Primary P|R|IH|M|EH|R|IH P|R|A + I|M|I|R|I P|R|IH|M|I|R|IH Healthcare HH|I|L|TH|K|I|R HH|EH|L|T|K|EH|R HH|I|L|T|K|I|R OUTCOME A + UH|T|K|O|M Self SH|EH|L|F S|I|L|F SH|I|L|F S|EH|L|P SH|EH|L|P S|I|L|P SH|I|L|P Reliance R|I|L|A + I|AX|N|S R|IH|L|IH|AX|N|S R|I|L|IH|AX|N|S R|IH|L|A + I|AX|N|SH R|I|L|A + I|AX|N|SH R|IH|L|IH|AX|N|SH R|I|L|IH|AX|N|SH Self SH|EH|L|F S|I|L|F SH|I|L|F S|EH|L|P SH|EH|L|P S|I|L|P SH|I|L|P Help HH|I|L|P