Another major obstacle for doctors in conducting clinical trials was the lack of time.
(And even the FDA's "compassionate-use" program, designed to permit the terminally ill to use certain unapproved drugs, is laden with bureaucratic obstacles for patients, doctors and pharmaceutical companies).
This was unrelated to a potential language barrier that may exist in global trials, which was not perceived as an obstacle for many doctors at both KUHP and SNUH.
Time constraints and short-handedness of clinical research coordinators/research nurses represented the greatest obstacles in conducting clinical trials for doctors at both institutions.
Notwithstanding this increased interest, there have been few qualitative studies of doctors, and none specifically looking at the question of obstacles preventing return to work for doctors with long-term difficulties.
In this sense at least, the barriers they describe may not merely be obstacles to success, but may sometimes have a protective function for doctors acting within a difficult arena.
But spokesmen for doctors say the same H.M.O.'s often create obstacles to preventive care with such practices as charging patients a co-payment for a visit to a doctor that may lead to a colon screening.
Training for doctors and nurses In Ms. Maboule's house, Ms. Djanatou overcomes these obstacles by producing a poster with pictures of foods such as eggs, fruit and highly nutritious vegetables.
It also outlines typical obstacles to providing it: national laws that make it hard for pharmacists to stock powerful painkillers, lack of training for doctors and nurses, and fears of addiction on the part of patients.
The obstacles facing doctors are as much social, cultural and legal as they are medical.
"Same for doctors, lawyers, priests.
