In addition, the updated model includes recognition that consumer satisfaction reflects
health care use. Furthermore, the model includes the notion that there are several health services
available, and both the type of service available (i.e., a hospital, dentist, or pharmacy) and the
purpose of the health care service (i.e., primary or secondary care) will determine the type of
service utilized. Thus, according to the revised model, whether or not a specific health care
service is utilized and the frequency a service is utilized will have different determinants based on characteristics of the population and the health services