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The paper provides a thorough review of the major theories and empirical research on medical care looking at previous studies carried out with patients who leave the emergency department without medical evaluation. The model proposed by the author suggests that an association between traditional health belief model and patients' medical visits can be established. In the model it was hypothesized that whether or not a person goes to the office doctor depends upon two variables: 1) the degree to which a person perceives a personal health threat and 2) the degree to which the person perceives that this particular action reduces that threat. These two main variables affect the medical outcome (medical visit) through a series of intervening variables: general health value, health locus of control, severity of the symptoms, and benefits of the medical visit. Methodological aspects of the evaluative proposal and study limitations and implications are discussed.

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The purposes of metaevaluation go beyond the traditional functions of accountability and enhancement. It helps guide strategic organizational change and legitimizes evaluation systems. Metaevaluation results can also be used to create checklists so that the persons responsible for any evaluation can revise, monitor, and control them by themselves. In this paper, the self-evaluation stage of an evaluation process in higher education is metaevaluated. The qualitative method applied analyses to the concerns and complaints that emerged during the work sessions. The results are structured around two key elements: the input (information and self-evaluation guideline) and the throughput (the committee and the process, including the meetings and dynamics of work). The information and self-evaluation guidelines are intended to be responsive, comprehensible, and reliable. The self-evaluation committee and process should be effective, efficient, and responsible with the task. The results are discussed with regard to theoretical proposals for evaluation quality that emphasize criteria such as responsiveness and technical quality of the evaluation.