完形填空(阅读以下材料 回答第51——65题)About End-of-Life CareDyin

完形填空(阅读以下材料，回答第51——65题)

About End-of-Life Care

Dying patients are happier,less depressed,have less pain and survive longer when their end-of-life care wishes are known and followed,researchers report.

This type of patient-centered care can also help keep health costs down________(51)patients who don’t want aggressive treatment,the University of California,Los Angeles (UCLA) research team said.

"You can improve care while________(52)cost by making sure that everything you do is centered on what the patients want,what his or her specific goals are and tailor a treatment plan to ensure we_________(53)the specific care he or she wants,"Dr. Jonathan Bergman,a clinical scholar and fellow in the urology department,said in a university news release.

__________(54)many cases,dying patients are given aggressive treatments that don’t help them and_________(55)higher costs.

Patients who want__________(56)care should receive it,but many don’t want it and haven’t been_________(57)about their wishes,according to Bergman and colleagues,who are testing patient-centered care__________(58)cancer patients.

To change the situation,doctors need to be educated about patient-centered care,the researchers said. They also_________(59)that changes to Medicare should be considered.But this is a highly controversial topic that has been sidelined after recent suggested changes were characterized as creating"death panels".

"Given the disproportionate cost of care at the very________(60)of life,the issue should be revisited,"Bergman and colleagues wrote."We should address goals of care,not to___________(61)aggressive care to those who want it,but to ensure that we deliver aggressive care only to those who__________(62).This reduces costs and improves outcomes."

The study authors noted that,according to the results of a 2004 study,30 percent of Medicare dollars are________(63)on the 5 percent of beneficiaries who die each year,and one-third of the costs in the final year of life_________(64)during the final month.

Previous research has shown that patient-centered care can reduce the costs in the last week of life________(65)36 percent and that patients who receive such care are less likely to die in an intensive care unit.

_________(51)

A.to

B.for

C.by

D.of