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The most noticeable patterns in Table 4 are that, after controlling for endogeneity, (1) having a regular doctor has a greater impact on only two services than having a regular site and is as effective as having a regular site for the other three services, and (2) the magnitude of the impact of having a usual source of care differs by service. In descending order of the impact magnitude, having a regular doctor affected: cholesterol level checkups, pap smears, blood pressure checkups, flu shots, and mammograms. The ordered sequence for the impact magnitude of having a regular site was: pap smears, cholesterol level checkups, mammograms, blood pressure checkups, and flu shots. A regular doctor outperformed a regular site in ensuring that individuals have blood pressure and cholesterol level checkups. No significant differences were found in the effects of having a regular doctor and having a regular site on an individual''s receiving flu shots, mammograms, and pap smears.

The control function model takes the form of a two-stage estimation. The first stage, the selection, predicts the probabilities of having no usual source of care, having a regular doctor, and having a regular site, respectively, given predisposing, enabling, and need factors. The second-stage estimation incorporates the transformations of the predicted probabilities from the first stage. Let [I.sub.0], [I.sub.d], and [I.sub.s], be binary dummy variables indicating having no usual source of care, having a regular doctor, and having a regular site. Without the control for selection, the prediction of service use can be written as

We believe that the issues surrounding finder''s fees and other recruitment incentives merit more careful scrutiny. The payment of finder''s fees for subject recruitment can be seen as a paradigmatic example of other problematic phenomena in an increasingly commercial research environment. When situated within this context, it becomes clear that the actual and potential impact of finder''s fees is more significant than has been presumed. The problems resulting from finder''s fees are part of the wider encroachment of commercial interests on research, the provision of health-care services, and the priorities of researchers and health-care professionals. These issues ought to receive more attention from regulatory and funding agencies, professional organizations, academic institutions, institutional review boards ORBs)--known in Canada as research ethics boards (REBs)--and researchers. Representatives of each of these interests have an important role to play in addressing the tensions generated by financial interests in research.

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