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International service trade and its implications for human resources for health: a case study of Thailand.

Hum Resour Health · 2004 · PMC471572 · PMID 15225376

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an increasing trendno p-value reported
In the era of "outsourcing" to reduce cost, there is an increasing trend in this mode of supply, especially in the area of medical records management and radiological services[ 13 ].

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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.