Table 2. Stakeholder reporting of facilitators, barriers, and solutions related to FH care.

Facilitators
	Patient-level	Clinician-level
	• Great medical team • Good understanding of FH • Useful resources for FH	• Good knowledge of available treatments • Good understanding of genetic results • Clear diagnostic criteria for FH
Barriers
	Patient-level	Clinician-level
Medical care-related	• Changing guidelines • Experiencing care gaps • Nondisclosure of family history	• Lack of sufficient evidence to support some methods of identification or treatment • Lack of awareness of FH
Medication-related	• Lack of insurance coverage for treatments • Lack of awareness of other treatments • Reluctance to take other treatments • Side effects experienced	• Difficulty convincing patients to adhere to prescribed medications • Lack of awareness of other treatments
Life-related	• Competing family demands • Loss of job/health insurance • Competing personal demands (e.g., other illnesses)	• Busy clinics (e.g., high patient volumes) • Lack of a cohesive medical record
Suggested solutions
	Patient-level	Clinician-level
	• Patient education about FH • Childhood screening for FH • Data availability to patient • Doctors’ persistence in treatment recommendations • Creation of a peer group • Increased awareness of FH • Health policy changes	• Clinician education about FH • Clinician champions