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The main barriers acknowledged by pulmonologists during end-of-life discussions were: 'too little time during the appointment'a 'a desire to preserve the patient's hope'a, 'a feeling that the patient was not ready to talk about the care she/he wants' [ 27].
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Time commitment, adds Smyth, is one of the main barriers.
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"One of the main barriers is the attitude of organisations in the voluntary sector," she says.
The main barriers in the U.S., however, are still cost-based rather than technological.
Responsibility to in-laws, children, property rights and other social factors act as the main barriers.
What are the main barriers?
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