The bottom line is that patients who want to make sure their doctor is competent have a lot of work to do. And the work should be done on the front end: experts emphasize that people should find a doctor and establish a relationship while they are in good health, so they don’t have to scramble when they come down with bronchitis or find a suspicious lump.
Studies have found that it is hard to get an appointment at short notice when cold-calling, and that patients with a regular source of care get better care, even when they are uninsured. While some internists have additional training in cardiology or rheumatology, she went on, primary care physicians also have a network of trusted specialists for referrals.
Many women choose a gynecologist as their regular doctor. Dr. Gallin said, but should probably have a relationship with an internist as well. Next, review the list of doctors in your health plan. Consider their location as well as their hospital affiliations. You may want to cross-check your health plan’s list with a top doctors list for your area; these lists (often published in regional magazines like New York and New Jersey Monthly) are usually generated by surveying physicians.
Check with your health plan to see whether it has good information on individual physicians (most don’t, but many are working on it). Good quality measures include National Committee on Quality Assurance accreditation about whether doctors meet criteria for care for specific conditions like back pain or diabetes, and the Healthcare Effectiveness Data Information Set, which focuses on adherence to clinical guidelines, like prescribing a beta blocker after a heart attack. Some health plans also offer networks of high-performing or “honor roll” physicians; ask about the criteria.
If you’re uninsured, you may be able to negotiate with a doctor and agree on a reduced fee, but remember that you will also be responsible for the cost of lab tests, blood work, X-rays, procedures and medications. These costs are more likely to be covered or charged on a sliding scale at a community health center or hospital clinic. (To find a location, see www.hrsa.gov under “Find Help”，or the Families USA Web site, www.familiesusa.org, under “Resources for Consumers”.)
Other factors to consider are whether the doctor has evening and weekend hours, whether the office leaves time open to schedule same-day appointments for urgent care, whether waiting times are reasonable and whether the doctor is in solo practice or a group practice. (Some experts say that group practices tend to be more efficient and that doctors in groups are more likely to stay up to date on current medical practice.) If the doctor uses electronic records, that’s a plus, some experts say.
On the crucial question of whether you are comfortable with the doctor you’ve chosen, you won’t know that until you meet with the doctor. Pediatricians will usually agree to an interview; busy internists often won’t.
6. Which of the following statements best describes the main idea of the passage?
7. In addition to a gynecologist, women are supposed to establish a relationship with an internist because ____.
8. For the uninsured, experts suggest ____.
9. Experts indicate that if a doctor uses electronic records, ____.
10. Strategies for getting an appointment with a doctor more easily include all EXCEPT ____.
问题1选项
