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[J] As I was considering all this, a press release from a respected research firm crossed my desk, announcing that five-star rating system that Medicare developed in 2008 to help families compare nursing home quality also has little relationship to how satisfied its residents or their family members are. As a matter of fact, consumers expressed higher satisfaction with the one-star facilities, the lowest rated, than with the five-star ones. (More on this study and the star ratings will appear in a subsequent post.)
[K] Before we collectively tear our hair out—how we are supposed to find our way in a landscape this confusing?—here is a thought from Dr. Philip Sloane, a geriatrician (老年病学专家) at the University of North Carolina: “In a way, that could be liberating for families.”
[L]Of course, sons and daughters want to visit the facilities, talk to the administrators and residents and other families, and do everything possible to fulfill their duties. But perhaps they don’t have to turn themselves into private investigators or Congressional subcommittees. “Families can look a bit more for where the residents are going to be happy,” Dr. Sloane said. And involving the future resident in the process can be very important.
[M]We all have our own ideas about what would bring our parents happiness. They have their ideas, too. A friend recently took her mother to visit an expensive assisted living/nursing home near my town. I have seen this place—it is elegant, inside and out. But nobody greeted the daughter and mother when they arrived, though the visit had been planned; nobody introduced them to other residents. When they had lunch in the dining room, they sat alone at a table.
[N]The daughter feared her mother would be ignored there, and so she decided to move her into a more welcoming facility. Based on what is emerging from some of this research, that might have been as rational a way as any to reach a decision.
36. Many people feel guilty when they cannot find a place other than a nursing home for their parents.
37. Though it helps for children to investigate care facilities, involving their parents in the decision-making process may prove very important.
38. It is really difficult to tell if assisted living is better than a nursing home.
39. How a resident feels depends on an interaction between themselves and the care facility they live in.
40. The author thinks her friend made a rational decision in choosing a more hospitable place over an apparently elegant assisted living home.
41. The system Medicare developed to rate nursing home quality is of little help to finding a satisfactory place.
42. At first the researchers of the most recent study found residents in assisted living facilities gave higher scores on social interaction.
43. What kind of care facility old people live in may be less important than we think.
44. The findings of the latest research were similar to an earlier multi-state study of assisted living.
45. A resident’s satisfaction with a care facility has much to do with whether they had participated in the decision to move in and how long they had stayed there.
答案
36 E
Many people feel guilty when they cannot find a place other than a nursing home for their parents.
37L
Though it helps for children to investigate care facilities, involving their parents in the decision-making process may prove very important.
本文关键字: 2016年6月英语四级真题及答案
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