Table 6 |
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|
Interventions to address identified barriers (main results from post-hoc focus group and structured reflection exercise) |
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|
Barrier: Marketing activities by pharmaceutical industry |
|||
|
|
|||
|
Importance of barrier* |
Interventions |
Importance of interventions* |
|
|
|
|||
|
Group 1 |
3 |
- Competing approaches (educational materials; interactive educational workshops) |
2 |
|
Group 2 |
3 |
- Outreach visits |
3 |
|
Group 3 |
3 |
- Small group peer comparison |
1–2 |
|
Group 4 |
3 |
- Continuing education system |
Not graded |
|
|
|||
|
Barrier: Routines and habits |
|||
|
|
|||
|
Importance of barrier* |
Interventions |
Importance of interventions* |
|
|
|
|||
|
Group 1 |
3 |
- Computerised reminders |
3 |
|
- Audit and feedback |
2 |
||
|
- Intention plus/trial of behaviour |
2 |
||
|
Group 2 |
2 |
- Reminder |
3 |
|
- Direct mail |
3 |
||
|
Group 3 |
2/3 |
- Audit and feed back with peer comparison |
1 |
|
Group 4 |
Not graded |
- Computerised reminders |
Not graded |
|
|
|||
|
Barrier: Lack of knowledge |
|||
|
|
|||
|
Importance of barrier* |
Interventions |
Importance of interventions* |
|
|
|
|||
|
Group 1 |
2 |
- Educational material/guidelines |
2 |
|
- Interactive educational meetings |
2 |
||
|
Group 2 |
2 |
- Information to patients |
2 |
|
- Local quality circles |
2 |
||
|
Group 3 |
Not graded |
- Financial incentives |
3 |
|
- Reminders/Computerised Decisions Support Systems |
2 |
||
|
Group 4 |
Not graded |
- Continuing medical education |
Not graded |
|
- Computerised reminders |
|||
|
|
|||
|
Barrier: Opinion leaders (or specialists) or competing guidelines |
|||
|
|
|||
|
Importance of barrier* |
Interventions |
Importance of interventions* |
|
|
|
|||
|
Group 1 |
3 |
- Develop national guidelines |
2 |
|
Group 2 |
3 |
- Use opinion leaders |
3 |
|
Group 3 |
2 |
- Guidelines shared by primary and specialist physicians |
1–2 |
|
Group 4 |
Not graded |
- Not explicitly addressed |
- |
|
|
|||
|
Barrier: Patient expectations |
|||
|
|
|||
|
Importance of barrier* |
Interventions |
Importance of interventions* |
|
|
|
|||
|
Group 1 |
2 |
- Patient materials |
3 |
|
- Educational meetings for general practitioners |
2 |
||
|
Group 2 |
Not mentioned |
- None |
- |
|
Group 3 |
Not graded |
- Skills programme training |
2 |
|
Group 4 |
Not graded |
- Information leaflet to patients about options |
Not graded |
|
|
|||
|
*1 = minor, 2 = moderate, 3 = major |
|||
|
Fretheim et al. BMC Health Services Research 2004 4:23 doi:10.1186/1472-6963-4-23 |
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