2015年经济学人 病人数据 关爱和分享

Patient data

Caring and sharing

A controversial NHS database will benefit patients—eventually

NESTLED among offers for tree trimmers, cleaners and slankets,

the English may have noticed a leaflet with “important information” about their health records last month.

More likely, they did not. Though the National Health Service says it sent one to every household,

over 70% of the public do not remember getting it.

Those who did pick it off the carpet learned of a plan to collect patient data from GPs.

Slated¹ to begin in April, it has now been shelved for six months so that a more robust² campaign can be mounted to convince the public of its merits.

The programme, called care.data, attracted little attention when it was set up as part of the Health and Social Care Act of 2012.

Many patients now feel it has been thrust upon them with little consultation³.

Critics have stoked fears that the database might be hacked⁴ or misused⁵ by businesses or other third parties,

which can petition the government for access. Despite safeguards to keep identifiable data confidential⁶,

GPs worry patients will withhold⁷ information from them. Many will likely opt⁸ out of the scheme, which almost two-thirds of the public opposes.

The NHS certainly has a public-relations problem, but its central case is strong.

Data on patients in hospital are already collected by the health service—and have never been seriously breached⁹, say officials.

These have helped it to allocate¹⁰ funds and keep accurate books.

The information has also helped to save lives, says Tim Kelsey, the NHS director for patients and information.

In Bristol, data showed an unusually high death rate during paediatric surgeries in the early 1990s, a problem since corrected.

In Mid¹¹ Staffordshire the numbers signalled a catastrophic breakdown¹² in care between 2005 and 2009,

leading to a government inquiry¹³, though not before hundreds of patients died.

Information gleaned¹⁴ from GPs would help the NHS administer the system better.

But the greatest potential lies in linking the two datasets.

People tend to think of health care as a one-off episode, says John Appleby of the King's Fund, a health-policy think-tank.

But most care is consumed by people with chronic¹⁵ conditions, like diabetes¹⁶, who move between GPs' offices and hospital wards¹⁷.

Without data from family doctors it is impossible to track patients and figure out which treatments produce the best long-term results.

Few countries do this well, but Britain's NHS numbers, which are assigned to each patient, give it an advantage.

Indeed, within its own (present) borders it has a model worth emulating¹⁸.

Scotland gathers all data on diabetes patients into a central database and shares it around.

One result has been a 40% drop in amputation¹⁹ rates.

The Scots are now looking to keep diabetes patients out of hospital, where they cost over ￡300m ($500m) a year.

Put another way, they want to know what is and is not working in GPs' offices.

The more data collected, the more useful it is, but not everyone will be persuaded to hand their information to the NHS.

Some patients will no doubt conclude that the potential benefits of care.data do not trump²⁰ their concerns.

Either way they will get a healthy debate.

1 slated   

用石板瓦盖( slate的过去式和过去分词 )

参考例句：

• Yuki is working up an in-home phonics program slated for Thursdays, and I'm drilling her on English conversation at dinnertime. Yuki每周四还有一次家庭语音课。我在晚餐时训练她的英语口语。
• Bromfield was slated to become U.S. Secretary of Agriculture. 布罗姆菲尔德被提名为美国农业部长。

2 robust   

adj.强壮的，强健的，粗野的，需要体力的，浓的

参考例句：

• She is too tall and robust.她个子太高，身体太壮。
• China wants to keep growth robust to reduce poverty and avoid job losses,AP commented.美联社评论道，中国希望保持经济强势增长，以减少贫困和失业状况。

3 consultation   

n.咨询；商量；商议；会议

参考例句：

• The company has promised wide consultation on its expansion plans.该公司允诺就其扩展计划广泛征求意见。
• The scheme was developed in close consultation with the local community.该计划是在同当地社区密切磋商中逐渐形成的。

4 hacked   

生气

参考例句：

• I hacked the dead branches off. 我把枯树枝砍掉了。
• I'm really hacked off. 我真是很恼火。

5 misused   

v.使用…不当( misuse的过去式和过去分词 )；把…派作不正当的用途；虐待；滥用

参考例句：

• He misused his dog shamefully. 他可耻地虐待自己的狗。 来自《简明英汉词典》
• He had grossly misused his power. 他严重滥用职权。 来自《简明英汉词典》

