【文章內容簡介】 60。 However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic, identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy。 the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is. So, if an organization was looking to start shared medical appointments, I would advise them to start the buyin from a few champion physicians, develop the workflow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next.（1）What is the purpose of the SMA approach? A.To improve medical service.B.To promote doctors39。 reputation.C.To conduct medical research.D.To meet patients39。 expectation.（2）According to Dr. Sumego, what prevents the SMA approach from being widely adopted? A.Personal service.B.Fixed ideas.C.Lack of equipment.D.Shared goals.（3）What can the underlined buyin in Paragraph 4 be replaced by? A.practiceB.organizationC.purchaseD.support（4）What can be learned about the SMA approach in the last paragraph? A.It is currently being questioned.B.It is impractical in some areas.C.It will enjoy wide popularity soon.D.It should be carried out step by step.【答案】 （1）A（2）B（3）A（4）D 【解析】【分析】本文是一篇說明文，介紹了SMAs (共享醫(yī)療預約) 模式，以及這種模式面臨的挑戰(zhàn)。 （1）考查推理判斷。根據第二段中的“In contrast to onetoone visits, SMA provide a longer appointment timeframe as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.”可知SMAs模式為患者提供了更長的預約時間，也為患者提供了更好地與醫(yī)生接觸的機會，同時還能從同行那里獲得額外的信息和支持。這說明SAMs的出現是為患者提供更好的醫(yī)療服務。故選A。 （2）考查推理判斷。根據第三段中的“Dr. Sumego, director of shared medical appointments, Cleveland Clinic, …… personal service and privacy。 the SMA approach is a fundamental challenge to those fixed ideas.”可知Dr. Sumego認為，文化轉變是最大的挑戰(zhàn)。醫(yī)生和護士接受的是針對個人服務和隱私的培訓。 SMAs方法是對這些固定想法的根本挑戰(zhàn)。也就是說，改變這些已經固定的想法是一種挑戰(zhàn)，所以這些固定的想法會阻礙SMAs模式的推廣，故選B。 （3）考查詞義猜測。根據最后一段中的“if an organization was looking to start shared medical appointments，I would advise them to start the buyin from a few champion physicians”可知如果一個組織要尋求共享醫(yī)療模式的話，Dr. Sumego建議他們從一些優(yōu)秀的醫(yī)師開始他們的buyin，根據語境，故選A。 （4）考查推理判斷。根據最后一段中的“So, if an organization was looking to start shared medical appointments, I would advise them to start the buyin from a few champion physicians, develop the… appointments and the next.”可知如果一個組織要開始SMAs，Dr. Sumego建議他們從一些優(yōu)秀的醫(yī)師開始，開發(fā)一些流程，積累一些經驗。制定一些標準，以便隨著概念的推廣，他們可以利用這種經驗開始下一次共享醫(yī)療預約然后將下次的經驗用到下下次。這說明SMAs的實施需要一步一步來，不會一步到位。故選D。 【點評】本題考點涉及詞義猜測和推理判斷兩個題型的考查，是一篇介紹類閱讀，要求考生根據上下文的邏輯關系，進行分析，推理，從而選出正確答案。5．閱讀理解 A new study suggests a link between exposure to greenery and reduced desires for alcohol cigarette and junk food. The study is the first to investigate the possible relationships between exposure to nature and desires and negative emotions. Researchers at the University of Plymouth39。s School of Psychology surveyed 149 respondents (應答者) aged 21 o 65 about the proportion( 比例 )of green space in their neighborhood, the presence of green views from their home, their access to a garden and how often they use public green space. The study also asked questions about experiences with depression and anxiety, as well as desires for things like caffeine, alcohol and nicotine. Participants rated the intensity( 強度), imagery, and intrusiveness(侵擾性) of their desires on an 11point scale. Researchers found the presence of visible green space contributed to decreased desires for junk food. The effect was particularly noticeable when more than 25 percent of a respondent39。s view was greenery. Previous scholarship(學術研究) has dealt mostly with exercise in nature: A 2015 study out of the University of Michigan found 90 minute group nature walks were effective at batting depression and relieving other mood disorders. But for people who struggle with accessibility or don39。t have time for a 90minute walk, this new study suggests just looking out a window at a tree can help fight off a bad habit. It has been known for some time that being outdoors in nature is linked to a person39。s wellbeing, lead author Leanne Martin said in a statement. But for there to be a similar association with desires from simply being able to see green space adds a new dimension to the previous research. A 2018 study from Denmark39。s Aarhus University for example, found that. Having access to green space throughout childhood decreased a person39。s risk of developing mental health problems as an adult.（1）What does the second paragraph mainly talk about? results of the new study. purpose of the new study. significance of the new study. content of the new study.（2）What does the underlined word batting in paragraph 4 probably mean? ...（3）According to the passage, the new study _____. referred to exercise in nature enriched the previous research to some degree carried out by the University of Michigan exposure to greenery helped cure mental problems（4）n which section of a newspaper may this passage appear? World amp。Science【答案】 （1）D（2）A（3）B（4）C 【解析】【分析】本文是一篇說明文，介紹了一項新的研究成果多看綠色植物和吃垃圾食品