With the rapid development of network connection, the popularity of smart phones and the constant changes of insurance standards, more and more medical service providers begin to use electronic communication equipment to complete their work. More than 15 million Americans received some form of telemedicine last year, according to the American Telemedicine Association. The group predicts that the number will increase by 30% next year. In the past year, the number of patients, medical organizations and employers using telemedicine services in the United States has increased.
Through telephone, video and email, customers can establish contact with doctors they have never met. Usually, these customers are consulting about less serious diseases, such as colds, flu, ear pain and rashes, which cost about $45 each time. In the same way, it costs $100 to go to the doctor’s office, $160 to the emergency clinic, and $750 to the emergency room. Many health care plans and employers can’t wait to provide these services to their members, so that they can get convenient medical services without having to go out of the house. This year, nearly 75% of employers in large companies will provide telemedicine services to their employees as a benefit. The number is 48% higher than last year.
But the above data does not show that telemedicine has entered every household. Recently, Healthmine conducted a survey of 500 tech savvy consumers and found that 39% still don’t know what telemedicine is. Of these people, 42% tend to communicate with doctors face to face. In another survey of 1,500 family doctors, only 15% had ever used telemedicine at work. In the case of rapid growth, telemedicine industry still has significant problems and challenges.
The American Medical Association (AMA) approved a new code of ethics for telemedicine this month, calling on telemedicine practitioners to recognize the limitations of the service and to make medical recommendations when they have enough information about patients.
However, there is not always a consensus on the limitations of telemedicine examination. Jason Gorevic, CEO of teladoc, which went public last year, said his group has designed more than 100 treatment guidelines based on the characteristics of telemedicine, including a five point scale to guide doctors’ telemedicine behavior. Even so, the Centers for Disease Control and Prevention recommends that doctors take a quick test or throat test before prescribing antibiotics.
Employers and Medicare programs are willing to pay for telemedicine, but insurers are less happy with the way patients call, email or video to consult doctors about long-standing health problems. Unless you go to the scene to consult a doctor, it’s very difficult to cover the cost of seeing a doctor.
More and more hospitals will tend to invest in telemedicine systems, and other academic centers have also started to provide remote counseling services.
1. What is the purpose for the author to mention the number in the first paragraph?
2. What seems to be the problem in the development of telemedicine?
3. The new code of ethics for telemedicine made by AMA ________.
4. What is the attitude for health insurers to the bill of telemedicine?
5. What can be inferred about the future of the telemedicine?
问题1选项
A.To show the huge popularity of the telemedicine.
B.To illustrate that the service providers incline to the electronic communication.
C.To prove the telemedicine has become the choice for most households.
D.To warn readers that telemedicine is not popular enough.
问题2选项
A.The service is so expensive that small companies cannot afford it.
B.They are able to deal with diseases no more than colds, flu, ear pain and rashes.
C.The quality of the service is challenged in many aspects.
D.The service involves too much in selling products to customers.
问题3选项
A.helps doctors reach a consensus on how to practice the telemedicine
B.clarifies the definition and regulation of the telemedicine
C.puts some requirements on doctors when they consult consumers
D.solves the problems confronted by the telemedicine
问题4选项
A.They would like to accept all the bills caused by the telemedicine.
B.They are reluctant to pay for the medical consultancy on the call.
C.They feel it is very difficult to cover serious health problems.
D.They are unwilling to pay for the chronical health problems on telemedicine.
问题5选项
A.It cannot develop too fast without the support by the software companies.
B.It can be predictable that telemedicine has to cooperate with ofHine health providers.
C.The government will eradicate the boundary for doctors to practice on line soon.
D.Offline hospitals will be resistant to the revolution because of being short of finance.
