Passage 5 Can the Internet help patients jump the line at the doctor’s office The Silicon Valley Employers Forum, a sophisticated group of technology companies, is launching a pilot program to test online "virtual visits" between doctors at three big local medical groups and about 6,000 employees and their families. The six employers taking part in the Silicon Valley initiative, including heavy hitters such as Oracle and Cisco Systems, hope that online visits will mean employees won’t have to skip work to tend to minor ailments or to follow up on chronic conditions. "With our long commutes and traffic, driving 40 miles to your doctor in your hometown can be a big chunk of time," says Cindy Conway, benefits director at Cadence Design Systems, one of the participating companies. Doctors aren’t clamoring to chat with patients online for free; they spend enough unpaid time on the phone. Only 1 in 5 has ever E-mailed a patient, and just 9 percent are interested in doing so, according to the research firm Cyber Dialogue. "We are not stupid," says Stifling Somers, executive director of the Silicon Valley employers group. "Doctors getting paid is a critical piece in getting this to work." In the pilot program, physicians will get $ 20 per online consultation, about what they get for a simple office visit. Doctors also fear they’ll be swamped by rambling E-mails that tell everything but what’s needed to make a diagnosis. So the new program will use technology supplied by Healinx, an Alameda, Calif-based start-up. Healinx’ s "Smart Symptom Wizard" questions patients and. turns answers into a succinct message. The company has online dialogues for 60 common conditions. The doctor can then diagnose the problem and outline a treatment plan, which could include E-mailing a prescription or a face-to-face visit. Can E-mail replace the doctor’s office Many conditions, such as persistent cough, require stethoscope to discover what’s wrong and to avoid a malpractice suit. Even Larry Bonham, head of one of the doctor’s groups in the pilot, believes the virtual doctor’s visits offer a "very narrow" sliver of service between phone calls to an advice nurse and a visit to the clinic. The pilot program, set to end in nine months, also hopes to determine whether online visits will boost worker productivity enough to offset the cost of the service. So far, the Internet’s record in the health field has been underwhelming. The experiment is "a huge roll of the dice for Healing", notes Michael Barrett, an analyst at Internet consulting firm Forester Research. If the "Web visits" succeed, expect some HMOs (Health Maintenance Organizations) to pay for online visits. If doctors, employers, and patients aren’t satisfied, figure on one more E-health start-up to stand down. According to Paragraph 2, doctors are ______.
A. reluctant to serve online for nothing
B. not interested in Web consultation
C. too tired to talk to the patients online
D. content with $20 paid per Web visit
Due to a constAntly ______ environment, a poor understanding of the user’s needs and preferences,as well as a ______ of willingness to modify ______ organizational structures and decision models,the full economic potential of Web Information Systems(WIS) has not been realized by now. The data object types of the ______ meta model,the Extended World Wide Web Design Technique(eW3DT),provide hypertext designers ______ a conceptual,user-centric framework and graphical notation for the construction of both,______ and customized models, during the software development ______ of commercial WIS. A reference model as a normative concept represents an abstraction of a ______ company,its functional units, or its(Web) Information System and is intended to streamline the design and implementation of complex applications at ______costs. As precondition for pursuing a partial globalization strategy,eW3DT ______ between technical and content-specific responsibilities for designing, implementing, and maintaining WIS.
A. lack
B. since
C. big
D. lot
一个软件产品开发完成投入使用后,常常由于各种原因需要对它做适当的变更。在软件的使用过程中,软件原来的 (48) 可能不再适应用户的要求,需要进行变更;软件的工作环境也可能发生变化,最常见的是配合软件工作的 (49) 有变动;还有一种情况是在软件使用过程中发现错误,需要进行修正。通常把软件交付使用后做的变更称为 (50) 。软件投入使用后的另一项工作是 (51) ,针对这类软件实施的软件工程活动,主要是对其重新实现,使其具有更好的 (52) ,包括软件重构、重写文档等。 (51) 和新的软件开发工作的主要差别在于 (53) 。
A. 质量
B. 环境
C. 要求
D. 功能和性能