Table 3.
Barriers to guideline usage and provision of smoking cessation care by profession (N = 883)
| Guideline | Environment | Patient | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N | SCC training professional | Adaptability | Complexity | Patient reimbursement | Professional rewards | Time | Task interference | Materials | Referral possibilities | Sensitive subject | Negative SCC | Unmotivated | Dishonest | Relationship | |
| Physicians | |||||||||||||||
| Addiction specialist | 45 | 18% | 7% | 4% | 58% | 16% | 24% | 27% | 16% | 18% | 22% | 4% | 27% | 5% | 2% |
| Anaesthesiologist | 62 | 61% | 13% | 8% | 24% | 18% | 57% | 52% | 34% | 19% | 52% | 36% | 65% | 39% | 8% |
| Cardiologist | 52 | 48% | 8% | 4% | 27% | 19% | 50% | 44% | 25% | 29% | 33% | 14% | 29% | 27% | 2% |
| GP | 148 | 24% | 4% | 5% | 39% | 33% | 45% | 35% | 8% | 17% | 28% | 16% | 31% | 12% | 3% |
| Internist | 63 | 54% | 18% | 6% | 37% | 11% | 38% | 44% | 22% | 29% | 33% | 22% | 56% | 8% | 0% |
| Neurologist | 63 | 64% | 10% | 6% | 19% | 14% | 61% | 49% | 29% | 24% | 35% | 21% | 35% | 8% | 0% |
| Paediatrician | 36 | 53% | 8% | 6% | 14% | 8% | 44% | 31% | 14% | 6% | 42% | 19% | 39% | 19% | 8% |
| Pulmonologist | 102 | 35% | 8% | 5% | 45% | 25% | 44% | 34% | 15% | 24% | 43% | 23% | 40% | 20% | 0% |
| Other | 31 | 55% | 10% | 10% | 10% | 13% | 39% | 42% | 36% | 13% | 23% | 26% | 42% | 3% | 0% |
| Ophthalmologist | 16 | 63% | 25% | 0% | 19% | 0% | 56% | 50% | 25% | 6% | 38% | 38% | 44% | 38% | 0% |
| Surgeon | 68 | 53% | 4% | 7% | 24% | 22% | 56% | 41% | 16% | 22% | 52% | 37% | 47% | 37% | 7% |
| Youth specialist | 48 | 65% | 25% | 8% | 19% | 15% | 65% | 65% | 31% | 8% | 48% | 27% | 52% | 23% | 10% |
| Other healthcare professionals | |||||||||||||||
| Dental hygienist | 58 | 59% | 7% | 7% | 24% | 28% | 40% | 26% | 29% | 21% | 60% | 33% | 36% | 29% | 14% |
| Dentist | 26 | 58% | 15% | 12% | 15% | 27% | 46% | 39% | 23% | 19% | 50% | 39% | 54% | 35% | 27% |
| Midwife | 65 | 26% | 0% | 5% | 39% | 37% | 54% | 40% | 20% | 17% | 57% | 31% | 49% | 35% | 20% |
| Total | 883 | 45% | 10% | 6% | 31% | 22% | 48% | 40% | 21% | 19% | 41% | 24% | 42% | 21% | 6% |
Percentages refer to participants who indicated that a factor was a ‘strong’ or ‘very strong’ barrier. Percentages ≥50 are indicated in bold
GP general practitioner, SCC smoking cessation counselling