Table 4

Main barriers and facilitators for implementing the COPD guideline and measurement instruments
Barriers (Strongly) Disagree Neither agree nor disagree (Strongly) Agree
Working with the COPD guideline requires a higher fee for service 27% 32% 41%
I cannot try elements to adopt the COPD guideline without much time investmenta 37% 22% 40%
Working with the guideline COPD takes too much time. 35% 27% 37%
General practitioners do not collaborate in adopting the COPD guideline 27% 46% 27%
Facilitators
MI support me in clinical reasoning and decision making 4% 6% 91%
MI provide information beyond my own professional views 4% 5% 91%
MI support my diagnostic process 4% 6% 90%
The COPD guideline allows me to make my own decisions 7% 10% 83%
I have skills to apply the COPD guidelinea 8% 11% 81%
I have knowledge to apply the COPD guidelinea 10% 10% 80%
The COPD guideline allows me to include patient preferences 7% 13% 80%

aPositive/negative phrasing of these items have been reversed for uniform presentation.

MI: Measurement Instruments.

van der Wees et al.

van der Wees et al. BMC Health Services Research 2013 13:159   doi:10.1186/1472-6963-13-159

Open Data