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None of the authors report any conflicts of interest, competing interests, or financial disclosures.
Financial conflicts of interest receive the most attention, where the secondary interest competing with the primary one derives from some type of monetary incentive or reward.
A variety of factors may act as barriers or facilitators to the implementation of service improvements; financial incentives or penalties, media interest, competing priorities and the presence of local champions.
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All authors declare no conflicts of interest nor competing interests.
Competing Interests: No competing interests were disclosed.
Competing interests The authors have no competing interests.
Competing interests The authors declare that no competing interests exist.
Competing interests The authors declare they have no competing interests.
There are no competing interests or financial competing interests.
RDI declares no competing interest.
BD: no competing interest.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com