Table 3.
MD, No. (%) | PA, No. (%) | RN, No. (%) | P Value | |
---|---|---|---|---|
Provider attitudes––BFAI | ||||
Knowledge, motivation | ||||
Barrier | 40 (74.1) | 48 (56.5) | 39 (42.9) | .001 |
Training/education | ||||
Barrier | 15 (27.8) | 6 (7.1) | 9 (9.9) | .001 |
Provider attitudes––additional skills needed | ||||
Barrier | 0 (0.0) | 1 (1.2) | 58 (8.8) | .008 |
Patient factors––BFAI | ||||
Seem healthy/asymptomatic | ||||
Barrier | 5 (9.3) | 16 (18.8) | 28 (30.8) | .007 |
Patient factors––additional items | ||||
Patient awareness | ||||
Barrier | 34 (63.0) | 70 (82.4) | 65 (71.4) | .035 |
Patient doubt | ||||
Barrier | 34 (63.0) | 70 (82.4) | 65 (71.4) | .023 |
Causing discomfort | ||||
Barrier | 4(7.4) | 22(25.9) | 17 (18.7) | .025 |
Guideline factors––BFAI | ||||
Time investment | ||||
Barrier | 7 (13.0) | 8 (9.4) | 2 (2.2) | .038 |
Organizational factors––BFAI | ||||
Reimbursement, insurance system | ||||
Barrier | 10 (18.5) | 16 (18.8) | 30 (33.3) | .048 |
Organizational factors––additional items | ||||
Formalized ACEP policy | ||||
Barrier | 36 (66.7) | 48 (65.6) | 36 (39.6) | .004 |
Medical director influence | ||||
Barrier | 17 (31.5) | 27 (31.8) | 65 (71.4) | <.001 |
Abbreviations: ACEP, American College of Emergency Physicians; BFAI, Barriers and Facilitators to Assessment Instrument; MD, medical doctor; PA, physician assistant; RN, registered nurse.