Table 2

Perceived barriers to guideline use
Survey question(N=number of respondents) Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree
Resource barriers
Treatment guidelines are hard to implement in daily practice due to lack of medical resources (investigational abilities, etc.) (N = 496) 23 (5%) 137 (28%) 93 (19%) 205 (41%) 38 (8%)
Treatment guidelines are hard to implement in daily practice due to a lack of resources of patients (expensive medicines, etc.) (N = 494) 22 (4%) 130 (26%) 97 (20%) 214 (43%) 31 (6%)
There is no time to search for information (N = 490) 50 (10%) 157 (32%) 40 (8%) 172 (35%) 71 (14%)
System barriers
Treatment guidelines are not accessible (N = 488) 7 (1%) 69 (14%) 55 (11%) 202 (41%) 155 (32%)
Treatment guidelines are too complicated and it is difficult to find the information (N = 489) 15 (3%) 74 (15%) 60 (12%) 256 (52%) 84 (17%)
Attitudinal barriers
Treatment guidelines reduce doctors’ autonomy (a ‘cookbook’) (n = 492) 26 (5%) 94 (19%) 51 (10%) 229 (47%) 92 (19%)
Treatment guidelines limit treatment options (N = 483) 16 (3%) 44 (9%) 52 (11%) 267 (55%) 104 (22%)
Treatment guidelines limit flexibility and individual approach (N = 483) 29 (6%) 87 (18%) 52 (11%) 252 (52%) 63 (13%)
There is no need for treatment guidelines as treatment routines exist (N = 490) 5 (1%) 15 (3%) 32 (7%) 220 (45%) 218 (44%)
Patient barriers
Patients do not want doctors to conform to treatment guidelines (N = 483) 4 (1%) 11 (2%) 179 (37%) 136 (28%) 153 (32%)

Taba et al.

Taba et al. BMC Health Services Research 2012 12:455   doi:10.1186/1472-6963-12-455

Open Data