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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).
Under the project, employees in the participating employers will have access to DoctorQuality''s system that rates the quality of physicians, hospitals, and other providers in comparison to evidence-based best practices. This system, called Quality Ratings, uses both public and proprietary data as well as consumer-reported information to determine compliance with best practice criteria.In addition, participants in the MBGH study will be able to access and test other DoctorQuality products that are designed to inform and empower consumers in their healthcare decision making processes.
The notion that continuity and adequacy of care are improved by having a usual source of care may have different implications in different types of health services. In particular, from a patient''s perspective, prevention is more voluntary (i.e., a matter of choice) than acute care. Having a usual source of care, in concept, can facilitate such planning. Although it is known that having a usual source of care improves access to preventive services, as discussed, whether a regular doctor contributes more than a regular site to the improvement of access to preventive services is yet to be explored.
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