International Issues and Other TopicsQuality Improvement in Primary Care and the Importance of Patient PerceptionsDrain, Maxwell MAAuthor Information Research Product Manager, Accreditation Initiatives, Press, Ganey Associates, Inc., South Bend, Indiana The author would like to thank Dennis O. Kaldenberg for his comments on an early draft of this article. Portions of this research were presented at the 16th Annual Meeting of the Association for Health Services Research, June 1999, Chicago, IL. Journal of Ambulatory Care Management: April 2001 - Volume 24 - Issue 2 - p 30-46 Buy Abstract Increasing consumerism poses many challenges for health care providers, particularly for those in primary care. Quality improvement to meet patients' heightened demand for service excellence will require effective, continuous measurement of patient perceptions. The study described in this article evaluated the psychometric properties of a new instrument designed to survey patients' experiences with the delivery of primary care and assessed the factors that contribute to patient retention and likelihood to return. By systematically measuring patient satisfaction and perceptions of quality, medical practices can increase the effectiveness of primary care, improve patient outcomes, and control costs. Copyright © 2001 by Aspen Publishers, Inc.