _______.
A.introduce a method of a research
B.report the latest discovery about a disease
C.give advice on how to improve memory
D.explain how our brain stores information
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