Table 2 Factors (items) influencing cluster ratings for amenability to intervention
Cluster | Influential items (factors) within cluster | Item # |
|---|---|---|
Treatment Problems | Â | Â |
| Â | prolonged time to accurate diagnosis | 31 |
| Â | lack of continuity of care | 36 |
| Â | poor interprofessional communication | 66 |
| Â | lack of education/support for physicians in pain management (i.e. lack of guidelines) | 52 |
| Â | unavailability of multidisciplinary team-based care | 44 |
| Â | inability to get non-pharmacological treatments (e.g. physiotherapy, acupuncture, massage therapy) | 54 |
| Â | lack of resources in assisting patients with NA addiction/withdrawal | 21 |
| Â | pharmacist and physician lack of knowledge of non-NA options | 25 |
Physician Factors | Â | Â |
| Â | clinician's expectations around pain management (e.g. goal of 'zero pain') | 38 |
| Â | (lack) of a contract between physicians and patients (narcotic contract) | 76 |
Pharmacy-related Factors | Â | Â |
| Â | poor availability of effective alternative medications (including non-narcotic medications) | 53 |
| Â | use of long-acting rather than short-acting NAs | 59 |
| Â | availability of drug plan online, so pharmacist is aware of number of prescriptions, frequency of refills, available substitutions | 37 |
| Â | no upper limit of NA dosage | 60 |