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[Comment] Account for primary health care when indexing access and quality

It is well established that primary care leads to better health outcomes, lower costs, and greater equity in health,1 and an important part of a country’s development should be the strengthening of primary health-care services. This way, the health care provided will be comprehensive and people-centred, for all ages and stages of life, incorporating and coordinating health promotion, prevention, acute and chronic care management activities, to deliver equitable access and safe high-quality care.