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This study found that health improvement studies in general practice and primary care tend to focus on interventions themselves rather than the organisational context, and that general practitioners concentrate on individual patients. There is little evidence on the best approaches to delivering preventative care and health improvement.

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Stephen Peckham,1,2,* Jane Falconer,2 Steve Gillam,3 Alison Hann,4 Sally Kendall,5 Kiran Nanchahal,6 Benjamin Ritchie,2 Rebecca Rogers,2 Andrew Wallace,2,7 

1 Centre for Health Services Studies, University of Kent, Kent, UK
2 Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
3 Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
4 Public Health and Policy Studies, Swansea University, Swansea, UK
5 Centre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire, UK
6 Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK
7 Department of Social Policy, University of Lincoln, Lincoln, UK
* Corresponding author ; Email:

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