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Over time, an increase in UTI/pyelonephritis SARs was seen while SARs for angina and CHF decreased. Geographic variation was moderate overall and high for dehydration and angina (SCV=11.7-50.. For all conditions combined, multivariable analysis showed lower urban population (adjusted coefficient -2.2 (-3.4 to -0.9, p0.01)), lower GP supply (adjusted coefficient -5.5 (-8.2 to -2.9, p0.01)) and higher geriatrician supply (adjusted coefficient 3.7 (0.5 to 6.9, p=0.02)) were associated with higher SARs. Future research should evaluate