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The status of primary care should be enhanced and the role of the specifically trained family doctor within it defined.

There should be balanced medical representation of generalists and specialists throughout the health care management system. This balance should be clear to all policymaking, resource allocation, regulatory, educational, and research authorities, boards and committees at national and regional levels.

Appropriate use of specialist services should follow an initial contact with a primary care provider who should be able to provide independent, well-informed advice on both the need to refer and the choice of options available.