Regional and patient-level determinants of endoscopic utilization in rural healthcare: a multi-level analysis.

Although the random effect of regions in the null model did not reach statistical significance ( P = 0.362), the analysis clearly demonstrated that when region was incorporated as a fixed effect, significant variations in utilization between the western, central, and eastern regions emerged.

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Notably, the age variable reached significance ( P < 0.05) in three of the imputed datasets, while it failed to reach significance in the remaining datasets.

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