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.

BBC: Guernsey animal charity to release two seal pups

As discussed in the accompanying interview, medical office buildings or MOBs are a direct beneficiary of the Affordable Care Act, which is adding an additional 30 to 40 million insured individuals over time.

FORBES: A Prescription For A Durable Health Care REIT That Yields 5.5 Percent