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The main impact was to sustain primary medical care delivery to local populations in the face of difficulties with recruiting and retaining staff, and in the context of rising demand for care.

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Manbinder Sidhu 1, Jack Pollard 2, Jon Sussex 3,*

1 Health Services Management Centre, University of Birmingham, Birmingham, UK
2 Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK
3 RAND Europe, Cambridge, UK
* Corresponding author Email: jsussex@randeurope.org

Declared competing interests of authors: none.

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