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Each primary care segment—such as healthy children, healthy adults, adults at risk for developing chronic disease, and the elderly will need a very different mix of clinical, educational, and administrative services, and the appropriate outcomes will differ as well.
Because each state is its own insurance market, the outcomes will differ widely across the country.
In the end, there is no assurance that outcomes will differ.
So even if teachers are equally qualified, and equally hard-working, educational outcomes will differ.
Severe sepsis is a spectrum of diseases and likewise treatments and outcomes will differ between patients and settings [ 1, 6, 12].
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Patient outcome measurements will differ per stratum as problems vary; primary and secondary outcomes are chosen according to how sensitive they are to change.
In our example, test accuracy and health outcomes will not differ much between different countries and are easily transferrable.
In this regard, a first-step should be acknowledging that coal mining often results in many irreversible changes to the landscape and that rehabilitation outcomes will likely differ considerably compared to the pre-disturbance or historical ecosystem.
Further, behavioural outcomes under uncertain punishment conditions will differ as a function of BIS-anxiety.
The risk of bias in all trials due to lack of blinding will differ per outcome, and the impact of no blinding in cluster trials measuring mortality outcomes is also unclear.
The manner in which these outcomes can be achieved in other regions will differ according to local contexts; however, the transferable outcome will be the network framework for integrated planning.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com