Health care is an extraordinarily obsolete system. A professor of emergency medicine at major university sent me a really heartb

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问题     Health care is an extraordinarily obsolete system. A professor of emergency medicine at major university sent me a really heartbreaking (1)_____ lie said that physicians have to start from the (2)_____ beginning with every patient. There is no history, no time to (3)_____—they know nothing about the (4)_____.
    We have inferior medical service (5)_____ the computer technology that could change it is not being used. The difficulties of just (6)_____ patient records—apart from analyzing them (7)_____—are unnecessary and hinder us from providing (8)_____ service.
    We have the opportunity to do some wholesale rethinking of (9)_____ we provide health care and turn it into not only medical service, but preventive maintenance that (10)_____ the patient in decision-making. We can begin through pilot and demonstration projects in hospitals, by doctors, and (11)_____ by private doctor participation. Physicians can show patients the (12)_____ of their actions and what the alternatives are. Technologies (13)_____ multimedia and interactive computers can (14)_____ patients, in the privacy of their own homes, to ask questions about these (15)_____. Other countries are moving much more (16)_____ than the United States in medical information. The computerization and redesign of Sweden’s health delivery system has reduced that nation’s (17)_____ on the health care from 12 % of GNP to a little over 7%. More than one-third of the population of the Nether-lands has their medical records computerized. (18)_____ some hospitals in the United States keep computerized patient (19)_____, these records only cover the time the patient is in the hospital and do not include their (20)_____ medical history.


选项 A、how
B、when
C、why
D、where

答案A

解析 结构衔接题。本句并列连词and之前的部分意为:我们有机会对我们如何提供健康保健重新进行全盘思考。这里how we provide heath care是句中介词of宾语从句,整个部分作rethinking的定语。when表示时间关系,why表示因果关系,而where则表示地点,这几个词虽然在语法上都可以填入句子空白处,但结合文章,作者开篇就指出医疗服务存在问题,这主要是由于缺乏病人病例资料造成的。本题下一句又提到:We can begin through pilot and demonstration projects in hospitals(我们可以从医院开展试点项目和示范项目开始)。显然,这里是在说提高医疗服务的方式问题,故排除when,why和where。
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