Barely Significant
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Health systems frameworks in their political context: framing divergent agendas.

BMC Public Health · 2012 · PMC3549286 · PMID 22971107

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a clear trendno p-value reported
While there is a clear trend to try to understand the complexity of and dynamic relationships between elements of health systems, there is also a demand to provide frameworks that distinguish between health system interventions, and that allow mapping with a view of analysing their returns.

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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.