第1题:B
第2题:C
第3题:C
第4题:D
第5题:B
第1题:
【选项释义】
What is the purpose for the author to mention the number in the first paragraph? 作者在第一段中提到数字的目的是什么？
A. To show the huge popularity of the telemedicine. A. 为了显示远程医疗的巨大普及。
B. To illustrate that the service providers incline to the electronic communication. B. 说明服务提供者倾向于电子通讯。
C. To prove the telemedicine has become the choice for most households. C. 证明远程医疗已经成为大多数家庭的选择。
D. To warn readers that telemedicine is not popular enough. D. 警告读者，远程医疗还不够普及。
【考查点】推理判断题。
【解题思路】根据题干关键词number可以定位到文章第一段第二、三句“根据美国远程医疗协会的数据，去年有超过1500万美国人接受了某种形式的远程医疗（received some form of telemedicine）。该组织预测，这一数字明年将增加（increase）30%”，这两个数据是为了证明上一句“越来越多的医疗服务提供者开始使用电子通信设备来完成工作（begin to use electronic communication equipment to complete their work）”的观点。因此B选项“说明服务提供者倾向于电子通讯。”正确。
【干扰项排除】
A选项“为了显示远程医疗的巨大普及。”和C选项“证明远程医疗已经成为大多数家庭的选择。”，文章只说到使用的人越来越多，不代表已经巨大普及，成为大多数家庭的选择，属于过度推断；
D选项“警告读者，远程医疗还不够普及。”，数据证明的是越来越多的人开始使用远程医疗，属于反向干扰。
第2题:
【选项释义】
What seems to be the problem in the development of telemedicine? 在远程医疗的发展中似乎存在什么问题？
A. The service is so expensive that small companies cannot afford it. A. 该服务非常昂贵，小公司负担不起。
B. They are able to deal with diseases no more than colds, flu, ear pain and rashes. B. 它们能够处理的疾病不超过感冒、流感、耳痛和皮疹。
C. The quality of the service is challenged in many aspects. C. 该服务的质量在许多方面受到挑战。
D. The service involves too much in selling products to customers. D. 该服务涉及太多向顾客推销产品的内容。
【考查点】事实细节题。
【解题思路】根据题干关键词problem可以定位到文章第三段最后一句“在快速增长的情况下，远程医疗行业仍然存在显著的问题和挑战（significant problems and challenges）”，接着第四段介绍了存在的问题和挑战是什么“呼吁远程医疗从业者认识到服务的局限性（the limitations of the service）”，说明远程医疗在服务质量方面还有不足。因此C选项“该服务的质量在许多方面受到挑战。”正确。
【干扰项排除】
A选项“该服务非常昂贵，小公司负担不起。”，由cost about $45 each time. In the same way, it costs $100 to go to the doctor’s office, $160 to the emergency clinic, and $750 to the emergency room.（每次费用约为45美元。同样，去看医生要花100美元，去急诊要花160美元，去急诊室要花750美元。）可知，远程医疗比去医院看医生便宜，属于反向干扰；
B选项“它们能够处理的疾病不超过感冒、流感、耳痛和皮疹。”，由Usually, these customers are consulting about less serious diseases, such as colds, flu, ear pain and rashes（通常，这些客户咨询的是不太严重的疾病，比如感冒、流感、耳痛和皮疹）可知，远程医疗可以处理这些疾病，但没有说只能处理这些疾病，属于曲解原文；
D选项“该服务涉及太多向顾客推销产品的内容。”在文中没有提及，属于无中生有。
第3题:
【选项释义】
The new code of ethics for telemedicine made by AMA ________. 由AMA制定的新的远程医疗道德准则________。
A. helps doctors reach a consensus on how to practice the telemedicine A. 帮助医生就如何进行远程医疗达成共识
B. clarifies the definition and regulation of the telemedicine B. 澄清了远程医疗的定义和管理
C. puts some requirements on doctors when they consult consumers C. 对医生给消费者提供咨询时提出了一些要求
D. solves the problems confronted by the telemedicine D. 解决了远程医疗所面临的问题
【考查点】事实细节题。
【解题思路】根据题干关键词new code of ethics可以定位到文章第四段“美国医学协会本月批准了一项新的远程医疗道德准则（a new code of ethics），呼吁远程医疗从业者认识到服务的局限性（recognize the limitations of the service），并在掌握了足够多的患者信息后提出医疗建议（make medical recommendations when they have enough information about patients）”，说明新的远程医疗道德准则对医生的行为做出了规定。因此C选项“对医生给消费者提供咨询时提出了一些要求”正确。
【干扰项排除】
A选项“帮助医生就如何进行远程医疗达成共识”，B选项“澄清了远程医疗的定义和管理”和D选项“解决了远程医疗所面临的问题”在文中均没有提及，属于无中生有。
第4题:
【选项释义】
What is the attitude for health insurers to the bill of telemedicine? 健康保险公司对远程医疗法案的态度是什么？
A. They would like to accept all the bills caused by the telemedicine. A. 他们愿意接受所有由远程医疗引起的账单。
B. They are reluctant to pay for the medical consultancy on the call. B. 他们不愿意为电话中的医疗咨询付费。
C. They feel it is very difficult to cover serious health problems. C. 他们觉得涵盖严重的健康问题非常困难。
D. They are unwilling to pay for the chronical health problems on telemedicine. D. 他们不愿意为远程医疗中的慢性健康问题付费。
【考查点】事实细节题。
【解题思路】根据题干关键词health insurers可以定位文章第六段第一句“但保险公司对患者打电话、发邮件或视频向医生咨询长期存在的健康问题（long-standing health problems）的方式不太满意（less happy）”，说明保险公司不想让病人通过远程医疗咨询慢性疾病。因此D选项“他们不愿意为远程医疗中的慢性健康问题付费。”正确。
【干扰项排除】
A选项“他们愿意接受所有由远程医疗引起的账单。”，由insurers are less happy with the way patients call, email or video to consult doctors about long-standing health problems（保险公司对患者打电话、发邮件或视频向医生咨询长期健康问题的方式不太满意）可知，他们不愿接受咨询慢性病的账单，属于过度推断；
B选项“他们不愿意为电话中的医疗咨询付费。”和C选项“他们觉得涵盖严重的健康问题非常困难。”在文中没有提及，属于无中生有。
第5题:
