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Interviewer: " What is your view on the interaction with the inspectors?" RIVM Manager 2: " With great difficulty, at least between RIVM and Inspectorate and I have the impression that the inspectors get so many stuff and small issues on their desks that they have difficulty to pay attention to structured campaigns and they spent a lot of time in acting in a reactive way.
As illustrated by Figure 4, a very similar picture can be seen when the percentages avoiding or delaying physician visits is displayed by the difficulty to pay co-payments: The participants who say that it is difficult to spare the money for the co-payments show a much higher percentage than those who say that paying the co-payments is easy.
The percentage of respondents reporting delayed or avoided physician contacts is calculated for each survey, for different age groups, income groups, by difficulty to pay the co-payments and for participants with or without a chronic disease (see Figures 2 to 5).
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Households on a tight budget will have great difficulties to pay these costs and therefore be less likely to use a health facility for delivery.
Romanian and, particularly, Ukrainian patients most often face difficulties to pay for health services (with approximately 40% of Ukrainian payers borrowing money or selling assets to cover hospital payments and approximately 60% of respondents who need care foregoing services).
Some recent studies have however provided evidence of an association between self-reported indicators of current economic difficulties (e.g., difficulties to pay for ordinary bills or pay for rent or lacking cash reserves) with measures of psychological distress and depression [ 11- 13].
The black emperor's great civility notwithstanding, the meeting between the two rulers might have ended in a serious diplomatic incident, for so absorbed was Mansa Mūsā in his religious observances that he was only with difficulty persuaded to pay a formal visit to the sultan.
First, the results from the present study indicate that self-reported 'current economic difficulties' (inability to pay for ordinary bills and lack of cash reserves), was significantly associated with both women's and men's mental health problems (psychological distress (GHQ-12), severe anxiety and use of antidepressant medication) after mutual adjustments for potential confounders and low income.
Big corporations were reporting difficulty getting funding to pay wages and invoices.
But that did not bolster sales, in part because of difficulty getting insurance to pay.
For at the same time as struggling to have the general populace pay its council tax, officials appear to have had some difficulty getting councillors to pay it.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com