Level | Facilitator | Barrier |
---|---|---|
Patient | Taking responsibility for health (8, 47) | - |
Knowledge (8, 83) | - | |
Respect for advice of health care professional (6, 31) | - | |
- | Fear (8, 116) | |
- | Perceived low utility/risk (6, 38) | |
- | Side effects (5, 31) | |
Primary care provider | Active listening/unhurried pace (1, 2) | Rushing/not listening (7, 73) |
Trusting relationship (1, 1) | Broken trust (5, 41) | |
- | Not sharing information (6, 48) | |
Health care system | Embedded processes (4, 23) | No reminders (4, 11) |
Availability of services (5, 30) | - | |
Low/no cost (3, 9) | - | |
- | Limited time/1 issue per visit (7, 59) | |
- | Conflicting or changing guidelines (6, 12) |
*The first number in parentheses is the number of focus groups in which the theme was identified, and the second number is the number of coding references.