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High-quality health systems in the Sustainable Development Goals era: time for a revolution.

Lancet Glob Health · 2018 · PMC7734391 · PMID 30196093

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an increasing trendno p-value reported
For example, most countries reported an increasing trend in 5-year net survival from breast cancer since 1995, but survival did not always increase in countries such as India, Thailand, and several eastern European countries. 99 More broadly, hospital mortality can be useful for gauging the quality of care in facilities, when adjusted for disease severity and underlying risk, and can provide useful insight on the quality of secondary care in a region or country, when aggregated.

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