The Impact of Health Care Reform Since 2009 on the Efficiency of Primary Health Services: A Provincial Panel Data Study in China.

Front Public Health · 2021 · PMC8569255 · PMID 34746081

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showed a trendno p-value reported

On average, MPI in Beijing, Tianjin, Shanghai, Hunan, and Guangdong improved after the reform but showed a trend of deterioration in other provinces.

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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.