Chapter 13: Health Care Flashcards Preview

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Flashcards in Chapter 13: Health Care Deck (35)
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1
Q

collaborative care

A

a cooperative form of health care in which physicians, psychologists, and other health care providers join forces to improve patient care

2
Q

attentional focus

A

a person’s characteristic style of monitoring:

bodily symptoms
emotions
overall wellbeing

3
Q

sensitizers (people being sensitive in a certain way)

A

people who cope with health problems and other aversive events by closely scanning their bodies and environments for information

4
Q

repressors (people who cope in a certain way)

A

people who cope with health problems and other aversive events by:

ignoring or distancing themselves from stressful information

5
Q

illness representation

A

how a person views a particular illness, including its label and symptoms, perceived causes, timeline, consequences, and controllability

6
Q

comorbidity

A

the simultaneous occurrence of two or more physical and /or psychological disorders or symptoms

7
Q

seeking treatment: age

A

the very young and elderly seek treatment more often than young/middle-aged adults

teenagers have optimistic bias, so they don’t visit the doctor as often

during late adulthood, ageist stereotypes can be significant barriers to achieving and maintaining good health. old age often is viewed as a period of physical decline, so people are unwilling to change negative lifestyles and adhere to treatment plans

8
Q

seeking treatment: gender

A

at all ages, women are more likely to report symptoms than men

9
Q

seeking treatment: SES

A

people with high SES report fewer symptoms and better health than do low-income people

people in lower SES groups tend to wait longer to report symptoms

10
Q

lay referral system

A

an informal network of family members, friends, and other nonprofessionals who offer their own impressions, experiences, and recommendations regarding a set of bodily symptoms

11
Q

delay behavior

A

the tendency to avoid seeking medical care because symptoms go unnoticed (appraisal delay)

sickness seems unlikely (illness delay)

professional help is deemed unnecessary (behavioral delay)

the individual procrastinates in making an appointment (scheduling delay)

the perceived costs of treatment outweigh the perceived benefits (treatment delay)

12
Q

illness anxiety disorder

A

the condition of experiencing abnormal anxiety over one’s health, often including imaginary symptoms

13
Q

malingering

A

making believe that one is ill to benefit from sick role behavior

14
Q

chronic fatigue syndrome

A

a puzzling disorder of uncertain causes in which a person experiences headaches, infections of unknown origins, extreme tiredness, and difficulties with concentration and memory

15
Q

adherence

A

a patient both agreeing to and then closely following a treatment regimen as advised by his or her health care provider

16
Q

non-adherence

A

the condition in which a patient refuses to complete a prescribed therapeutic regimen

17
Q

what factors predict adherence?

A

patient and provider variables

18
Q

health literacy

A

the capacity to obtain and understand basic health information and services needed to make appropriate health decisions

19
Q

motivational interviewing

A

a widely used counseling method that focuses on strengthening a person’s motivation and commitment to change a target health behavior

20
Q

what three principles is MI based off of?

A

collaboration
evocation
autonomy

21
Q

telemedicine

A

the delivery of medical information and clinical services through interactive audiovisual media

22
Q

information control

A

patients’ knowledge regarding the particular procedures and physical sensations that accompany a medical treatment

23
Q

cognitive control

A

interceptions that direct the patient’s attention to the positive aspects of a procedure (such as improved health) rather than to feelings of discomfort

24
Q

behavioral control

A

interventions that teach techniques for controlling pain and speeding recovery during and after a medical procedures

25
Q

lamaze training

A

a natural childbirth process designed to prepare prospective parents by enhancing their informational, cognitive, and behavioral control over childbirth

26
Q

nurse-practitioner

A

an advanced-practice nurse who, in addition to training in traditional nursing, receiving training in the delivery of primary health care

27
Q

physician’s assistant

A

a graduate of a year training program that teaches how to practice medicine under the direction of physicians and surgeons

28
Q

fee-for-service

A

a payment model in which health care services are paid for by patients out of pocket at the time of treatment

29
Q

health-maintenance organization

A

an organization that provides managed care, in which individuals pay a fixed monthly rate and use services as needed

30
Q

managed care

A

a system of health care in which health insurance plans contract with providers and medial facilities to provide care for members at reduced rates

31
Q

preferred-provider organization

A

a managed-care network physicians, hospitals, and other health care providers that agree to charge reestablished rates for specific services

32
Q

patient-centered health care

A

the delivery of health care services that are respectful of and responsive to individual patient preferences, needs, and values

33
Q

accountable care organization

A

an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of members

34
Q

enhancing adherence

A

build rapport
be competent, thorough, and consistent
discrimination and prejudice are relevant

35
Q

what are the four principles of MI?

A

express empathy
identify discrepancy
roll with resistance
support self-efficacy