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Using text analysis software to identify determinants of inappropriate clinical question reporting and diagnostic procedure referrals in Reggio Emilia, Italy.

BMC Health Serv Res · 2021 · PMC7847028 · PMID 33514372

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an increasing trendno p-value reported
In particular, an increasing trend (from 2012 to 2016) for all appropriateness endpoints occurred for all diagnostic procedures, with a substantial plateau between 2016 and 2017.

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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.