The 21st century health care environment is drastically changing how individuals
find services and receive them (Wojnar & Whelan, 2017). One of the main changes
facing the healthcare environment is the reliance on primary health care (PHC) to provide
secondary and tertiary services (Bodenheimer & Bauer, 2016). The increased support for
PHC has resulted in an increased demand for personnel and resources to meet the
population’s diverse healthcare needs (Barton, 2017; Needleman, 2016)
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