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[Correspondence] The role of general practice in reducing mortality

We would like to thank Martin Roland for his Comment1 (July 16, p 217) about pay-for-performance primary care. The role of general practice and other primary care in reducing mortality has been centre-stage since Barbara Starfield2 reported in 2001 that each additional family physician was associated with a reduction of 34 deaths per 100 000. It is high time that this is clarified further.