Table 5

Barriers

Barriers

Impact of Barriers


Time constraints

N = 26; 66%

Changed timeline

N = 12; 31%


Costs

N = 18; 47%

Provided training

N = 8; 21%


Equipment problems

N = 11; 29%

Changed staffing

N = 5; 13%


Lack of properly trained/motivated staff

N = 10; 26%

Brought in external consultants

N = 2; 5%


Took more time than expected

N = 9; 24%

Changed systems/processes

N = 2; 5%


Lack of financial incentives

N = 8; 21%

Increased budget

N = 1; 3%


Resistance of clinical staff

N = 7; 18%

Changed leadership

N = 0


Staff turnover

N = 5; 13%


Process more difficult than expected

N = 4; 10%


Conflicting pressures from others

N = 4; 10%


Used more resources than expected

N = 3; 8%


Incompatible systems/processes

N = 3; 8%


Evaluation of results

N = 2; 5%


Tracking implementation

N = 2; 5%


Lacked information on process

N = 1; 3%


Lack of nonfinancial rewards

N = 1; 3%


Factors cited as barriers to performance measurement and quality improvement, reported in percentages of physicians who reported them.

Wolfson et al. BMC Family Practice 2009 10:14   doi:10.1186/1471-2296-10-14

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