Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.

The second was whether ER and hospital inpatient service utilization showed a decreasing or an increasing trend with an increase in the total number of outpatient visits.

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Trend Test of Association between Outpatient Visits Types and ER or Hospital Inpatient Services Utilization There are two main trend findings, as follows: firstly, a decreasing trend in the number of hospitalizations, and secondly, an increasing trend in the chance of ER visits with the number of total outpatient visits.

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