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This study covered areas of regional centers (MM2), large rural towns (MM3), medium rural towns (MM4), and small rural towns (MM5).
The lead agency was the main public referral health service for the region, located in the regional center, with a catchment population of >250,000 people and a region spanning 48,500 km2. In November 2021, a new health service was established after the amalgamation of the lead agency with 3 of the health services [38].
J Med Internet Res 2025;27:e64734
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