Question

    The clock always seems to be ticking rather too fast in the doctor’s office and the queue of patients outside the door seems to be pressing rather too hard. Some say it’s high time for the model of short, sharp one-to-one appointments to give way to shared medical appointments (SMAs共享医疗预约).

SMAs are doctor-patient visits in which a group of patients receive patient education and counseling(咨询), physical examination and medical support in a group setting. Typically SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one-to-one visits, SMAS provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.

However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic,identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, “The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is.”

“So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the work-flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next.”

1.What is the purpose of the SMA approach?

A.To improve medical service. B.To promote doctors’ reputation.

C.To conduct medical research. D.To meet patients’ expectation.

2.According to Dr. Sumego, what prevents the SMA approach from being widely adopted?

A.Personal service. B.Fixed ideas.

C.Lack of equipment. D.Shared goals.

3.What can the underlined “buy-in”in Paragraph 4 be replaced by?

A.practice. B.organization.

C.purchase. D.support.

4.What can be learned about the SMA approach in the last paragraph?

A.It is currently being questioned. B.It is impractical in some areas.

C.It will enjoy wide popularity soon. D.It should be carried out step by step.

Answer

1.A

2.B

3.A

4.D

【解析】

本文是一篇说明文，介绍了SMAs（共享医疗预约）模式，以及这种模式面临的挑战。

1.推理判断题。根据In contrast to one-to-one visits, SMA provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.可知SMAs模式为患者提供了更长的预约时间，也为患者提供了更好地与医生接触的机会，同时还能从同行那里获得额外的信息和支持。这说明SAMs的出现是为患者提供更好的医疗服务。故选A项。

2.推理判断题。根据Dr. Sumego, director of shared medical appointments, Cleveland Clinic,.. personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas.可知Dr. Sumego认为，文化转变是最大的挑战。医生和护士接受的是针对个人服务和隐私的培训; SMAs方法是对这些固定想法的根本挑战。也就是说，改变这些已经固定的想法是一种挑战，所以这些固定的想法会阻碍SMAs模式的推广，故选B项。

3.词义猜测题。根据if an organization was looking to start shared medical appointments，I would advise them to start the buy-in from a few champion physicians可知如果一个组织要寻求共享医疗模式的话，Dr. Sumego建议他们从一些优秀的医师开始他们的buy-in, 根据语境，A项（实践）最符合，也就是要从一些优秀的医师开始他们关于共享医疗的实践，故选A项。

4.推理判断题。根据最后一段So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the… appointments and the next.可知如果一个组织要开始SMAs，Dr. Sumego建议他们从一些优秀的医师开始，开发一些流程，积累一些经验。制定一些标准，以便随着概念的推广，他们可以利用这种经验开始下一次共享医疗预约然后将下次的经验用到下下次。这说明SMAs的实施需要一步一步来，不会一步到位。故选D项。