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Configuring balanced scorecards for measuring health system performance: evidence from 5 years' evaluation in Afghanistan.

PLoS Med · 2011 · PMC3144209 · PMID 21814499

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a decreasing trendno p-value reported
Time spent on patient consultation and counseling, a significant predictor of quality of care [18] , [21] , showed a decreasing trend over the years with levels returning to baseline scores in 2008.

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