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. 2021 Feb 16;11(2):e042391. doi: 10.1136/bmjopen-2020-042391

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© Author(s) (or their employer(s)) 2021. 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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Illustration of study design and timeline for (A) study population and GPs, (B) definition of control period (12 months of stable GP activity on own patient list), exposure time periods during (3-month period defined discontinuity with at least 2 months with no/low activity (X)), 1–6 months after discontinuity and 7–12 months after discontinuity and (C) patient outcome assessment (four outcomes) in our four defined periods. ACSC, ambulatory care sensitive conditions; GP, general practitioner; OOH, out-of-hours.