Barely Significant
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Total factor productivity growth and spatial-temporal evolution of China's health system: a three-stage DEA-Malmquist approach.

Front Public Health · 2026 · PMC13216215 · PMID 42221646

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an increasing trendno p-value reported
Among them, North China exhibited an increasing trend in TFP, driven by improvements in comprehensive technical efficiency.

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a significant trendno p-value reported
In response to this limitation, a significant trend in recent years has been the incorporation of quality indicators into efficiency models.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.