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Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach: Evidence from urban and rural areas.

Front Public Health · 2023 · PMC9931751 · PMID 36817900

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a decreasing trendno p-value reported
As to rural PHCIs, the TFP score for primary health care services was <1 in all but eight provinces, implying a decreasing trend in primary health care services' productivity in most provinces during the period 2009–2019.

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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.