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Age, period and cohort analysis of patient dental visits in Australia.

BMC Health Serv Res · 2014 · PMC3893375 · PMID 24410733

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a decreasing trendno p-value reported
PPY was adopted as a key marker of dentist’s capacity to provide services and has shown a decreasing trend over time in Australia [ 2 - 4 ].

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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.