A.Primary physicians usually have a network of trusted specialists for referrals.
B.Patients often find it a lot easier to get an appointment while they are in good health.
C.The people do not need to establish a relationship while they are in good health.
D.Strategies are needed for getting an appointment with a competent doctor.
问题2选项
A.every internist has a network of trusted specialists for referrals
B.some internists are only trained in cardiology or rheumatology
C.they have a regular source of care
D.they do not often need to get an appointment with a doctor
问题3选项
A.they be responsible for the cost of lab tests, blood work, procedures and medication
B.they reach some agreement with a doctor for adjusted coverage of costs
C.they go to a community health center or hospital clinic for free medical care
D.they visit the Families USA Web site to locate free health care
问题4选项
A.the doctor should be a priority choice for patients
B.the doctor must be extremely popular among patients
C.patients should give the doctor extra credits
D.the uninsured may be charged more than the insured
问题5选项
A.establishing a relationship with a doctor who has evening and weekend hours
B.discovering a comfort relationship with a doctor through interviews
C.staying uninsured for reduced charges in community health centers
D.finding a doctor in a group practice that stays up to date on current medical practice
第1题:D
第2题:C
第3题:B
第4题:A
第5题:C
6. 【选项释义】
Which of the following statements best describes the main idea of the passage? 下面哪个陈述最好地表达了这篇文章的主要思想？
A. Primary physicians usually have a network of trusted specialists for referrals. A. 初级医生通常有一个可推荐的值得信赖的专家网络。
B. Patients often find it a lot easier to get an appointment while they are in good health B. 病人们经常发现，当他们在身体健康时，预约成功要容易得多。
C. The people do not need to establish a relationship while they are in good health. C. 人们健康的时候不需要与医生建立关系。
D. Strategies are needed for getting an appointment with a competent doctor. D. 预约到有能力的医生需要一些策略。
【考查点】主旨大意题。
【解题思路】分析文章行文结构：本文的行文逻辑为“总分式”，首段提出观点，总领全文，后文就首段提出的观点给出具体的建议。首段第2句说到“这项工作应该在最先完成，即：专家们强调，人们应该在身体健康的时候找医生并建立联系（people should find a doctor and establish a relationship while they are in good health）”；第2-7段分别为作者对“如何预约到有实力的医生”给出的策略或者需要考虑的因素，D选项“预约到有能力的医生需要一些策略”符合题意。（另外，第10题的题干也提示了“预约医生的策略”。）
【干扰项排除】
A选项“初级医生通常有一个可推荐的值得信赖的专家网络”，仅在原文第2段提到，不能概括全文主旨，该选项属于以偏概全；
B选项“病人们经常发现，当他们在身体健康时，预约成功要容易得多”，仅在原文第1段提到，不能概括全文主旨，该选项属于以偏概全；
C选项“人们健康的时候不需要与医生建立关系”，表述与原文不符，原文第1段第2句提到“专家们强调，人们应该在身体健康的时候找医生并建立关系”。
7. 【选项释义】
In addition to a gynecologist, women are supposed to establish a relationship with an internist because ____. 除了妇科医生，女性也应该与内科医生建立关系，因为____。
A. every internist has a network of trusted specialists for referrals A. 每个内科医生都有一个可推荐的值得信赖的专家网络
B. some internists are only trained in cardiology or rheumatology B. 一些内科医生只接受过心脏病学或风湿病学的培训
C. they have a regular source of care C. 他们有常规的治疗来源
D. they do not often need to get an appointment with a doctor D. 他们不需要总是跟医生预约
【考查点】推理判断题。
【解题思路】根据题干关键词women are supposed to establish a relationship with an internist定位到原文第3段第1句，该句提到“加林医生说，但也应该和内科医生联系一下。”该句后一句提到“接下来，检查你的健康计划中的医生名单”，说明作者已经开始介绍另一个策略了，因此本题的答案应该往前找。原文第2段提到“有常规治疗来源的病人（patients with a regular source of care）得到更好的护理”，紧接着说“尽管一些内科医生在心脏病学或风湿病学方面有额外的培训，但初级保健医生也有一个可推荐的值得信赖的专家网络。”由此推断，专家建议女性应该和内科医生联系一下，是因为他们有可推荐的值得信赖的专家网络，即常规治疗来源，C选项“他们有常规的治疗来源”表述正确。
【干扰项排除】
A选项“每个内科医生都有一个可推荐的值得信赖的专家网络”，“每个”的表述不恰当，该选项属于过度推理；
