Barely Significant
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Bridging the care continuum: patient information needs for specialist referrals.

BMC Health Serv Res · 2009 · PMC2759928 · PMID 19754957

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an increasing trendno p-value reported
Some authors suggest that there is an increasing trend toward refusals particularly in telephone surveys that can be attributed to time constraints ("too busy"), lessened sense of civic responsibility or sense of reciprocity, too many survey requests, and concerns about safety, fraud, and misrepresentation.

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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.