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In addition to those issues, shortages of electricity are causing immense problems not just in hospitals, but in the lives of the people of Gaza.
These were: health workforce issues (shortages, staff performance); sub-optimal communication; resource constraints; and unplanned activities and interruptions.
Respondents described this as being due to: staffing issues (shortages or inexperienced staff filling out the forms) and the design of the discharge summary.
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The problem varied between regions and between centres but where it was a problem, it was seen as the most significant issue: "Shortage of medicines is the only problem...when they (the medicines) are available all the patients are happy and there are no problems" (patient, focus group 11).
Brian Lightman, general secretary of the Association of School and College Leaders, said: "There have been extensive changes to initial teacher training in recent years with the introduction of School Direct, and we know there have been issues with shortages in some key subjects.
"What hurt Chávez the most was the lack of sufficient attention to concrete, tangible problems and an overemphasis on lofty ideals," Mr. Ellner said, referring to pressing issues like shortages of basic foods and general government corruption.
The introduction of prescribing by nurses in most countries has been in response to either issues of shortages of physicians in rural and remote areas [ 3- 8] or in response to perceived inefficiencies in primary health care delivery [ 9, 10].
The class of production problems presents technical problems, quality related issues and shortage of active pharmaceutical ingredients (Table 2).
Organizational aspects such as busy workload, lack of time, budget issues and shortage of staff are identified as barriers to supervision.
Environmental issues and shortage of fossil fuels have turned the public interest to the utilization of renewable, environmentally friendly fuels, such as ethanol.
The dominant workforce focus in the rural health literature, while revealing issues of shortage of maldistribution, does not describe service provision in rural towns.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com