From: Perceived barriers to guideline adherence: A survey among general practitioners
 | Mean % | SD | Range | [min, max] |
---|---|---|---|---|
 | across all 16 recommendations | |||
Knowledge related barriers | Â | Â | Â | Â |
Lack of awareness/familiarity | 9.0 | 6.2 | 20.3 | (1.7-22.0) |
Attitude related barriers | Â | Â | Â | Â |
Lack of agreement | Â | Â | Â | Â |
   Lack of evidence | 12.2 | 3.8 | 13.6 | (5.1-18.7) |
   Lack of applicability in general | 22.4 | 13.4 | 42.5 | (5.0-47.5) |
   Lack of applicability to patients | 25.2 | 9.1 | 34.9 | (11.0-45.9) |
Lack of self-efficacy | 10.8 | 13.0 | 49.6 | (0.0-49.6) |
Lack of outcome expectancy | 9.6 | 5.3 | 17.7 | (1.7-19.4) |
Inertia of previous practice/lack of motivation | 16.9 | 7.5 | 25.8 | (3.9-29.7) |
External barriers | Â | Â | Â | Â |
Patient factors | Â | Â | Â | Â |
   Patient preferences | 23.0 | 15.4 | 67.4 | (8.8-76.2) |
   Patient ability and behaviour | 29.7 | 9.5 | 33.6 | (11.7-45.3) |
Guideline factors | Â | Â | Â | Â |
Guideline recommendation factors | 12.1 | 6.2 | 20.5 | (2.4-22.9) |
Environmental factors | Â | Â | Â | Â |
Lack of time/time pressure | 12.7 | 14.1 | 51.7 | (0.8-52.5) |
Lack of resources/materials | 6.1 | 7.4 | 23.3 | (0.8-24.1) |
Organisational constraints | 13.9 | 9.1 | 30.1 | (4.4-34.5) |
Lack of reimbursement | 3.8 | 5.1 | 15.2 | (0.0-15.2) |