Chapter 9 Questions and Answers

Chapter 9 Questions and Answers adherence The degree to which an individual follows a recommended health-related or illness-related recommendation. colleague orientation A physician orientation toward gaining the esteem and regard of one's colleagues; fostered by any health care provider arrangement that does not involve direct reimbursement to physicians by patients. creative nonadherence The modification or supplementation of a prescribed treatment regimen on the basis of privately held theories about the disorder or its treatment. diagnostic-related group DRG A patient classification scheme that specifies the nature and length of treatment for particular disorders; used by some third-party reimbursement systems to determine the amount of reimbursement. health maintenance organization HMO An organizational arrangement for receiving health care services, by which an individual pays a standard monthly rate and then uses services as needed at no additional or at greatly reduced cost. holistic health A philosophy characterized by the belief that health is a positive state that is actively achieved; usually associated with certain nontraditional health practices. managed care A health care arrangement in which an employer or employee pays a predetermined monthly fee to a health care or insurance agency that entitles the employee to use medical services at no additional (or a greatly reduced) cost. nonadherence The failure to comply fully with treatment recommendations for modification of a health habit or an illness state. nurse-practioners Nurses who, in addition to their training in traditional nursing, receive special training in primary care so they may provide routine medical care for patients. physicians' assistants Graduates of 2-year programs who perform routine health care functions, teach patients about their treatment regimens, and record medical information. preferred provider organization PPO A network of affiliated practitioners that has agreed to charge preestablished rates for particular medical services.