6 confidential   

adj.秘（机）密的，表示信任的，担任机密工作的

参考例句：

• He refused to allow his secretary to handle confidential letters.他不让秘书处理机密文件。
• We have a confidential exchange of views.我们推心置腹地交换意见。

7 withhold   

v.拒绝，不给；使停止，阻挡

参考例句：

• It was unscrupulous of their lawyer to withhold evidence.他们的律师隐瞒证据是不道德的。
• I couldn't withhold giving some loose to my indignation.我忍不住要发泄一点我的愤怒。

8 opt   

vi.选择，决定做某事

参考例句：

• They opt for more holiday instead of more pay.他们选择了延长假期而不是增加工资。
• Will individual schools be given the right to opt out of the local school authority?各个学校可能有权选择退出地方教育局吗？

9 breached   

攻破( breach的现在分词 )； 破坏，违反

参考例句：

• These commitments have already been breached. 这些承诺已遭背弃。
• Our tanks have breached the enemy defences. 我方坦克车突破了敌人的防线。

10 allocate   

vt.分配，分派；把…拨给；把…划归

参考例句：

• You must allocate the money carefully.你们必须谨慎地分配钱。
• They will allocate fund for housing.他们将拨出经费建房。

11 mid   

adj.中央的，中间的

参考例句：

• Our mid-term exam is pending.我们就要期中考试了。
• He switched over to teaching in mid-career.他在而立之年转入教学工作。

12 breakdown   

n.垮，衰竭；损坏，故障，倒塌

参考例句：

• She suffered a nervous breakdown.她患神经衰弱。
• The plane had a breakdown in the air,but it was fortunately removed by the ace pilot.飞机在空中发生了故障，但幸运的是被王牌驾驶员排除了。

13 inquiry   

n.打听，询问，调查，查问

参考例句：

• Many parents have been pressing for an inquiry into the problem.许多家长迫切要求调查这个问题。
• The field of inquiry has narrowed down to five persons.调查的范围已经缩小到只剩5个人了。

14 gleaned   

v.一点点地收集（资料、事实）( glean的过去式和过去分词 )；（收割后）拾穗

参考例句：

• These figures have been gleaned from a number of studies. 这些数据是通过多次研究收集得来的。
• A valuable lesson may be gleaned from it by those who have eyes to see. 明眼人可从中记取宝贵的教训。 来自《现代汉英综合大词典》

15 chronic   

adj.(疾病)长期未愈的，慢性的；极坏的

参考例句：

• Famine differs from chronic malnutrition.饥荒不同于慢性营养不良。
• Chronic poisoning may lead to death from inanition.慢性中毒也可能由虚弱导致死亡。

16 diabetes   

n.糖尿病

参考例句：

• In case of diabetes, physicians advise against the use of sugar.对于糖尿病患者，医生告诫他们不要吃糖。
• Diabetes is caused by a fault in the insulin production of the body.糖尿病是由体內胰岛素分泌失调引起的。

17 wards   

区( ward的名词复数 )； 病房； 受监护的未成年者； 被人照顾或控制的状态

参考例句：

• This hospital has 20 medical [surgical] wards. 这所医院有 20 个内科[外科]病房。
• It was a big constituency divided into three wards. 这是一个大选区，下设三个分区。

18 emulating   

v.与…竞争( emulate的现在分词 )；努力赶上；计算机程序等仿真；模仿

参考例句：

• The possibilities of producing something entirely new by emulating nature's very wide crosses are enticing. 用自然界的非常广泛的杂交方法创造出全新植物种的可能性是诱人的。 来自辞典例句
• The human emulating this archetypal patterning will be quite the accomplished businessperson. 这类原型模式者会是一个很成功的商人。 来自互联网

19 amputation   

n.截肢

参考例句：

• In ancient India,adultery was punished by amputation of the nose.在古代印度，通奸要受到剖鼻的处罚。
• He lived only hours after the amputation.截肢后，他只活了几个小时。

20 trump   

n.王牌，法宝；v.打出王牌，吹喇叭

参考例句：

• He was never able to trump up the courage to have a showdown.他始终鼓不起勇气摊牌。
• The coach saved his star player for a trump card.教练保留他的明星选手，作为他的王牌。