Barely Significant
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Health spending in the 1980's: integration of clinical practice patterns with management.

Health Care Financ Rev · 1984 · PMC4191363 · PMID 10310595

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The sentences

likely to be significantno p-value reported
Competition with substitute services, such as ambulatory surgery and nursing home care, are likely to be significant.

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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.