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The relationship between the strength of primary care and health outcomes is consistent over time, as shown in the graph of premature mortality from 1970 to the late 1990s.

Source: Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res 2003; 38(3):831-865.