Removing personal barriers may require a fundamental change in how CIOs view their capabilities and responsibilities.

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They said health workers "too often find barriers in the personal opinions of senior staff, e.g. senior managers will not allow condom distribution by local authority youth workers".

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Government bureaucrats have implemented barriers to entry on professions from florists to interior designers, personal trainers to retailers of frozen desserts.

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Freeman identified five main barriers his patients faced in receiving care: financial, communication, medical system, psychological and personal.

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