“…They offer little hope of slowing the growth of health care costs and add further bureaucratic costs and complexity to our health care financing system.…”
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“…Any account of the development of policy in this field needs placing in the context of the early history of nineteenth-century anti-vice crusades; the role of the Army Medical Corps during the 1914-18 war; and the bureaucratic protectionism of the Ministry of Health personnel.…”
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“…Dentists experienced the organization as bureaucratic and difficult. Moreover, differences between being institutionalized or living at home were present. …”
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“…Through detailed illustrative examples we highlight some of the unintended consequences of bureaucratic forms of accountability, the importance of relational elements in enabling effective bureaucratic accountability, and the ways in which front-line managers can sometimes creatively draw upon one set of accountability requirements to challenge another set to meet their goals. …”
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“…In order not to encounter bureaucratic obstacles in emergency assistance, orthopedic clinics in different risk regions should be formally matched beforehand. …”
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“…CONCLUSIONS: This study provides creditable evidence that mandated learning plans are broadly considered by users to be a bureaucratic impediment with little value as a learning tool. …”
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“…The paper concludes by recommending strongly that foreign aid should concentrate on supporting and strengthening the national government system. Complex bureaucratic process must be minimised and streamlined in order to provide quality care to the beneficiaries.…”
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“…Relationships with patients moderated the association between bureaucratic demands and patient-related burnout (b=–0.15; 95% CI, –0.27 to –0.04; p=0.01). …”
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“…The Ministry of Health coordinated policy processes, utilising its bureaucratic mandate and exerted high influences over each policy. …”
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“…Public health interventions could focus on creating or utilising such spaces where mental health support is available. Crucially, bureaucratic and legal burdens that impede speedy family reunification should be reduced. …”
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“…This has saved Ayurveda to become part of the highly structured and bureaucratic form of health care and health education- at the expense of not being consulted by others when working on a social health oriented development strategy.…”
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“…CONCLUSION: The tensions and complicated relationships between technical considerations and politics and bureaucratic versus public arenas of conflict are important influences that can cause items to rise and fall on policy agendas.…”
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“…Findings demonstrate that obtaining health care is strongly influenced both by the individual context of HIL knowledge, experience, and life circumstances, and by the structural context of the complex, bureaucratic, and costly health care system.…”
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“…In the end, author Christopher Hollings argues that physical accessibility was generally good in both directions, but that Western scientists were afflicted by greater linguistic difficulties than their Soviet counterparts whose major problems were bureaucratic in nature. This volume will be of interest to historians of Cold War science, particularly those who study communications and language issues. …”
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“…The founding assumption is that epidemic intelligence must be placed at the service of public health. Bureaucratic tension and changes in protagonism among different groups can be observed as these intelligence mechanisms were dismantled.…”
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“…To overcome these, it will be necessary to disseminate knowledge regarding the effectiveness of health promotion actions for older workers, encourage greater involvement on the part of social partners, recover resources by replacing medical consumerism and bureaucratic practices, adopt an integrated approach combining the prevention of occupational risks and the promotion of healthy lifestyles, and recognize subsidiarity and the ability of working communities to regulate themselves.…”
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“…Today, increasing constraints in the form of mandatory documentation, guideline-based requirements, and other bureaucratic necessities have limited the time that the physician can truly spend on communicating with the patient. …”
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“…It may have dragged the worst of care upwards, but at the expense of creating a bureaucratic monstrosity that has hindered good practice by excessive attention to risk, and vastly increased paperwork with intangible benefit. …”
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“…I argue that the higher goal of building a counter-trafficking apparatus — in itself a political objective — limits the rights of “victims,” making processes that claim to be part of their protection de facto neo-liberal anti-political exercises in reenforcing bureaucratic state power.…”
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