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、substitutes
B、detectives
C、motives
D、alternatives

答案D

解析 语义衔接题。由本句中的指示代词these可以判断出,后面的名词是前文刚提过的某个名词。而前面刚刚提到的有alternatives和technologies。四个选项中只出现了alternatives,因此可以判断出这个词是本题正确选项。alternative意为"选择,选择余地",符合语篇一致性原则。substitute意为"替代",detective意为"侦探",motive意为"动机,目的",这几个词在文中都没有出现,不符合本句上下文处指代关系。
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