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2015年職稱英語考試衛生類A級閱讀判斷鞏固練習題8

發表時間：2014/6/5 9:05:34 來源：互聯網點擊關注微信：

Privacy Worry May Keep HIV Patients from Therapy

Patients infected with HIV are often concerned about2 the confidentiality of their HIV-positive status. In fact, some patients are so worried that they will actually give up treatment to prevent the release of this information, according to a report published in the August issue of AIDS Care.

Dr. Kathryn Whetten-Goldstein and colleagues from Duke University, Durham, North Carolina3, studied the confidentiality issues of 15 HIV-infected patients from rural North Carolina locations. They were divided into groups designed to explore their attitudes toward, and experiences with, breaches in confidentiality.

“The fear of a breach in confidentiality is definitely affecting the care that HIV-infected patients receive,” Whetten-Goldstein said. “Most studied patients had experienced or knew someone who had experienced a breach in confidentiality.”

“Two types of breaches occurred,”Whetten-Goldstein noted. “The first was a more obvious type of breach. One example was a nurse who told her child that her patient was HIV-positive out of concern that her child would play with the patient’s child.4”

“The other type of breach was more subtle, one that providers might not consider breaches, 5” Whetten-Goldstein explained. “This type of breach involves providers talking about a patient’s HIV status without the patient’s knowledge of the interaction.”

“The law allows the sharing of information between providers within the same institution, but patient’s consent must be obtained before providers at different institutions can share information,” she pointed out.

“Patients in the study wanted providers to tell them when they are going to share information with other providers and why it is being done,” Whetten-Goldstein said. “They also felt that providers should be punished when a breach occurs.”

“However, because patients are often reluctant to seek legal action which may further expose their status, they felt that the system should regulate itself,” she added.

詞匯：

privacy /'pr?v?s?/ n.隱私,秘密

breach /bri?t?/ n.破壞,違反

therapy /'θer?p?/ n.療法,治療

consent /k?n'sent/ n.答應,允許

confidentiality /,k?nf?,den??'?l?t?/ n.保密性

regulate /'regj?le?t/ vt.調整

注釋：

1.HIV (human immunodeficiency virus):人類免疫缺陷病毒

2.be concerned about:為……而擔心（憂慮、煩惱）

3. North Carolina：(美國）北卡羅來納州

4.One example was... with the patient’s child.例子之一就是某個護士由于擔心自己的孩子會與病人的孩子一起玩,所以就告訴自己的孩子,這個病人是HIV陽性的病人。本句中who 至the patient’s child 是nurse 的定語從句,其中that her patient was HIV-positive又是told的賓語從句；out of concern (出于擔心）是介詞短語,作told的狀語；而that her child would play with the patient’s child 則是concern的同位語從句。

5.one that providers might not consider breaches：即醫生可能不認為是泄露個人機密的一類。one是代詞,代替type,作the other type的同位語，that至breaches是one的定語從句，that在定語從句中作consider的賓語，breaches是賓語補足語。而provider則是指美國經保險公司認可為投保人看病的醫生。

練習：

1.All patients in the study refuse to receive any treatment because of the possibility to expose their HIV status.