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Table 3 Barriers to reaching recommended treatment goals and possible interventions to address them

From: Improving prescribing of antihypertensive and cholesterol-lowering drugs: a method for identifying and addressing barriers to change

Possible barriers Possible interventions
Physicians are not accountable to anyone - Feed-back on to what extent treatment goals are reached among his/her pool of patients (audit)
Physicians are unsure of what treatment goal to use - Give clear treatment goals (during outreach visit)
- Point at the relatively high degree of consensus among guidelines (during outreach visit)
Reluctance and unclear strategy among physicians on how to deal with insufficient treatment - Support for decision-making if goal is not reached
Physicians may be underestimating the consequence of under-treatment - Educational outreach visit