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Diagnostic scope in out-of-hours primary care services in eight European countries: an observational study.

BMC Fam Pract · 2011 · PMC3114765 · PMID 21569483

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an overall trendno p-value reported
Conclusions The organisation of out-of-hours primary care has changed in many European countries, with an overall trend towards large-scale organisations.

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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.