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Medical Service Quality, Efficiency and Cost Control Effectiveness of Upgraded Case Payment in Rural China: A Retrospective Study.

Int J Environ Res Public Health · 2018 · PMC6313562 · PMID 30551561

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an increasing trendno p-value reported
The value of out-of-pocket expense can indicate patients’ economic burden of disease and shows an increasing trend with the rapid growth of health expenditures.

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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.