Better access to health care data helps local governments improve preventive health policies aimed at reducing overall medical c

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问题     Better access to health care data helps local governments improve preventive health policies aimed at reducing overall medical costs, say researchers who released the third annual national County Health Rankings today.
    In general, the study shows that excessive drinking rates are highest in the Northern states, while Southern states have the highest rates of teen births, sexually transmitted infections and children in poverty.
    Though there has been little change in the overall statistics nationwide, officials use the findings to try to improve local health.
    In Hernando, Miss. , for example, Mayor Chip Johnson said the city saved so much on health care costs after one health fair that everyone got a 2% raise.
    " It is going to take communities a while to improve their health," said Bridget Catlin, director of county health at County Health Rankings and Roadmaps. Businesses and non-profits use the rankings, available at www. countyhealthrankings. org, to talk to politicians about what they can do to help.
    "Businesses are concerned about costs," Catlin said. "And they’re starting to do more in the workplace. But if you go home and there’s no access to fresh food or a safe place to walk every day, then the lifestyle does not change. "
    The rankings come from the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation. The rankings use death rates, air pollution rates, income levels, health access, physical inactivity rates and access to healthy foods.
    In Hernando, Miss. , Johnson, a Republican, said the government requires all new developments to include sidewalks to make it easier for residents to walk and exercise.
    He set up a health fair for city employees and watched premiums decrease by 15% . Johnson used that to give his employees a 2% raise. "If we prevent two heart attacks, that lowers our premiums," he said. "The first thing is always knowledge. "
    When Johnson realized what was working for his community, he started working with other communities nearby to show them what worked. They do training sessions throughout the state. The solutions include new parks and community gardens—all workable and comparatively cheap, he said.
    "This is preventive also," Johnson said. "This is going to save us dollars down the road. "
    Other governments lack the resources or inclination to do more, said Jim McVay, director of health promotion at the Alabama Department of Public Health. " There’s virtually no money for obesity education, and smoking prevention comes only through federal grants. "
    Alabama, he said, could benefit from policies that can limit health care spending. "We know Alabama has one of the highest rates of obesity," he said. "Diabetes(糖尿病)has increased sharply—it certainly gives us an idea of where we’re going. "
    Some Alabama communities, McVay said, are trying to improve the quality of school lunches or attract markets or grocery stores to neighborhoods that don’t have them. The health rankings show that communities with little or no access to fresh food have more health problems.
What’s the main idea of the passage?

选项 A、The National County Health Rankings.
B、The healthy lifestyle; fresh food & regular walk.
C、The decisions of local policies.
D、The effect of health statistics on local policies.

答案D

解析 文章开篇提到:更好地了解医疗保健数据能帮助当地政府改善预防保健政策;接下来的第二、三段描述了一些医疗保健数据所反映的排名情况;第四到七段陈述了企业和非营利性机构根据网站上的排名对相应的措施所做出的调整;最后通过密西西比州的赫尔南多的例子进一步证明医疗保健数据是如何帮助当地政府改善预防保健政策的。因此D)“卫生统计数据对地方政策的影响”符合文意,故为正确答案。
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