Skip to main content
. 2019 Oct 25;19:750. doi: 10.1186/s12913-019-4527-x

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