统一性。【定位词定位】38题markedlydifferentregulations同义改写@句Rules...differwidely。【核心义匹配】②句“各州对远程医疗的管理规则存在巨大差异”可匹配38题核心义。F段指出远程医疗存在的其它问题：质量、收费和保险覆盖问题。首句借批评者口吻（critics）承上指出另一大问题（also）：质量可能无法跟上快速发展的步伐，questionwhetherAiskeepingupwithB以疑问口吻传递负面语气。②句Andthere'sthequestionof...并列引出又一问题：何种服务可以收费，何种服务费用可以报销。句futurewilldependon..引出上述问题的利益相关方（regulators、providers、payers、patients），同时暗示解决上述问题需平衡各方力量。末句Here'sacloserlook...总领下文，引出对上述问题的详细探讨。全段核心信息为：（1）批评者对远程医疗的担优：质量跟不上速度：（2）远程医疗的其他问题：付费问题、保险覆盖范国问题；（3）远程医疗问题的利益相关方。【定位词定位】43题opponents对应首句critics，itsservicequality同义改写thequalityofcare【核心义匹配】首句“一些批评人士质疑远程医疗的质量是否能跟上其迅速发展的速度”与43题核心义符合。G) O Do patients trade quality for convenience?病人是否是牺性质量以换取便利？@The fastest-growing services in telemedicine connect发展最迅猛的远程医疗服务借由电话、视频或电邮诊疗将消费者与从未谋面的医consumers with cliniciansthey've nevermet for a phone.生连接起来一一接需随选、随时随刻。通video or email visit—on-demand, 24/7. @ Typically,常情况下，这些服务用于非紧急问题，比these are for nonemergency issues such as colds, flu,如感冒、流感、耳痛和皮疹花费约45美ear-aches and skin rashes, and they cost around $ 45.元，而相比之下，医生诊室需要约100美comparedwith approximately $1oo at adoctor's office.元，紧急护理中心需要160美元，急救室$160 at an urgent-care clinic or $750 and up at an则需要750美元或者更高。emergency room.许多健康医疗计划和雇主争相提供H) OMany health plans and employers have rushed这种服务，宣称对参与健康医疗计划的成to offer the services and promotethem as a convenient员来说这是一种无需离家或离岗便可获way for plan members to get medical care without leaving得医疗服务的便捷方式。今年，近四分之homeorwork.i? Nearly three-quarters of large三的大雇主会将虚拟医生诊疗作为福利employers will offer virtual doctor visits as a benefit to提供给庭员，高于去年的48%。根据美employeesthis year,up from48%lastyear.Web国远程医疗协会的数据，Tcladoc和companies such as Teladoc and American Well areAmericanWell等网络公司预计今年将接expected to host some 1.2 million such virtual doctor待约120万次这样的速拟医生诊疗，较去visits this year, up 20% from last year, according to the年增长20%。American Telemedicine Association.但批评者担心，这样的服务可能是以I) OBut critics worry that such services may be牺牲质量来换取使利。他们表示，病人咨sacrificingquality for convenience. ? Consulting询随机分配且素味平生的医生会进一步分random doctor patients will never meet,they say,裂医疗系统·而且即使是像上呼吸道感染further fragmentsthe health-care system. and even这样的小问题，一个无法进行心脏听诊或minorissues suchasupperrespiratory（上呼吸道的）对你那肿胀腺体进行触诊的医生也无法进infections can't be thoroughly evaluated by a doctor who行全面评估。最近一项研究中，研完人员can't listen to your heart or feel your swollen glands装扮成皮肤病患者，从16个远程医疗平台In a recent study, researchers posing as patients with寻求帮助研究结果令人不安。在62skin problems sought help from 16 telemedicine sites-次诊疗中，只有不到三分之一的医生公开withunsettlingresults.@In 62encounters,fewerthan了自己的行医执照或是让患者自己做出选one-third disclosedclinicians' credentialor let patients择：只有32%的医生说明了所开药物的潜choose; only 32% discussed potential side effectsof在副作用。研究人员表示，有儿个医疗平prescribed medications, Several sites misdiagnosed台误诊了危重病症：很大程度上是因为他serious conditions.largelybecausetheyfailedtoaskbasic们没有问一些基本的随访问题。“远程医follow-up questions, the researchers said. @“Telenedicine11
holds enormous promise, but these sites are just not ready疗有着巨大前景，但这些平台尚未准备for prime time," says Jack Resneck,the study's lead好迎接黄金时期”，该研究的第一作者杰克·雷斯内克说道。author.美国远程医疗协会及其他组织已经J) The American Telemedicine Association andother organizationshavestartedaccreditation（鉴定）开启了认证项目，以鉴定优质的远程医programs to identify top-quality telemedicine sites. The疗平台。美国医学会本月批准了新的远程医疗伦理指南，呼吁参与到远程医疗American Medical Association this month approved new服务的医生认识到此类服务的局限性，ethical guidelines for telemedicine, calling for participating并确保他们有足够的信息来提出临床doctors to recognize the limitations of such services and建议。ensure that they have sufficient information to make clinicalrecommendations·词汇注释与难句分析·①trade［treld]u.互相交换，以物易物①pose[paoz】v.伴装.假扮②clinician[kli'niJn]n.临床医师?unsettling「an'setla.令人不安的?promoteEpra'maut].推销Bdisclosedis'klauz]u.公开，揭露①virtualvstfual]a，虚拟的@credential[kra'denfi]n，证书，凭证sacrifice['sekrifais]u插性①sideeffect副作用random［'rendom」a.随机的，随意的prescribedmedication处方药①fragment［'fregmant］v.（使）破裂，分裂follow-up［folauapa.后续的?primetime黄金时间?infection[in'fekJn]n.感染?swollen[swaulana.肿胀的@recommendationLirekamen'deifn]n.建议@gland [glaend] n.腺Consulting a random doctor patients will never meet, they say, further fragments the health-care systemand even minor issues such as upper respiratory infections can't be thoroughly evaluated by a doctor who can'tlisten toyourheart or feel your swollen glands.they say,插入语Consulting a random doctorpatients will never meet,further the health-care system,fragments分句一主语状语谓语宾语定语从句修饰doctoreven minor issues such as upper respiratory infections can't be thoroughly evaluated by a doctorand分句二：并列连词主语被动谓语定语从句修饰doctorwho can't listen to your heart or feel your swollen glands.·速读巧解·G一I段详细探讨远程医疗的质量问题及相关应对措施。G段先设问“远程医疗是否牺质量以换取便利”，后介绍远程医疗的便利及其价格优势。首句Dopatientstradequalityforconvenience？总领段群，明确段群语义核心：远程医疗的质量问题。②③句The介绍远程医疗发展最迅猛的领域：非紧fastest-growing services intelemedicine...Typically,thesearefor..急病症领域，其中cliniciansthey'venevermet与on-demand、24/7对比凸显远程医疗的“随意性（质量存疑）”与“便利性”，明确首句设问原因；$45、$100...doctor's.office、$160...urgent-careclinic、$750...emergencyroom将远程医疗非急症的收费与传统医疗进行比较，突出其价格优势。全段核心信息为：（1)远程医疗发展最迅猛的领域：（2）远程医疗的便利性：（3）远程医疗的价格优势。【定位词定位】42题Thefastestgrowingarea对应②句Thefastest-growingservices，lesserhealthproblems正确概括@句nonemergencyissuessuchascolds，flu，ear-achesandskinrashes的含义。12