Table 3 |
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|
Perceived barriers to the implementation of key recommendations per guideline |
||||||||
|
Clinical practice guideline (Number of key recommendations) |
Knowledge |
Atttitude |
Behaviour |
|||||
|
Lack of awareness/familiarity |
Lack of agreement |
Lack of self-efficacy |
Lack of outcome expectancy |
Inertia previous practice/lack of motivation |
Patient factors |
Guideline factors |
Environmental factors |
|
|
|
||||||||
|
Asthma among children (7) |
+ |
++ |
- - |
+ |
- - |
- |
+ |
- |
|
Atrial fibrillation (5) |
- - |
+ |
- - |
- - |
- |
- - |
+ |
++ |
|
Cardiovascular risk management (7) |
- - |
- |
- - |
- - |
+ |
- |
- |
- |
|
Cerebrovascular accident (5) |
+ |
++ |
- |
- |
- - |
- - |
++ |
- - |
|
Depressive disorder (5) |
- - |
+ |
- - |
- - |
- - |
- |
- - |
- - |
|
Eye inflammation (3) |
- |
+ |
- |
- |
+ |
+ |
- - |
++ |
|
Rhinosinusitis (2) |
- - |
++ |
- - |
++ |
- - |
++ |
+ |
+ |
|
Sexually transmitted diseases (4) |
++ |
+ |
+ |
- |
+ |
+ |
++ |
+ |
|
Sleeping disorder (7) |
+ |
- |
- - |
- |
- - |
- |
- - |
- |
|
Thyroid disorder (3) |
+ |
++ |
+ |
-- |
- - |
+ |
- |
++ |
|
Transient ischemic attack (3) |
++ |
++ |
- |
- |
- |
- |
- |
- |
|
Urinary tract infections (5) |
+ |
++ |
- - |
- |
- |
- - |
- |
++ |
|
Mean 12 guidelines (4.7) |
- |
+ |
- - |
- |
- |
- |
- |
+ |
|
|
||||||||
|
-- barrier applicable to 0 to 25% of the key recommendations - barrier applicable to 25 to 50% of the key recommendations + barrier applicable to 50 to 75% of the key recommendations ++ barrier applicable to 75 to 100% of the key recommendations |
||||||||
|
Lugtenberg et al. Implementation Science 2009 4:54 doi:10.1186/1748-5908-4-54 |
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