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Waiting times for physician appointments have been used in past studies as a measure of access to, or excess demand pressure on, local ambulatory care systems. This paper offers an alternative view—that short appointment delays are one of several types of amenities produced by physicians in combination with health services. Empirical evidence is presented that illuminates some previously unknown relationships between appointment delays, patient diagnosis, site of care, and family income. A model is developed with the capability of predicting short-run responses to changes in demand for physicians' services. The model and empirical evidence are used as the basis for interpreting recent experience in Canada with its system of national health insurance (NHI) and for predicting potential consequences regarding the production of amenities of NHI in the US.This research has been supported in part by a grant (HS—00825) from the Center for Health Services Research, US Department of Health, Education, and Welfare, to the University of Florida. We are indebted to John B. Wayne and to Paula Sloan for their assistance and to University of Florida colleague Gary Shannon for comments on an earlier draft.  相似文献   
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Students in 75 high schools in seven states participated in a questionnaire survey. The results showed that high school students want to become licensed as soon as possible and that parents are important in teaching them to drive. Once licensed, the majority of students have their own cars, though they do not typically pay the majority of the costs. Seventy-one percent of licensed students who do not have their own cars reported that they can usually or always use a family car. Most students, particularly younger ones and females, reported that their parents expect them to conform to certain rules or restrictions when driving and when riding as passengers. The most common restrictions were that their parents asked them not to drive after drinking, to tell parents where they were going and with whom, and to be home at a certain time. Students were far less likely to report that their parents required that they wear seat belts.This work was supported by the Insurance Institute for Highway Safety.Received a Ph.D. in experimental psychology from Yale University. Research interests are highway safety, pedestrian safety, and evaluation of training and education programs.Received a Ph.D. in social psychology from Harvard University. Research interests are the factors related to motor vehicle injuries, drinking and driving, and the crash involvement of teenagers.Received a Ph.D. in social psychology from State University of New York at Buffalo. Research interests are health behavior and the role of the individual in public health.  相似文献   
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A jury service exit questionnaire that was designed to measure satisfaction with and overall impression of jury duty was administered to a saturation sample of 2,947 respondents by court clerks serving District or Circuit courts in nine counties in southeastern Michigan. For those sworn to jury duty, global satisfaction with the jury experience is found to be influenced by perceptions of trial characteristics and by the extent of participation in the jury system. The significant predictors of overall impression with the jury system are respondent age, being elected jury foreman, and deliberating a criminal rather than civil case. An earlier draft of this paper was presented at the 1985 Meetings of the North Central Sociological Association. This research was funded in part by the Michigan State Supreme Court. We acknowledge the contributions made to this paper by members of the Sorrento Seminar and by anonymous reviewers. Patrick C. Easto provided the inspiration for writing the first as well as the final draft of this paper.  相似文献   
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