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From the Scottish School of Primary Care (FMS), Community Health Sciences (PTD, FD), and Dental Health Services Research Unit (JEC), University of Dundee, Dundee; the Department of Otolaryngology (IRCS) and the Division of Community Based Sciences (JMM, SH), University of Glasgow, Glasgow; the Department of General Practice and Primary Care (BHS, AM) and the Health Economics Research Unit (LDV), University of Aberdeen, Aberdeen; Community Health Sciences (BM, VH) and the Department of Clinical Neurosciences (RJD), University of Edinburgh, Edinburgh; and St?