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GPs' views of health policy changes: a qualitative 'netnography' study of UK general practice online magazine commentary.

Br J Gen Pract · 2018 · PMC6001998 · PMID 29686131

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a negative trendno p-value reported
8 – 10 Alongside these changes, GPs’ attitudes towards their work and to primary care reforms have followed a negative trend since 2000.

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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.