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Because of existing concerns about the current usefulness of the system this guidance is not included in the Report . About 60 % of pediatricians perceive no change in time spent per patient / family for a new patient visit as a result of participation in managed care ; however 31 % report a decrease from an average of 26 minutes per patient / family prior to participation in managed care to a current average of 20 minutes . The value should be set to the current diameter of the Internet . Although this is an issue for Member States to decide , permit me to say that there is consensus that the current make-up of the Council reflects the world of 1945 , not today . PERC is an interdisciplinary research centre which focuses on policy problems raised by the current transformation of the world economy .