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Copayment and recommended strategies to mitigate its impacts on access to emergency medical services under universal health coverage: a case study from Thailand.

BMC Health Serv Res · 2016 · PMC5073698 · PMID 27769256

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an increasing trendno p-value reported
The amount of charge followed an increasing trend from the beginning to the end of the 21-month period.

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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.