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Improving the management of musculoskeletal conditions: can an alternative approach to referral management underpinned by quality improvement and behavioural change theories offer a solution and a better patient experience? A mixed-methods study.

BMJ Open · 2019 · PMC6398779 · PMID 30782916

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46 Despite the observed actual reduction in rheumatology referral rates, this did not reach statistical significance according to the ITS analysis.

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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.