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Even popular visits like the annual preventive examination attract somewhere around 30 percent of the population, thereby leaving about 70 percent uncared. An outreach support, therefore, has to be an important part of any future replacement system for a better coverage. This will also mean giving a lot of healthcare responsibility to the patient and community and also improving self efficacy of the individuals. Studies have shown that non-healthcare workforce may prove better than health workers in patients with chronic problems such as diabetes. Involvement of volunteers from social organizations including workplace may be an option. As Davis mentioned in his answer to my previous question citing outreach systems from Kaiser Permanente, outreach may be an important alternative to the present system. However, will it save more time in a primary practice and be more beneficial if this task is performed by a trained social organization or volunteers?