Abstract
One of the important lessons we have learned over the years is that understanding the context of care is essential for understanding the relevance of studies.1 No context could be more important than the health system in the country in which the research takes place. Since this issue of the Annals has articles from 7 different countries, one challenge is how these studies might be generalizable. Despite the differences in health systems, it is remarkable to see how the process of care in generalist practice continues to have as much in common as it has differences.
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