Table 6 Interventions to address identified barriers (main results from post-hoc focus group and structured reflection exercise)
Barrier: Marketing activities by pharmaceutical industry | |||
|---|---|---|---|
| Â | Importance of barrier* | Interventions | Importance of interventions* |
Group 1 | 3 | - Competing approaches (educational materials; interactive educational workshops) | 2 |
Group 2 | 3 | - Outreach visits | 3 |
Group 3 | 3 | - Small group peer comparison | 1–2 |
Group 4 | 3 | - Continuing education system | Not graded |
Barrier: Routines and habits | |||
| Â | Importance of barrier* | Interventions | Importance of interventions* |
Group 1 | 3 | - Computerised reminders | 3 |
| Â | Â | - Audit and feedback | 2 |
| Â | Â | - Intention plus/trial of behaviour | 2 |
Group 2 | 2 | - Reminder | 3 |
| Â | Â | - Direct mail | 3 |
Group 3 | 2/3 | - Audit and feed back with peer comparison | 1 |
Group 4 | Not graded | - Computerised reminders | Not graded |
Barrier: Lack of knowledge | |||
| Â | Importance of barrier* | Interventions | Importance of interventions* |
Group 1 | 2 | - Educational material/guidelines | 2 |
| Â | Â | - Interactive educational meetings | 2 |
Group 2 | 2 | - Information to patients | 2 |
| Â | Â | - Local quality circles | 2 |
Group 3 | Not graded | - Financial incentives | 3 |
| Â | Â | - Reminders/Computerised Decisions Support Systems | 2 |
Group 4 | Not graded | - Continuing medical education | Not graded |
| Â | Â | - Computerised reminders | Â |
Barrier: Opinion leaders (or specialists) or competing guidelines | |||
| Â | Importance of barrier* | Interventions | Importance of interventions* |
Group 1 | 3 | - Develop national guidelines | 2 |
Group 2 | 3 | - Use opinion leaders | 3 |
Group 3 | 2 | - Guidelines shared by primary and specialist physicians | 1–2 |
Group 4 | Not graded | - Not explicitly addressed | - |
Barrier: Patient expectations | |||
| Â | Importance of barrier* | Interventions | Importance of interventions* |
Group 1 | 2 | - Patient materials | 3 |
| Â | Â | - Educational meetings for general practitioners | 2 |
Group 2 | Not mentioned | - None | - |
Group 3 | Not graded | - Skills programme training | 2 |
Group 4 | Not graded | - Information leaflet to patients about options | Not graded |