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Re-examining access points to the different levels of health care: a cross-sectional series in Austria.

Eur J Public Health · 2019 · PMC6896971 · PMID 30938408

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a possible trendno p-value reported
This is concerning for systems development, cost containment and quality of care, as it demonstrates a possible trend shifting away from primary care as initial access point.

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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.