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. 2016 Dec 13;7:673–680. doi: 10.2147/AMEP.S115149

Table 4.

Barriers to guideline application

Barriers hindering application of guidelines Strongly disagree/disagree (rating 1, 2)
n (%)
Neither disagree nor agree (rating 3)
n (%)
Strongly agree/agree (rating 4, 5)
n (%)
Lack of awareness 7 (13) 9 (17) 37 (70)
Lack of familiarity 8 (15) 15 (28) 30 (57)
Inertia of previous practice 25 (47) 11 (21) 17 (32)
Lack of self-efficacy 22 (62) 12 (19) 19 (19)
Lack of agreement regarding content 31 (61) 15 (29) 5 (10)
Lack of agreement because guideline not up-to-date 29 (54) 14 (26) 11 (20)
Lack of confidence in guideline developers 38 (70) 10 (19) 6 (11)
Lack of outcome expectancy in patient care 36 (69) 11 (21) 5 (10)
Inability to reconcile with patient preferences 21 (40) 16 (30) 16 (30)
Lack of applicability to practice population 25 (47) 12 (23) 16 (30)
Lack of accessibility 23 (43) 7 (13) 23 (43)
Lack of usability 22 (42) 12 (23) 19 (36)
Presence of contradictory guidelines 18 (34) 19 (36) 16 (30)
Lack of time 26 (48) 10 (19) 18 (33)