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Many countries of the world are following the leadership of the World Health Organization (WHO) in attempting to develop a strong infrastructure of primary care within their health services system. Inexorable pressures towards increasing specialization, increasing deployment of machine-intensive technology, and disease orientation detract from a focus on primary care. Is there evidence that strong primary care improves effectiveness and efficiency of health services interventions?

Equity the absence of systematic and potentially remediable inequalities in health across populations and across population subgroups is also a worldwide concern, recognized by the WHO and many countries.