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Germany stands below the other listed countries because evidence expectations and interoperability checks can lengthen procurement and market entry

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Horowitz M, Aroda VR, Han J, Hardy E, Rayner CK

Several factors influence the patients level of adherence and can be distinguished as social and economic factors, patient-related factors (health beliefs, health literacy), therapy-related factors (complexity of the treatment, adverse events), presence of comorbidities (neurological/psychiatric or of different origins), and factors related to the healthcare system (doctor-patient relationship, difficulty in obtaining follow-up visits)

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