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Let's suppose that clinical care is poor due to numerous reasons: policy-making, insufficient resources, specialists, education, non-use of standards etc.

How to say this in one word that describes the nature of these numerous reasons? Would it be correct to use different-level?

Clinical care is poor due to numerous different-level reasons.

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  • 'Different' itself obviously works; you haven't explained what you mean by 'levels' here. Is there a hierarchy of reasons? Jan 28, 2021 at 13:38
  • I don't really understand what information the word level conveys here (and even different seems at least "redundant", since "numerous reasons" can't all be the same! :) But the short answer is you can't arbitrarily create such "compound adjectives". Yours is no more "valid" than, say, ...numerous different-importance factors (which is "comprehensible", but not "idiomatically valid"). Jan 28, 2021 at 13:42

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You can use "due to multiple reasons": WordHippo defines multiple as:

Numerous and often varied

  • We have multiple options to choose from for our next holiday.

I like very much manifold, though it may be considered a bit antiquated. It goes very well in formal writing though. It means:

Many and various or having more than one layer (WordHippo)

See this example from Cambridge:

many and of different types:

  • Our organization’s problems are manifold – too few members, too little money, and poor management.
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The question has examples of the categories of reasons: policy-making, insufficient resources, specialists, education, non-use of standards.

These categories illustrate the constituents of the whole clinical care process, which isn't restricted to just the patient-medic interaction.

Based on the experience of numerous visits to my local National Health Service (NHS) hospital with my elderly father, I can describe the various parts of the service one meets.

A patient being brought into A&E (Accident and Emergency) at an NHS hospital for example will be met by a triage nurse, then a porter to move the patient to the bed in the A&E, nurses to move the patient onto the bed, then a phlebotomist to collect a blood sample, A&E doctor to assess and, after being admitted to a ward, the ward nurses, pharmacists, specialists or even registrars.

Each of these groups of people may be considered at a different level with the whole healthcare organisation. The use of the term different-level may then allow the distinction of these separate groups of people.

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