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Health services and health care do not occur in a vacuum.

The demography, sociology, anthropology as well as the experience of health and disease will determine

a.Population expectations

b.The services a Population needs

c.The Population’s access to services

d.The Population’s use of services

e.The outcome of care

Within a single country, a single city any clinician will say that - “the mucous membranes of the rich are not the same as the mucous membranes of the poor”.