Table 6.
Physician Rating of Potential Barriers for Guideline Adherence by Subgroups (N = 46): Share of responses rating the item as very often or frequently a reason for non-adherence.
| Items very often or frequently rated as Reason for Non-adherence | Total | Physician Type |
Physician Role |
NVL Knowledge |
T2DM Experience |
Recruitment |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GP | Specialist |
FET p |
Owner | Assistant |
FET p |
Lower | higher |
FET p |
≤10 years | >10 years |
FET p |
BW Physicians | DDG Physicians |
FET′ p |
||
| N | 46 | 9 | 37 | 36 | 10 | 3 | 42 | 8 | 38 | 25 | 21 | |||||
| B1 Patient Inability | 93% | 100% | 92% | 1.000 | 92% | 100% | 1.000 | 100% | 93% | 1.000 | 100% | 92% | 1.000 | 96% | 90% | 0.585 |
| B2 Patient Demotivation | 78% | 89% | 76% | 0.659 | 75% | 90% | 0.420 | 100% | 76% | 1.000 | 75% | 79% | 1.000 | 84% | 71% | 0.475 |
| B3 Patient Refusal | 54% | 67% | 51% | 0.478 | 58% | 40% | 0.475 | 67% | 52% | 1.000 | 63% | 53% | 0.710 | 64% | 43% | 0.235 |
| B4 Missing Clinical Information | 41% | 44% | 41% | 1.000 | 39% | 50% | 0.719 | 33% | 43% | 1.000 | 63% | 37% | 0.246 | 36% | 48% | 0.550 |
| B5 Health Care System Deficiencies | 30% | 22% | 32% | 0.701 | 25% | 50% | 0.242 | 33% | 31% | 1.000 | 38% | 29% | 0.684 | 24% | 38% | 0.349 |
| B6 Medical Reasons | 35% | 44% | 32% | 0.698 | 33% | 40% | 0.720 | 67% | 31% | 0.254 | 38% | 34% | 1.000 | 40% | 29% | 0.538 |
| B7 Patient-Physician Relationship | 65% | 78% | 62% | 0.463 | 69% | 50% | 0.283 | 67% | 64% | 1.000 | 75% | 63% | 0.694 | 64% | 67% | 1.000 |
| B8 Non-alignment of Guideline and Reimbursement | 54% | 67% | 51% | 0.478 | 50% | 70% | 0.306 | 67% | 55% | 1.000 | 63% | 53% | 0.710 | 60% | 48% | 0.553 |
| B9 Deficient Physician Training | 50% | 56% | 49% | 1.000 | 50% | 50% | 1.000 | 33% | 52% | 0.608 | 50% | 50% | 1.000 | 44% | 57% | 0.554 |
| B10 Physician Disapproval of Guideline | 41% | 33% | 43% | 0.716 | 47% | 20% | 0.160 | 33% | 40% | 1.000 | 0% | 50% | 0.014 | 48% | 33% | 0.377 |
| B11 High Physician Workload | 67% | 67% | 68% | 1.000 | 61% | 90% | 0.132 | 67% | 67% | 1.000 | 75% | 66% | 1.000 | 76% | 57% | 0.216 |
| B12 Deficient cross-sectoral Coordination | 63% | 78% | 59% | 0.450 | 61% | 70% | 0.723 | 100% | 60% | 0.279 | 75% | 61% | 0.691 | 72% | 52% | 0.225 |
| B13 Deficient therapeutic Self-Confidence | 37% | 33% | 38% | 1.000 | 33% | 50% | 0.462 | 67% | 36% | 0.547 | 38% | 37% | 1.000 | 32% | 43% | 0.545 |
FET = Fisher's Exact Test, significant results in bold. The significance threshold for the p-values in italics is α ≤ 0.05.