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The barriers are organizational culture, technology and standards, staff knowledge about health information exchange, consumer knowledge about health information, in-house resources for information management, privacy and security leadership, global market, and legal barriers. From these eight barriers I believe the four key issues are in-house resources, privacy and security, staff knowledge and technology. The first issue is the in-house resources which basically means who is going to pay for all of this technology. The government might pay for all the state and federal facilities but what about the private ones...
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