|
A
|
Barriers to reporting: practitioner end
|
n %
|
|
1
|
Knowledge
|
| |
Lack of information what, how, where to report /unfamiliarity on reporting process/system [15, 16, 30, 33, 37, 49, 51, 53]
|
8 (20%)
|
|
2
|
Attitudes
|
| |
Motivation [11, 14, 51, 59] and lethargy [15]
|
5(12.5%)
|
| |
Should be financially reimbursed [15, 27]
|
2 (5%)
|
| |
Disease reporting not considered a priority [51]
|
1 (2.5%)
|
|
3
|
Perceptions
|
| |
Patient confidentiality [14, 15, 30, 34, 37, 53, 56]
|
8 (20%)
|
| |
Legal issues [14, 15, 33, 51]
|
4 (10%)
|
| |
Complicated reporting systems [37, 51, 53]
|
3 (7.5%)
|
| |
Fear of losing patients [16, 28]
|
2 (5%)
|
| |
Beyond scope of clinicians responsibilities /No obvious benefit [11, 51]
|
2 (5%)
|
| |
Misconception about reporting procedures [30]
|
1 (2.5%)
|
| |
Appear foolish if misdiagnosed [15]
|
1 (2.5%)
|
| |
Fear notification may trigger further investigations [15]
|
1 (2.5%)
|
|
4
|
Practice
|
| |
Infrastructure issues such as human (adequate and skilled, staff turnover) resources and equipment resources [14, 17, 27, 31, 32, 48, 50, 51, 58]
|
9 (22.5%)
|
| |
Lack of time/additional burden [14,15,16,17, 33, 34, 53]
|
7 (17.5%)
|
| |
Lack of reporting forms/registers [15, 37] impractical design [15]
|
3 (7.5%)
|
| |
No lab or technician [11, 26, 48]
|
3 (7.5%)
|
| |
Cost of reporting [59]
|
1 (2.5%)
|
|
B
|
Barriers to reporting: government and public sector end
|
n %
|
| |
Lack of clear instructions/inadequate dissemination of guidelines/no assistance with reporting procedures, supervision or feedback etc. [14, 22, 24, 33, 34, 43, 46, 48, 51]
|
9 (22.5%)
|
| |
Lack of cooperation/coordination/collaborative environment/positive dialogue (Govt. and private sectors) [14, 22, 30, 37, 46, 48, 51]
|
7 (17.5%)
|
| |
Lack of leadership/strong and proactive administration [28, 31, 34, 48, 55, 59]
|
6 (15%)
|
| |
No punitive action or regulation [11, 22, 30, 53] (separate regulatory function from service provision [27])
|
5 (12.5%)
|
| |
Non-involvement of range of private healthcare providers [11, 22, 27]
|
3 (7.5%)
|
| |
Other (Red tapism [33], lack of simplified system [37]
|
2 (5%)
|
