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The fourth and fifth columns are the counterparts of columns one and two in single-equation estimations. For blood pressure and cholesterol level checkups, in which endogeneity of having a usual source of care was found, estimations without endogeneity control overestimated the relative effects of having a regular doctor to having a regular site. The comparative advantage of having a regular doctor (relative to having a regular site) estimated by the single-equation approach is shown in the last column of Table 4. Except for blood pressure and cholesterol level checkups, no significant differences were found in the effects of having a regular doctor and having a regular site.

Based on the conceptualization illustrated in Figure 1, this study focused on how having a regular doctor differs from having a regular site in affecting the use of five preventive services: mammograms, pap smears, blood pressure checkups, cholesterol level checkups, and flu shots. The probabilities of having a usual doctor, a regular site, and no usual san source of care were analyzed first in the selection stage. It was followed by the examination of the impact of having a regular doctor and having a regular site on the utilization of each above-mentioned preventive service, while incorporating individuals'' unobservable preferences in the selection stage.

Because the questions regarding preventive service use were asked only of individuals aged 18 years and older, carlos 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 hospital service. The responses were dichotomized into (1) Within the past two years and (0) before two years ago or never.


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