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To further our understanding of the role of a usual source of care in ensuring that adequate and continuous prevention can be provided to the population, this study examined the relative effectiveness of having a regular doctor as compared to a regular site on individuals'' use of various preventive services. Following Ettner (1996; 1999) and Kuder and Levitz (1985), in which the endogeneity of having a usual source of care was controlled for, this study answered the following questions:1. Does having a regular doctor have a greater impact on a patient''s receipt of preventive services than having a regular site?
These are Quality Practices, a set of easy-to-use, online workbooks written to educate the consumer about best practices, and My Quality Coach, an electronic approach to helping employees better understand their condition and manage their care.The Midwest Business Group on Health is a Chicago-based not-for-profit coalition of more than 90 members from an 11-state area. MBGH, which was founded in 1980, provides leadership and knowledge to employers working together to continuously improve the quality and cost-effectiveness of health services. A copy of the Dr. Data project report, "How We Choose Doctors - What Is and What Could Be" is downloadable from the reports section of the MBGH website - http://www.mbgh.org
The function of a usual source of care has been extensively discussed in the health services, public health, and medical literature. Age, gender, race, ethnicity, income, education, insurance status, and health status were found to be common correlates of having a regular source of care (Hayward et al. 1991; Hayward et al. 1988; Merzel 2000; Newacheck, Pearl et al. 1998; Newacheck, Stoddard et al. 1998; Rask et al. 1994; Schur, Albers, and Berk 1995; Shi 1999; Weinick and Drilea 1998; Zuvekas and Weinick 1999). Having a usual source of care was demonstrated to be positively correlated with an individual''s general access to the health care system (Weissman et al. 1991), improvement of patients'' satisfaction with medical care (Hurley, Gage, and Freund 1991), a decrease in the use of the emergency department (Newschaffer et al. 1999), a reduction in the likelihood of hospital admission (Weiss and Blustein 1996), and promotion of proper use of medication (Smith and Kirking 1999).
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