Barely Significant
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Medical insurance and healthcare utilization among the middle-aged and elderly in China: evidence from the China health and retirement longitudinal study 2011, 2013 and 2015.

BMC Health Serv Res · 2020 · PMC7362522 · PMID 32664947

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a decreasing trendno p-value reported
The proportion of individuals with poor self-reported health also showed a decreasing trend, which was 25.3, 21.9 and 21.0%.

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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.