Factors influencing delayed hospital presentation in patients with appendicitis: the APPE survey  Anne P. Ehlers, MD, MPH, F. Thurston Drake, MD, MPH,

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Factors influencing delayed hospital presentation in patients with appendicitis: the APPE survey  Anne P. Ehlers, MD, MPH, F. Thurston Drake, MD, MPH, Meera Kotagal, MD, MPH, Vlad V. Simianu, MD, MPH, Chethana Achar, MBA, PhC, Nidhi Agrawal, PhD, MBA, Susan L. Joslyn, PhD, David R. Flum, MD, MPH Anne P. Ehlers, MD, MPH, F. Thurston Drake, MD, MPH, Meera Kotagal, MD, MPH, Vlad V. Simianu, MD, MPH, Chethana Achar, MBA, PhC, Nidhi Agrawal, PhD, MBA, Susan L. Joslyn, PhD, David R. Flum, MD, MPH  Journal of Surgical Research  Volume 207, Pages 123-130 (January 2017) DOI: 10.1016/j.jss.2016.08.085 Copyright © 2016 Elsevier Inc. Terms and Conditions

Fig. 1 Conceptual model to describe health care utilization, adapted from the Andersen Model of Health Care Utilization. Modified and reproduced with permission from the American Sociological Association. Journal of Surgical Research 2017 207, 123-130DOI: (10.1016/j.jss.2016.08.085) Copyright © 2016 Elsevier Inc. Terms and Conditions

Fig. 2 Risk preference scenarios presented to patients in the APPE Survey. According to prospect theory, most people would NOT gamble in scenario 1 (certain gain) but would choose to gamble in scenario 2 to avoid a certain loss. Journal of Surgical Research 2017 207, 123-130DOI: (10.1016/j.jss.2016.08.085) Copyright © 2016 Elsevier Inc. Terms and Conditions