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services as the preferred first point of care and decreased demand from the patient side.

 

In systems that are historically oriented toward hospital-based care or strong vertical programs, (such as the Mongolian health system in the 1990s, read the case study here ) patients may prefer hospital-based care, and primary health care systems may not have received the level of commitment and investment necessary to meet the majority of a person’s health needs. 2526 For this reason, high utilization rates of non-primary

 

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