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Table 2 Barriers identified from patient-provider encounters

From: Discussions about preventive services: a qualitative study

Precede/Proceed construct

Barrier

Predisposing factors (beliefs, attitudes, knowledge, demographics, background)

Fear of becoming ill from influenza vaccine

No symptoms of colorectal cancer

Reinforcing factors (rewards or punishments which follow the behavior

or are anticipated as a consequence)

Anecdotes of negative experiences with influenza vaccine

Enabling factors (environmental factors, such as health insurance, cost, and structural barriers, such as ease of access to care)

Patient unable to receive influenza vaccine during visit due to acute illness

Dependence on others for transportation makes return visits more difficult to schedule

Misunderstanding/misinformation about cost of influenza vaccine

Complexity of colorectal screening process

Many topics covered in visits