Skip to main content
. 2010 Sep 20;11:68. doi: 10.1186/1471-2296-11-68

Table 1.

Factors that inhibit or promote preventive care from the GP's perspective.

Inhibiting factors related to Promoting factors related to
Patients Patients

Patient attitude: no motivation, (patients want to be left alone, resistance, no candidness, inflexibility, negative attitudes, passive expectations, prevention is not possible in geriatric cases)* Patient attitudes: motivation, increasing demand
Patient characteristics: low literacy, age* Information from internet and media
Unnoticeable risk factors and repression of unpleasant findings Crisis health situation
Difficulty implementing behavior changes Willingness to pay additional costs*
No willingness to pay additional costs
No support from family*

GPs GPs

GP attitudes: negative attitudes and own health habits, low motivation for counseling, (restraining commitment and motivation of patients by GPs)* Positive experiences
Financial concerns Spending time aimed at increasing compliance and motivation
Lack of time Positive resonance through preventive offers, e.g. courses
Focus on acute care Financial support*
Lack of persuasion ability
Lack of awareness of preventive measures for elderly*

Healthcare System Healthcare System

Acute-care orientation of health system Health promotion is a huge field of investment
Absence of political will to invest in prevention More offers for preventive care being a new topic in the media
No/inadequate reimbursement Health insurance companies are obliged to financially support preventive care
Limited number of offers from health insurance companies No facilitators for elderly patients were mentioned
Fragmentation of care
No social interest in preventive care in old age*

* Additional determinants for preventive care in elderly individuals from the GP's perspective