Table 1 Factors that inhibit or promote preventive care from the GP's perspective.
Inhibiting factors related to | Promoting factors related to |
|---|---|
Patients | Patients |
Patient attitude: no motivation, (patients want to be left alone, resistance, no candidness, inflexibility, negative attitudes, passive expectations, prevention is not possible in geriatric cases)* | Patient attitudes: motivation, increasing demand |
Patient characteristics: low literacy, age* | Information from internet and media |
Unnoticeable risk factors and repression of unpleasant findings | Crisis health situation |
Difficulty implementing behavior changes | Willingness to pay additional costs* |
No willingness to pay additional costs | Â |
No support from family* | Â |
GPs | GPs |
GP attitudes: negative attitudes and own health habits, low motivation for counseling, (restraining commitment and motivation of patients by GPs)* | Positive experiences |
Financial concerns | Spending time aimed at increasing compliance and motivation |
Lack of time | Positive resonance through preventive offers, e.g. courses |
Focus on acute care | Financial support* |
Lack of persuasion ability | Â |
Lack of awareness of preventive measures for elderly* | Â |
Healthcare System | Healthcare System |
Acute-care orientation of health system | Health promotion is a huge field of investment |
Absence of political will to invest in prevention | More offers for preventive care being a new topic in the media |
No/inadequate reimbursement | Health insurance companies are obliged to financially support preventive care |
Limited number of offers from health insurance companies | No facilitators for elderly patients were mentioned |
Fragmentation of care | Â |
No social interest in preventive care in old age* | Â |