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X.) Request for reprints should be addressed to Leiyu Shi, Dr PH, MBA, Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, 624 North Broadway, Room 409, Baltimore, MD 21205-1996. Tonsillectomy and ade-noidectomy in one Canadian province. Use of medical care in the Rand health insurance experiment: diagnosis and service specific analyses in a randomized controlled trial.

The PCAT-AE can be used as a quality measurement tool that assesses the adequacy of primary care experience. Use of medical care in the Rand health insurance experiment: diagnosis and service specific analyses in a randomized controlled trial.

Primary care performance in fee-for-service and prepaid health care systems: results from the Medical Outcomes Study. All 3 instruments are available for general use on request.

Entry into primary care and continuity: the effects of access. It is parallel in content to the consumer/client survey.

RESULTS: The results indicate that the hypothesized scales for primary care have substantial reliability and validity, and the extracted factors explained 88.1% of the total variance in the item scores.

Reliability, validity, and scaling analyses were conducted to assess and validate the 9 scales representing core primary care subdomains and 3 derivative domains: first contact accessibility, first contactutilization (first contact domain), longitudinalityinterpersonal relationships (longitudinality domain), coordination of services (coordination domain), comprehensive-nessservices available, comprehensiveness services received (comprehensiveness domain), family centeredness, community orientation, and cultural competence (derivative domains). Cambridge, Mass: Harvard University Press; 1993.11. Baltimore, Md: the Johns Hopkins University Press; 1985.12. Primary care physicians and specialists as personal physicians: health care expenditures and mortality experience.

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