Organizational Variables
Long waiting time at clinic/MD office.
Long time between first appointment (more than 8 days) and hospital discharge or referral.
Absence of continuity of care.
Absence of individual scheduled appointments.
Lack of cohesiveness of treatment delivery system.
Inconvenience associated with operation of clinic/MD office.
Poor reputation of treatment facility.
Inadequate supervision or case management by professionals.
Unfriendly/inefficient staff.
Telephone system that is not accessible.
Verbal and non-verbal communication of the health care provider perceived as negative or uncaring.
Fragmented care.
Disease or disorder Variables
Chronic disease with lack of overt symptomatology.
Stabitity of symptoms.
Disorder-related characteristics.