TPO46综合写作详解

一、TPO46综合写作听力文本：

The benefits claim from electronic medical records are actually very uncertain.

First, the cost savings are unlikely to be as significant as the reading suggests. For example, there probability won’t be any savings related to the record storage. You see, doctors who adopted electronic medical records usually don’t throw out or discontinue the paper records. They keep the paper records as an emergency backup or because the paper originals with the signatures are needed for legal reasons. So as a result, most doctors who adopt electronic record keeping still have to pay storage costs associated with paper based record keeping.

Second, electronic medical records cannot eliminate the possibility of errors caused by poor handwriting or by mistakes in the transcription of data. That’s because most doctors including those who adopt record keeping still use pen and paper while examining patients. They take notes and write prescriptions by hand. It’s usually the office staff of a doctor who enters this information at a later time from the handwritten documents into electronic systems. So, poor handwriting can still lead to errors in the records. Since the staff members have to interpret what the doctor has written.

Third, medical research would not necessarily benefit from electronic record keeping. Researchers would still find it difficult to access and use medical information, that’s because access to all medical information is subjected to strict privacy laws in United States. Privacy laws exist to allow patients to keep their medical information private if they wish to. As a consequence, researchers who want to collect data from electronic medical records have to follow strict and complicated procedures and obtain many permissions along the way, including permissions from the patients, and often, such permissions are not granted. For example, patients can block the use of their medical records for any purpose other than their own medical treatment.

二、TPO46综合写作阅读文本：

In the United States, medical information about patients traditionally has been recorded and stored on paper forms. However, there are efforts to persuade doctors to adopt electronic medical record systems in which information about patients is stored in electronic databases rather than on paper. It is argued that storing patients' medical records in electronic databases has several advantages over traditional paper-based record keeping.

Reducing Costs

First, the use of electronic records can help reduce costs by saving money on storing and transferring medical records. While paper records require a significant amount of storage space, electronic medical records take up virtually no space.

Moreover, by having patients' records computerized in databases, doctors can easily access the records from almost anywhere and can easily duplicate and transfer them when necessary. This costs much less than copying, faxing, or transporting paper records from one location to another.

Preventing Errors

Second, electronic medical records are crucial to reducing the chances of medical errors. Illegible handwriting, improper transcription of data, and nonstandard organization of paper records have caused errors that in some cases have had serious consequences for the patients’ health. In contrast, electronic records are associated with standardization of forms and legible computer fonts and thus minimize the possibility of human error

Aiding Research

Third, electronic medical records can greatly aid medical research by making it possible to gather large amounts of data from patient records. It is often impractical, impossible, or prohibitively expensive to manually go through thousands of patients’ paper records housed in doctors' offices. However, with the existence of electronic medical records, it would be simple to draw out the needed information from the medical databases because the databases are already formatted for data collection. Once in the electronic system, the records could be accessed from any research location.

三、TPO46综合写作重点单词讲解：

Record：这个单词很简单是记录记载的意思，但是要在听力上区分这个单词名词、形容词发音和动词发音是不同的
Adopt：接受、采取、收养过继的意思，本文的意思是采用采取（某种）方式的意思
Original：原件、原始的最初的意思
Signature：签名
Associate with：联合、与…联系起来、和…往来，文中是与…有关（的原因）
Eliminate：消除、排除
Transcription：抄写、抄本、誊写，动词是transcript
Prescription：处方，动词是prescribe
Interpret：说明、解释、翻译、口译
Access：使用、接近、存取，文中的意思是有使用权的意思
Subject to：出了主题以外的意思，还有受…管束的意思，文中的意思是受隐私法限制的意思
Privacy law：隐私权法
Obtain：获得、获取
Procedure：程序、手续、步骤
Permission：允许、许可，动词是permit
Block：街区、块状物、阻碍等意思，文中是阻止阻碍的意思
Persuade：说服、劝解、使…相信
Virtually：几乎、事实上、实质上，virtual除了实质的意思外还有虚拟的意思
Computerize：computer大家都知道，这个单词的意思是使计算机化、用电脑处理的意思
Duplicate：复制的、使加倍的意思，文中是复制的意思
Crucial：重要的、决定性的
Illegible：难以辨认的、字迹模糊的，反义词是legible
Prohibitively：禁止地、过高地、过分地，动词prohibit禁止阻止的意思
Manually：用手、手动的意思，manual手工的、体力的意思
Draw out：取出、拟定、拉长、导致，文中是拟定的意思
Format：格式、版式、使格式化的意思

同学们，TPO46的听力文本和阅读文本以及重点词汇就分享到这里啦，有兴趣的同学可以写这篇写作，拨打400-618-0272联系各位在新通的课程顾问或者添加新通教育西安微信助手号“新美美（xinmeimeixian）”来报名精改这篇文章，用以来判断自己对于听力的会意和选取改写的能力。

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