Table 1.

Barriers and facilitators at various levels of Grol and Wensing.

Levels of Grol and Wensing [26]	Examples of barriers and facilitators
Innovation: patient portal	Accessibility, attractiveness, and credibility
Individual professional	Knowledge, attitude, and motivation to change
Patient	Knowledge, skills, and attitude
Social context	Opinions of colleagues, culture of the networks, and collaboration
Organizational context	Organization of care processes, staff, and resources
Economic and political context	Financial arrangements, regulations, and policies