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阅读理解 A(034)医疗信息隐私  

2011-09-15 08:54:23|  分类: 阅读理解 |  标签: |举报 |字号 订阅

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     阅读理解 A(034)                医疗信息隐私

                                                                                                                命题:佳中

 

                                                                      Text 2

         Most patients like what they see on the computer monitor on my desk. There are lists of their

 medical problems, medications and laboratory results. They are impressed that all the doctors at

our hospital work with the same information about them. They are amused that I can check their

 test results from a laptop computer on an airplane. But more than a few people find cause to worry

 in this advanced system. Could their diagnosis of diabetes leak to employers? To insurers? And

 a few years from now, will their genetic codes be flying around on the Internet?

     These are not fantasies. Threats to our medical privacy are proliferating as technology speeds

the flow of information — and people are fighting back. Patients are increasingly reluctant to

release their health records, and states are passing laws to restrict access to them. Unfortunately,

these efforts can backfire. In Maine, lawmakers tried earlier this year to bar the release of any

information without a patient’s written consent. The law seemed reasonable at first, but the result

was chaos. Doctors caring for the same patient couldn't compare notes without first seeking

permission. Confidentiality is a vital component of the trust between patients and physicians, and

protecting it is worth some inconvenience. But information is the lifeblood of good health care. In

short, privacy can be hazardous to your health. Consider what happens when a doctor writes you a

prescription. If that doctor doesn’t know about every other drug you’re using, the results can be

disastrous.

     Drug interactions are not the only potential hazard. Suppose a person whose records are on file

at one hospital shows up in the emergency room of another. Even if the records can be transferred,

state law may bar the release of information about mental illness or HIV status, forcing physicians to

fly half blind. A cut on a patient with a history of severe depression may warrant more than sutures

— it may have been a suicide gesture. Likewise, pneumonia in a patient with HIV requires different

tests and treatments than it would in someone else.

      The real challenge is not just to detect such breaches but to prevent them. The doctors in my

network will soon have to answer a series of questions before opening a patient’s computerized

record. And logging on to our system requires not only a password but also a smart card that

generates new access codes every 30 seconds. These safeguards cost money and time, and

doctors will grumble about the extra keystrokes. But with a little creativity and common sense, we’ll

find a way to protect privacy while ensuring that doctors have the information they need to take

good care of people.                                              

                                                                                                         (449 words)     

 

26. Some people’s worry about the computerized medical records is

      [A] absolutely unfounded.

      [B] excessively sensitive.

      [C] appropriately reasonable.    

      [D] conspicuously arbitrary.

27. The word “backfire”(Sentence 4, Para 2) most probably means

      [A] produce adverse effects.

      [B] fight against medical privacy.

      [C] make vain efforts.

      [D] prevent easier access.

28. From the passage we can see the author worries that confidentiality in medical practice can

      [A] harm the trust between patients and physicians.

      [B] reduce access to medical information.

      [C] increase troubles of seeking permission.

      [D] defer prompt and proper treatment.

29. The author implies in the passage that the State Law barring the release of information about

       the patients’ records

      [A] shows bias against the people involved.

      [B] does no good to medical privacy.

      [C] leaves room for improvement.

      [D] proves fruitful in privacy protection.

30. The author’s attitude towards the patients’ privacy in medical practice can be described as

      [A] critical.

      [B] dubious.

      [C] indifferent.

      [D] respectful.

 

 答案解析

 26. 【答案】  C

        【考点】  具体细节,针对第1~2段命题。

        【解析】  病人资料电脑化管理会不会泄密?例如,泄露给雇主或保险公司吗,今后甚至还可

          能病人的遗属在网上满天飞。作者对这一担忧的看法是:1)More than a few people find

          cause to worry in this advanced system. 2) These are not fatasies. Threats to our medical

         privacy are proliferating as technology speeds the flow of infromation — and people are

         fighting back. 从这两句话可以推断作者认为人们的担忧是有道理的。C项是本题的正确答案。

 

27. 【答案】  A

       【考点】  词语理解,针对第1~2段命题。

       【解析】  信息化技术加快了医疗信息的传播,威胁到个人病情隐私,人们纷纷采取措施,越

        来越不愿意透露自己的病情。一些州也制定法规限制他人接触病人的病历。但作者认为这些

        努力会“backfire”。对“backfire”词意的理解。关键看下文,作者举缅因州的例子予以说明。

        法规规定要获得病人信息必须经本人同意。这一法规貌似合理,但结果造成混乱(The law

        seems reasonable at first, but the result was chaos.),即产生不良后果,A项是本题的正确

       答案。

 

28. 【答案】  D

      【考点】  细节归纳,针对第2~3段命题。

      【解析】  作者在第2段下半段说,保密是病人与医生之间信任的一个重要部分,但病人信息

       是病人健康的生命线,因此保护病人病情的隐私可能对健康有害(privacy can be hazardous

       to your health.)。接着列举保护病人病情的隐私两点危害:1)药物相互作用。如果医生开处

       方时不了解病人以前用药情况,结果是可怕的,因为药物相互作用有潜在危险。2)延误治疗:

       州法规禁止泄露病人有HIV或有严重精神抑郁症的情况,医生不了解情况可能会延误及时治疗。

       由此判断D项是正确答案。

 

29. 【答案】  C

       【考点】  信息推理,针对第3段命题。

       【解析】  根据题干中“the State law barring the release of information”可找到命题点在第3段。

         州法规禁止泄露病人有HIV或有严重精神抑郁症的情况,医生不了解情况可能会延误及时治

         疗。保护病人隐私是好的,但不利于病人治疗是不好的。暗示规定存在问题,需要改进,C

        项是正确答案。

 

30. 【答案】  D

       【考点】  作者态度,针对最后一段命题。

       【解析】  从最后一段可以看出作者是主张保护病人医疗信息隐私的。他说,我们将找到一种

         既能保护病人隐私又保证医生能获得治疗病人的病情信息的方法(we’ll find a way to protect

         privacy while ensuring that doctors have the information they need to take good care of

         people.)。由此判断作者是尊重病人的隐私的,D项是正确答案。



   
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