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A Nonrecursive Causal Model of the Health Care Delivery System*
Authors:Catherine E. Ross  Raymond S. Duff
Abstract:The phrase “health care delivery system” is often used in both the popular and scientific literature. However, most research only examines one aspect of the system. We specify a causal system that links client characteristics and the structure, process, and outcomes of medical care. We also specify reciprocal effects among three outcomes of medical care: health status, client satisfaction, and visiting the docior. For each effect, we test a medical model hypothesis and two critiques of the medical model; a moderate critique and a radical critique.
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