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 Because the questions regarding preventive service use were asked only of individuals aged 18 years and older, individuals aged 17 years and younger were excluded from the analyses. Also, to provide national estimates using the MEPS survey, individuals whose person weights were zero or negative, were excluded. There were 15,501 individuals satisfying these two selection criteria. Whether an individual had a regular doctor, a regular site, or no usual source of care was identified. Respondents who reported having a regular site, but also indicated seeing a regular doctor at that site, were classified as having a regular doctor. Three gender-neutral services (flu shot, blood pressure checkup, and cholesterol level checkup) and two gender-specific preventive services (mammogram and pap smear) were examined. The MEPS asked the respondents when was the last time they received each preventive service. The responses were dichotomized into (1) Within the past two years and (0) before two years ago or never. DoctorQuality.com, Inc., the world''s first Quality Benefits Management Company, provides Internet-based products and services to measure, select, purchase and improve the quality of healthcare. DoctorQuality has been featured as the cover story of Modern Healthcare magazine and has been mentioned in numerous other media, including the Wall Street Journal and the Industry Standard. http://www.doctorquality.com.It has been well established that continuity of care is an important component of the quality of medical care (Starfield 1992). Lack of a usual source of care not only interrupts continuity of care but also imposes a significant barrier to receiving medical treatment. Having a usual source care is similar to having health insurance in the sense that both facilitate timely and adequate receipt of needed medical care (Baker, Stevens, and Brook 1994; Chen and Lyttle 1987; Davis and Rowland 1983; Donelan et al. 1996; Rask et al. 1994; Robert Wood Johnson Foundation 1983; Saver and Peterfreund 1993; Weissman and Epstein 1993). In the Andersen-Aday behavioral model, both are considered enabling factors. Because both lack of a usual source of care and lack of insurance hinder care-seeking, Sox et al. (1998) attempted to compare the power of having a regular physician and having insurance in predicting individuals'' access to health services. They concluded that, compared to having health insurance, having a regular p hysician was a stronger and more consistent predictor of patients'' delay in seeking care, having no physician visits, and having no emergency department visits. With Doctor-Finder.biz you can find and compare docotor's in your area! Check it out!
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