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Table 2 Example of scheme used to identify barriers to change and to suggest interventions to address them

From: Identifying barriers and tailoring interventions to improve the management of urinary tract infections and sore throat: a pragmatic study using qualitative methods

Barriers to change

Data source

Interventions suggested

Rationale

Comments

Loss of income: Fee for telephone consultations 22 NOK compared to 110 NOK for ordinary visits (145 NOK for specialists in general practice).

Advisory group, guidelines panel, focus groups, brainstorming in workshops

Increase the fee for telephone consultations.

Telephone consultations should be preferred to ordinary consultations when it is safe and gives better service for patients. An increased fee addresses the financial disincentive.

We obtained funding from The Norwegian Ministry of Health and Social Affairs to evaluate the effect of increased fees for telephone consultations.