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Table 3 Strategies needed to overcome barriers of patient-centred care for women

From: Multi-level strategies to tailor patient-centred care for women: qualitative interviews with clinicians

LevelBarriersStrategies
PatientContextual factors (i.e. social determinants, culture) influence women’s health seeking and self-care behavior• Online appointments or transport to health services for women otherwise unable to get there
• Use of patient partners to help plan services sensitive to women’s needs, and assist in discussions, counseling, etc. at the patient level
ClinicianLacking knowledge or skill in patient-centred careMedical training and continuing professional development in PCC and in women’s health
Health SystemLimited time during appointments to address all domains of patient-centred care• Funding models that accommodate longer, more complex appointments
• Multidisciplinary teams
• Counseling, education and decision support by Physician Assistants or Nurse Practitioners
Lack of resources to support patient-centred careFunding and resources for clinics and services that specialize in or accommodate PCC for women
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