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Table 3 Mean percentage of GPs that perceive various types of barriers, based on 16 recommendations from 4 guidelines (n = 264)

From: Perceived barriers to guideline adherence: A survey among general practitioners

 

Mean %

SD

Range

[min, max]

 

across all 16 recommendations

Knowledge related barriers

    

Lack of awareness/familiarity

9.0

6.2

20.3

(1.7-22.0)

Attitude related barriers

    

Lack of agreement

    

   Lack of evidence

12.2

3.8

13.6

(5.1-18.7)

   Lack of applicability in general

22.4

13.4

42.5

(5.0-47.5)

   Lack of applicability to patients

25.2

9.1

34.9

(11.0-45.9)

Lack of self-efficacy

10.8

13.0

49.6

(0.0-49.6)

Lack of outcome expectancy

9.6

5.3

17.7

(1.7-19.4)

Inertia of previous practice/lack of motivation

16.9

7.5

25.8

(3.9-29.7)

External barriers

    

Patient factors

    

   Patient preferences

23.0

15.4

67.4

(8.8-76.2)

   Patient ability and behaviour

29.7

9.5

33.6

(11.7-45.3)

Guideline factors

    

Guideline recommendation factors

12.1

6.2

20.5

(2.4-22.9)

Environmental factors

    

Lack of time/time pressure

12.7

14.1

51.7

(0.8-52.5)

Lack of resources/materials

6.1

7.4

23.3

(0.8-24.1)

Organisational constraints

13.9

9.1

30.1

(4.4-34.5)

Lack of reimbursement

3.8

5.1

15.2

(0.0-15.2)