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. 2023 Jun 1;13(6):e070130. doi: 10.1136/bmjopen-2022-070130

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© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Schematic diagram of the relationships between the roles of family doctors and the barriers. It shows the relationship of six unique roles of family doctors in the contracted services for disabled older adults, three interior barriers and three outer barriers. Interior barriers mainly arise from the family doctors themselves, which directly affects the roles of family doctors. Outer barriers mainly emerge from the environment around the family doctors, including policy environment of family doctor contract services, working environment, which indirectly affects the roles of family doctors.