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. 2014 Mar 22;9:36. doi: 10.1186/1748-5908-9-36

Table 5.

Barrier analysis

Item Rating
 Mean Sd Mode
Disagree Neutral Agree
a. Surgeons are reluctant to refer patients to a medical oncologist and/or radiation oncologist.
 85.0
 2.5
 12.5
 1.8
 1.4
 1.0
b. The referral process to a cancer centre or cancer specialist is complex.
 76.2
 11.9
 11.9
 2.5
 1.6
 1.0
c. The referral process to a cancer centre or cancer specialist is slow.
 53.8
 15.4
 30.8
 3.6
 1.8
 3.0
d. The referral process to a cancer centre or cancer specialist is unreliable.
 82.5
 7.5
 10.0
 2.3
 1.5
 1.0
e. Personal lack of clinical skill to implement the recommendations.
 90.2
 4.9
 4.9
 1.6
 1.3
 1.0
f. Organizational support from the clinical administrator leaders exists in the institution to support the implementation of the recommendations.
 31.7
 9.8
 58.5
 4.5
 2.3
 6.0a
g. There is adequate medical expertise in their region to implement the recommendations.
 9.3
 4.7
 86.0
 6.1
 1.6
 7.0
h. The patients in the studies comprising the evidentiary base do not reflect the typical patient they seen in the clinic.
 60.0
 15.0
 25.0
 3.1
 1.8
 2.0
i. It is easy for patients in their region to access the recommended treatment
 23.1
 5.1
 71.8
 5.1
 1.6
 5.0a
j. The implementation of the recommendations will result in unacceptable levels of adverse effects for the typical resected stage II and IIIA NSCLC patients seen in practice.
 86.5
 10.8
 2.7
 2.1
 1.1
 2.0
k. Optimizing the treatment of lung cancer patients is not as much of an organizational priority in their care setting as is the treatment of patients with other cancer diagnoses.
 66.7
 17.9
 15.4
 2.6
 1.7
 1.0
l. The implementation of the recommendations will yield the anticipated benefits as per the recommendations/guideline.
 66.7
 17.9
 15.4
 2.8
 1.6
 2.0
m. The recommendations are not cost effective. 77.5 15.0 7.5 2.4 1.3 1.0

a Multiple mode exists. The smallest value is shown.