Changes in patient perceptions toward a family practice: a case study.

This paper presents the results of an evaluation of a family practice that focuses on changes in patient perceptions over five years. The evaluation includes an analysis of patient attitudes as well as behavior. Patient attitudes are measured by means of a personal interview and behavior is analyzed by creation of a Family Utilization Index. Significant changes are noted in the areas of both reported and actual utilization, with fewer changes in the areas relating to patients' perceptions of health and illness or in attitudes toward either the model of family practice of the specific site of obtaining care. This is not a definitive model for evaluation of family practice, but it is one of the few empirical studies available and suggests the need for more documentation of the effectiveness of family practice as a model for delivering primary care services.