Adjustments were also made to the preamble and the wording of some questions, in order to facilitate understanding of the concepts and the relevance of the questions. [...] Confidence in the Health Care System module To complement the measurement of peoples’ attitudes toward their own role in their health care, the 3-item Confidence in the Health Care System (CHCS) module was used to assess individuals’ views on the quality of the Canadian health care system, as well as the extent to which people believed modifications to the system were required. [...] The arrows pointing to the observed variables from the factors imply that the factors are the explanatory variables and the observed variables are the outcomes. [...] Specifically, both the variances of the latent variables and the regressions of the observed variables on the latent variables are unknown and also interdependent. [...] In the second step, the statistics produced by the multivariate probit regressions of the factor indicators on the covariates were all used as input for the CFA model.