First, direct out-of-pocket payments at the time of care are identified as the single biggest barrier to universal coverage.

首先，在接受医疗服务时直接自掏腰包付费是影响全民覆盖的最大障碍。

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Systems that rely heavily on direct payments, including user fees, at the time of care actually increase poverty.

主要依靠在诊疗时直接付费、包括向使用者直接收费的制度实际上加剧了贫困。

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Objective To investigate the average direct and indirect intensive care nursing time per day or shift of patients after extracorporeal circulation ope ration in order to arrange manpower reasonablely.

目的调查患者体外循环术后各天、各班次平均重症监护所需的直接和间接护理时数，以合理配置护理患者所需的人力资源。

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Time taken up with paperwork is time taken away from direct patient care.

BBC: Stethoscope

"They have had no direct human contact for some time to ensure that, after the intensive care they first had when they arrived, they are de-sensitised from people feeding them, " Mr Byrne said.

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In summary, according to the research, employers currently give their employees the time they need to provide care without the fear of losing your job, but do not offer direct caregiving support and services.

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