Table 3.

Barriers to Chronic Disease Management in Current Practice and Preimplementation Perceptions of Challenges Associated With Nurse Care Management

	Barriers to Chronic Disease Management in Current Practice	Barriers to Practice Change (ie, Implementing Nurse Care Management)
Patient factors	Behavioral barriers Lack of patient resources	Resistance to behavior change
Clinic factors	Access to care	Clarifying role definitions
	Time: payment structure and 15-minute office visits	Resource concerns: time and money
	No patient registries and reminders	Change is hard IT implementation challenges