B选项“一些内科医生只接受过心脏病学或风湿病学的培训”，表述不符合原文，原文第2段第2句提到“心脏病学或风湿病学的培训”是内科医生的额外训练（additional training），说明他们还接受了其他训练，该选项属于偷换概念；
D选项“他们不需要总是跟医生预约”，原文只是说有常规护理来源的能得到更好的治疗（get better care），并没有说就不需要预约了，该选项属于过度推理。
8. 【选项释义】
For the uninsured, experts suggest ____. 对于没有保险的人，专家建议____。
A. they be responsible for the cost of lab tests, blood work, procedures and medication A. 他们要负责化验、验血、手术和用药的费用
B. they reach some agreement with a doctor for adjusted coverage of costs B. 他们和医生达成协议，调整需承担的费用
C. they go to a community health center or hospital clinic for free medical care C. 他们去社区健康中心或医院诊所接受免费医疗
D. they visit the Families USA Web site to locate free health care D. 他们访问美国家庭网站寻找免费医疗
【考查点】事实细节题。
【解题思路】根据题干关键词the uninsured和suggest定位到原文第5段第1句，该句提到“如果你没有保险，可以和医生协商（negotiate with a doctor），让医生同意降低费用（agree on a reduced fee）”，由此可知，B选项“他们和医生达成协议，调整需承担的费用”，表述正确。
【干扰项排除】
A选项“他们要负责化验、验血、手术和用药的费用”，可定位到原文第5段第1句，该句提到“你还是要承担（you will also be responsible for）实验室检测、血液检测、X光、程序和药物的费用”，由此可知，该选项只是在陈述事实，而非专家的建议；
C选项“他们去社区健康中心或医院诊所接受免费医疗”，可定位到第5段第2句，该句提到“这些费用更有可能由社区卫生中心或医院诊所按浮动比例支付或收取（be covered or charged）。”由此可知，社区健康中心或医院诊所并不提供免费医疗，并且这不是专家的建议，该选项属于曲解原文；
D选项“他们访问美国家庭网站寻找免费医疗”，可定位到第5段最后一句，该句提到“您可以在美国家庭网站www. familiesusa.org的‘消费者资源’中找到。”根据上下文可知，这个网址是找社区健康中心或者医院诊所的，并且这些医疗也并不是免费的，该选项属于曲解原文。
9. 【选项释义】
Experts indicate that if a doctor uses electronic records, ____. 专家提示，如果一个医生使用电子病历，那么____。
A. the doctor should be a priority choice for patients A. 这个医生应该是病人优先选择的对象
B. the doctor must be extremely popular among patients B. 这位医生一定很受病人欢迎
C. patients should give the doctor extra credits C. 病人应该给医生额外的赞扬
D. the uninsured may be charged more than the insured D. 未投保的人可能会比已投保的人被收取更多的费用
【考查点】事实细节题。
【解题思路】根据题干关键词a doctor uses electronic records定位到原文倒数第2段最后一句，该句提到“如果医生使用电子病历（the doctor uses electronic records），这是一个优点（a plus）。”另外，本段第一句提到“其他需要考虑的因素是……（Other factors to consider are…）”由此可知，使用电子病历的医生是相对来说可靠的、好的医生；另外，全文主要是介绍如何挑选好的医生并与之建立联系，A选项“这个医生应该是病人优先选择的对象”，符合原文。
【干扰项排除】
B选项“这位医生一定很受病人欢迎”，原文只是说这是该医生的优点，并没有提到一定特别受欢迎，该选项属于过度推测；
C选项“病人应该给医生额外的赞扬”，专家说这是一个优点，并不是为了要赞扬医生，而是告诉读者可以选择这样的医生，该选项属于曲解原文；
D选项“未投保的人可能会比已投保的人被收取更多的费用”，原文并未提及，该选项属于无中生有。
10. 【选项释义】
Strategies for getting an appointment with a doctor more easily include all EXCEPT ____. 更容易预约医生的策略包括除____以外的所有内容。
A. establishing a relationship with a doctor who has evening and weekend hours A. 与一位晚上和周末都有空的医生建立关系
B. discovering a comfort relationship with a doctor through interviews B. 通过会面与医生的建立舒适的关系
C. staying uninsured for reduced charges in community health centers C. 为了在社区卫生中心享受降低一点的费用而不买保险
D. finding a doctor in a group practice that stays up to date on current medical practice D. 找一个属于某个医疗团队的医生且这个团队进行当前最新的医疗实践
【考查点】事实细节题。
【解题思路】本题要求选原文没有提到的策略。C选项“为了在社区卫生中心享受降低一点的费用而不买保险”，可定位到原文第5段第1句，该句提到“如果你没有保险（If you’re uninsured），你可以和医生协商降低费用……”原文只是说没有买保险的人可以跟医生商量少收一些费用，并不是建议不买保险，选项表述错误，本末倒置，符合题意。
【干扰项排除】
A选项“与一位晚上和周末都有空的医生建立关系”，可定位到原文倒数第2段第1句，该句提到“其他需要考虑的因素（Other factors to consider）包括医生是否有晚上和周末的时间（whether the doctor has evening and weekend hours）……”，由此可知，晚上和周末都有空的医生更方便建立关系和预约看病，选项表述正确，不符合题意，该选项属于反向干扰；
B选项“通过会面与医生建立舒适的关系”，可定位到原文最后一段第1句，该句提到“关于你是否能跟你选择的医生相处愉快（whether you are comfortable with the doctor）这个关键问题，直到你们见了面（meet with the doctor），你才会知道。”由此可知，通过双方面对面交往，才能知道是否能跟对方相处愉快，才能建立舒适的关系，选项表述正确，不符合题意，该选项属于反向干扰；
D选项“找一个属于某个医疗团队的医生且这个团队进行当前最新的医疗实践”，可定位到原文倒数第2段倒数第2句，该句提到“集体实践（group practices）往往更有效率，团体医生更有可能保持最新的医疗实践（stay up to date on current medical practice）。”由此可知，作者更推荐处于某个医学团队的医生，选项表述正确，不符合题意，该选项属于反向干扰。
