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Perceived barriers included: increased paperwork; lack of knowledge and understanding of end of life care; costs; and gaining the cooperation of GPs.
Participants identified barriers to the monitoring of service quality that included outdated modes of collecting data, personnel who were already burdened by paperwork, lack of time to collect data, and limited skills to analyse and interpret data.
Barriers to implementing the programme reported by staff included: the amount of paperwork; lack of understanding of the palliative care terminology used in the GSFCH paperwork (Q2); time and money; and staff believing that palliative care was only for residents with cancer.
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It is the paperwork, the lack of objectives and loads of jargon, she said, but also the "shouty" atmosphere.
Also, says Dieter Helm who is an Oxford don as well as director of OXERA, a consultancy the burden of paperwork and lack of research funds are extra reasons not to become an academic.The market for economists works far better outside the universities than it does inside them.
Barriers to utilisation included distance to hospitals, difficulty with claims paperwork and lack of awareness about insurance coverage [ 23].
We found that for some homes, the increased paperwork and lack of resources (time, money, and staff) were a problem.
This will require a fundamental change in the role of supervisors, who currently focus on documentation and paperwork and lack the expertise to serve as role models for providers.
These veterans reported that barriers included wait times, distance to the VA facility, concerns about VA staff reputation, paperwork hassle, lack of information, limited service hours, fear/embarrassment/stigma, and having other insurance.
Another was referred by an andrologist to his general practitioner for a new drug, which the general practitioner refused to prescribe (lost paperwork, perceived lack of knowledge, and unacceptable cost to the National Health Service).
Many were acquired after 1970 and lack paperwork showing how they left Cambodia.
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