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Table 3 Barriers to guideline usage and provision of smoking cessation care by profession (N = 883)

From: Facilitating smoking cessation in patients who smoke: a large-scale cross-sectional comparison of fourteen groups of healthcare providers

 

Guideline

Environment

Patient

 

N

SCC training professional

Adaptability

Complexity

Patient reimbursement

Professional rewards

Time

Task interference

Materials

Referral possibilities

Sensitive subject

Negative SCC

Unmotivated

Dishonest

Relationship

Physicians

 Addiction specialist

45

18%

7%

4%

58%

16%

24%

27%

16%

18%

22%

4%

27%

5%

2%

 Anaesthesiologist

62

61%

13%

8%

24%

18%

57%

52%

34%

19%

52%

36%

65%

39%

8%

 Cardiologist

52

48%

8%

4%

27%

19%

50%

44%

25%

29%

33%

14%

29%

27%

2%

 GP

148

24%

4%

5%

39%

33%

45%

35%

8%

17%

28%

16%

31%

12%

3%

 Internist

63

54%

18%

6%

37%

11%

38%

44%

22%

29%

33%

22%

56%

8%

0%

 Neurologist

63

64%

10%

6%

19%

14%

61%

49%

29%

24%

35%

21%

35%

8%

0%

 Paediatrician

36

53%

8%

6%

14%

8%

44%

31%

14%

6%

42%

19%

39%

19%

8%

 Pulmonologist

102

35%

8%

5%

45%

25%

44%

34%

15%

24%

43%

23%

40%

20%

0%

 Other

31

55%

10%

10%

10%

13%

39%

42%

36%

13%

23%

26%

42%

3%

0%

 Ophthalmologist

16

63%

25%

0%

19%

0%

56%

50%

25%

6%

38%

38%

44%

38%

0%

 Surgeon

68

53%

4%

7%

24%

22%

56%

41%

16%

22%

52%

37%

47%

37%

7%

 Youth specialist

48

65%

25%

8%

19%

15%

65%

65%

31%

8%

48%

27%

52%

23%

10%

Other healthcare professionals

 Dental hygienist

58

59%

7%

7%

24%

28%

40%

26%

29%

21%

60%

33%

36%

29%

14%

 Dentist

26

58%

15%

12%

15%

27%

46%

39%

23%

19%

50%

39%

54%

35%

27%

 Midwife

65

26%

0%

5%

39%

37%

54%

40%

20%

17%

57%

31%

49%

35%

20%

Total

883

45%

10%

6%

31%

22%

48%

40%

21%

19%

41%

24%

42%

21%

6%

  1. Percentages refer to participants who indicated that a factor was a ‘strong’ or ‘very strong’ barrier. Percentages ≥50 are indicated in bold
  2. GP general practitioner, SCC smoking cessation counselling