Skip to main content

Advertisement

Table 6 Interventions to address identified barriers (main results from post-hoc focus group and structured reflection exercise)

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

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. *1 = minor, 2 = moderate, 3 = major