【选项释义】
What can be inferred about the future of the telemedicine? 关于远程医疗的未来，可以推断出什么？
A. It cannot develop too fast without the support by the software companies. A. 没有软件公司的支持，它不能发展得太快。
B. It can be predictable that telemedicine has to cooperate with offline health providers.
B. 可以预见的是，远程医疗必须与线下医疗机构合作。
C. The government will eradicate the boundary for doctors to practice on line soon. C. 政府将很快消除医生在线执业的界限。
D. Offline hospitals will be resistant to the revolution because of being short of finance. D. 线下医院会因为缺乏资金而对变革产生抵触。
【考查点】事实细节题。
【解题思路】根据题干关键词the future of the telemedicine可以定位到文章最后一段第一句“越来越多的医院会倾向于投资远程医疗系统（hospitals will tend to invest in telemedicine systems），其他学术中心（other academic centers）也开始提供远程咨询服务”，说明未来远程医疗会和医院及其他学术中心合作。因此B选项“可以预见的是，远程医疗必须与线下医疗机构合作。”正确。
【干扰项排除】
A选项“没有软件公司的支持，它不能发展得太快。”和C选项“政府将很快消除医生在线执业的界限。”在文中没有提及，属于无中生有；
D选项“线下医院会因为缺乏资金而对革命产生抵触。”，由More and more hospitals will tend to invest in telemedicine systems（越来越多的医院会倾向于投资远程医疗系统）可知，线下医院不会抵触远程医疗的变革，属于反向干扰。
【参考译文】
随着网络连接的快速发展、智能手机的普及和保险标准的不断变化，越来越多的医疗服务提供者开始使用电子通信设备来完成工作。据美国远程医疗协会称，去年有1500多万美国人接受了某种形式的远程医疗。该协会预测，明年这一数字将增加30%。去年，美国使用远程医疗服务的病人、医疗机构和雇主数量有所增加。
通过电话、视频和电子邮件，客户可以与素未谋面的医生建立联系。通常，这些客户咨询的是不太严重的疾病，如感冒、流感、耳痛和皮疹，每次费用约为45美元。同样的方式去医生办公室看病需要100美元，去急诊诊所需要160美元，去急诊室需要750美元。许多医疗保健计划和雇主迫不及待地为他们的会员提供这些服务，让他们足不出户就能获得便捷的医疗服务。今年，近75%的大公司雇主将为员工提供远程医疗服务作为一项福利。这一数字比去年高出48%。
但上述数据并不能说明远程医疗已进入千家万户。最近，Healthmine对500名精通技术的消费者进行了一项调查，发现仍有39%的人不知道什么是远程医疗。其中，42%的人倾向于与医生面对面交流。在另一项针对1500名家庭医生的调查中，只有15%的人在工作中使用过远程医疗。在快速发展的同时，远程医疗行业仍然面临着巨大的问题和挑战。
美国医学协会本月批准了一项新的远程医疗道德规范，呼吁远程医疗从业者认识到远程医疗服务的局限性，并在掌握足够的患者信息后提出医疗建议。
然而，人们对远程医疗检查的局限性并不总能达成共识。去年上市的teladoc公司的首席执行官杰森·戈尔维奇说，他的集团根据远程医疗的特点设计了100多项治疗指南，其中包括指导医生远程医疗行为的五分制量表。即便如此，美国疾病控制和预防中心仍建议医生在开具抗生素处方前进行快速检测或喉拭子测试。
雇主和医疗保险计划愿意为远程医疗付费，但保险公司对患者通过电话、电子邮件或视频向医生咨询长期存在的健康问题的方式不太满意。除非去现场咨询医生，否则很难覆盖看医生的费用。
越来越多的医院倾向于投资远程医疗系统，其他学术中心也开始提供远程咨询服务。
