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Frequent Use of Emergency Departments by the Elderly Population When Continuing Care Is Not Well Established.

PLoS One · 2016 · PMC5156362 · PMID 27973563

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a decreasing trendno p-value reported
Crowding is a major issue for Italian EDs, even if a decreasing trend over the last 5 years has been observed.

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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.