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pandora charms The key hypotheses were that more variation in practices’ outcomes would occur at practice level than at doctor level, that more variation in outcomes intended to measure the performance of individual doctors would occur at doctor level than at practice level, and that less variation would exist at the level of the patient in responses to questions based on patients’ experience than for patients’ satisfaction.In addition, we used multilevel modelling approaches to identify the most important variables that explain variation at each level. Although a considerable literature exists about patients’ sociodemographic factors associated with satisfaction in primary care,5 6 7 and also about characteristics of general practitioners or practices associated with patients’ satisfaction https://www.pandorajewelryuk.com/,13 14 few previous studies have appropriately taken account of the three level hierarchical structure in which patients are clustered within doctors and then within general practices.15 16 Multilevel models are increasingly being used to examine sources of variation at different levels of organisation in the health service for example, how consumer assessment scores vary across health plans, medical groups, and providers.16 17 18 19 20Finally, we have used the findings to explore the effect on practices’ scores of adjusting for patients’ characteristics. This form of adjustment is sometimes used in surveys of hospital patients and has been debated with regard to surveys of general practice patients.8 21 22MethodsThis paper is based on a secondary analysis of data obtained from a survey of patients’ satisfaction done in 47 practices that took part in an evaluation of the advanced access initiative in 2005 6 pandora charms.