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Table 7 Structural framework conditions

From: Potentials and current shortcomings in the cooperation between German centers for rare diseases and primary care physicians: results from the project TRANSLATE-NAMSE

Structural framework conditions in the health care system

Systemic problems mentioned by the physicians

A problem of the spatial distance to the center for rare diseases

Urban/rural differences in the health care provision possibilities

Scarcity of resources of physicians

Pressure from the health insurance companies

Waiting time for outpatient (further) therapy

Problem of alternative healing methods

Criticism of the politically desired “24/7 all-round health care provision”