<prompt> Translate the following text to EnglishKwa mfano, yeye alionyesha kwamba wasiwasi wa mifumo ya taasisi na kitaaluma kuhusu malipo au masuala ya kisheria, faragha, na usiri huathiri ikiwa wagonjwa wa ED hupokea uchunguzi na uingiliaji.  <response>: For example, she indicated that the concerns institutional and professional systems have about reimbursement or legal, privacy, and confidentiality issues influence whether ED patients receive screening and interventions. 