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The purpose of this study was to evaluate the qualities of the ASUI. The 11-item index was designed to summarize the frequency and severity of selected asthma-related symptoms and side effects reported during a 2-week period, weighted according to patient preferences. The combination of the five symptoms and ratings of frequency and severity yields a wide variety of multidimensional symptom states, presenting an opportunity for evaluating multiple symptom combinations, concentrating on those most applicable to the treatment under investigation.

In addition to improving access and utilization of medical care, having a usual source of care can facilitate the use of clinical prevention services in the population. It appears that adequate clinical prevention, such as immunization and cancer screening, can be better achieved through a usual source of care because the care provider has a more comprehensive understanding of a patient''s health needs. Specifically, empirical evidence found that individuals with a usual source of care were more likely to receive timely immunizations (Flocke, Stange, and Zyzanski 1998; Frank et al. 1995; Mark and Paramore 1996) and that women who had a usual source of care were more likely to receive breast and cervical cancer screening (Bindman et al. 1996; Ettner 1996; KagawaSinger and Pourat 2000; O''Malley et al. 1997; Zambrana et al. 1999). In addition, one study demonstrated that having a usual source of care promoted healthier behaviors, such as exercise and quitting smoking (Ettner 1999). Although many studies have investigated the effect of having a usual source of care on an individual''s care-seeking behavior, most do not distinguish between having a regular doctor and having a regular site. Because of the positive association between having a regular doctor and improved access to care (Alpert et al. 1970; Becker, Drachman, and Kirscht 1974; Dietrich and Marton 1982; Starfield 1992), patients'' preferences to see their usual physicians were included as one of the four domains in the Components of Primary Care Instrument (Flocke 1997). In two earlier studies comparing the effects of having a regular site and having a regular doctor (Marcus and Stone 1984; Scitovsky, Benham, and McCall 1979), it was found that having a regular doctor resulted in a higher frequency of physician visits relative to having a regular site.

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