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. 2017 Aug 28;7(8):e016459. doi: 10.1136/bmjopen-2017-016459

Table 2.

Barriers to and incentives for change at different levels of healthcare*

Level Barriers/Incentives
Innovation Advantages in practice, feasibility, credibility, attractiveness, accessibility
Individual practitioner Awareness, knowledge, attitude, motivation to change, behavioural routines
Patient Knowledge, skills, attitude, compliance
Social context Opinion of colleagues, culture of the network, collaboration, leadership
Organisational context Organisation of care processes, staff, capacities, resources, structures
Economic and political context Financial arrangements, regulations, policies

*Grol and Wensing’s multilevel model.18