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Unfortunately, most post-MI patients who fulfill these criteria for AICD therapy will not receive AICD implantation in most countries due to reimbursement difficulties (16).
Barriers to the delivery of primary health care interventions include lack of prescribing authority, lack of support from physicians, reimbursement difficulties and lack of public awareness [ 4].
The barriers include a range of issues encountered in clinical interactions with patients such as lack of time, lack of availability of educational resources and training, lack of reimbursement, difficulties in maintaining privacy/confidentiality, and lack of counselling.
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These arrangements make the administration of the scheme difficult due to complex ordering and reimbursement processes, difficulties in maintaining supply and storage, as well as the challenges of making the supplements available for families.
While some challenges addressed facets such as a lack of time and physician reimbursement schedules, significant difficulties specific to a surgical setting were also identified.
At the individual level, providers with fewer enrolees encountered difficulties with reimbursement.
There were significant delays and difficulties in reimbursement through the health care organisation.
Providers with fewer enrolees encountered difficulties with reimbursement which caused poor administrative efficiency, according to our findings.
Obviously, this did not resolve all the problems, since there are reimbursement delays and implementation difficulties, but it is an interesting experiment [ 32].
Among several providers' characteristics and experiences which significantly influenced ORU, it seems relevant that providers with fewer enrolees encountered particular difficulties with reimbursement.
A number of barriers to the use of zoster vaccine have been identified, with the most important being financial concerns, reimbursement issues, and storage difficulties [ 22].
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