. 2011 Mar 10;6(3):e17302. doi: 10.1371/journal.pone.0017302

Table 5. Barriers experienced by specialists of Internal medicine and Surgery, as well general practitioners.

	Internists (%)^a			Surgeons (%)^a			General practitioners (%)^a
Barriers	Vaccination	Antibiotics	Prevention^b	Vaccination	Antibiotics	Prevention^b	Vaccination	Antibiotics	Prevention^b
Attitude-related barrier
I do not agree with the guideline contents	7,1	10,5	4,9	0	20	3,3	2,2	4,3	6,4
Recommendations are not evidence-based	9,5	15,4	12,2	0	13,3	0	2,2	4,3	8,5
Recommendation is time consuming	14,3	2,6	-	0	3,3	-	4,3	4,3	4,3
Patients' comorbidity	42,9	-	-	17,2	-	-	-	-	-
Long-term use of antibiotics is a patient burden	-	-	-	-	-	-	-	43,5	-
External factors
Physicians' responsibilities are not clarified	53,5	44,7	51,2	43,3	46,7	48,4	63	60,9	40,4
The specialty registrar^c is not aware of the need	61,9	56,4	51,2	50	53,3	48,3	55,3	54,3	51,1
The patient is not informed about the need	83,3	81,6	-	90	90	-	80,9	89,1	-
Patient is resistant to receive the measure	16,7	20,5	-	13,3	20	-	23,4	28,3	-
The GP does not comply with my suggestion	33,3	59	58,5	40	41,4	41,4	-	-	-
The specialists' instructions are incorrect	-	-	-	-	-	-	32,6	45,7	27,7
The specialists' instructions in the discharge letter are incomplete	-	-	-	-	-	-	46,8	52, 2	51,1
Different hospitals recommend different policies	-	-	-	-	-		31,9	45,7	36,2
Lack of reimbursement for NeisVac-C vaccin	-	-	-	-	-	-	25,5	-	-

percentages indicate the number of physicians that either “strongly agree” or “agree” with the proposed barrier.

prevention: give advice to patient when travelling and prompt treatment of unusual infections.

specialty registrar = in training for Medical or Surgical consultant, general practitioner in training.