TED演讲:美国人在健康问题上的共识是什么(2)

 　　Now, it seemed that it shouldn't be so complicated to design a doctor's visit around what people actually need to be healthy. 现在，看起来设计个医生的访问去了解人们要保持健康需要什么并不复杂。

　　So I created Health Leads, an organization enabling thousands of physicians and other caregivers to ask their patients, 所以我创建了健康领导者，用这个组织让成千上万的医生和其他护理人员去询问他们病人，

　　"What do you need to be healthy?" and then prescribe those things “你需要什么来保持健康？”然后给他们开这些东西

　　fruits and vegetables, heat in the winter, electricity to refrigerate their medication 水果和蔬菜，冬天供暖，制冷保鲜药物的电力，

　　and we then navigated¹ patients to those resources in their communities. The model works. 然后我们引导病人到他们社区的这些资源。这个模式有效。

　　A Mass General Hospital study found that navigating² patients to essential resources is associated with improvements in blood pressure and cholesterol³ levels 麻省总医院的一项研究发现，将病人引导到必要的资源与血压和胆固醇水平的改善相关，

　　similar to introducing a new drug, but without all the side effects. 相当于引入新药物的效果，而且没有任何副作用。

　　So two decades later, what's changed? 那么20年后，什么改变了？

　　It's now widely recognized that just 20 percent of health outcomes are tied to medical care, 现在人们普遍认为只有20%的健康结果跟医疗保健相关，

　　whereas up to 70 percent are tied to healthy behaviors and what's called the social determinants of health 而高达70%与健康行为和被称为社会决定因素联系在一起，

　　basically, everything that happens to us for that vast majority of time when we're not in the doctor's office or the hospital. 基本上，我们绝大多数时间发生的一切都不在医生的办公室或者医院中。

　　Health care executives now routinely remind us that our zip code matters more than our genetic⁴ code. 卫生保健主管们现在经常提醒我们，我们的邮政编码比我们的遗传密码更重要。

　　And one health care publication even recently had the audacity⁵ to describe the social determinants of health as "the feel-good buzzword of the year." 最近有一份卫生保健出版物大胆地将健康的社会决定因素描述为“年度让人感觉良好的流行词”。

1 navigated   

v.给（船舶、飞机等）引航，导航( navigate的过去式和过去分词 )；（从海上、空中等）横越；横渡；飞跃

参考例句：

• He navigated the plane through the clouds. 他驾驶飞机穿越云层。 来自《简明英汉词典》
• The ship was navigated by the North Star. 那只船靠北极星来导航。 来自《简明英汉词典》

2 navigating   

v.给（船舶、飞机等）引航，导航( navigate的现在分词 )；（从海上、空中等）横越；横渡；飞跃

参考例句：

• These can also be very useful when navigating time-based documents, such as video and audio. 它对于和时间有关的文档非常有用，比如视频和音频文档。 来自About Face 3交互设计精髓
• Vehicles slowed to a crawl on city roads, navigating slushy snow. 汽车在市区路上行驶缓慢，穿越泥泞的雪地。 来自互联网

3 cholesterol   

n.（U）胆固醇

参考例句：

• There is cholesterol in the cell of body.人体细胞里有胆固醇。
• They are determining the serum-protein and cholesterol levels.他们正在测定血清蛋白和胆固醇的浓度。

4 genetic   

adj.遗传的，遗传学的

参考例句：

• It's very difficult to treat genetic diseases.遗传性疾病治疗起来很困难。
• Each daughter cell can receive a full complement of the genetic information.每个子细胞可以收到遗传信息的一个完全补偿物。

5 audacity   

n.大胆，卤莽，无礼

参考例句：

• He had the audacity to ask for an increase in salary.他竟然厚着脸皮要求增加薪水。
• He had the audacity to pick pockets in broad daylight.他竟敢在光天化日之下掏包。