Table 4.

Barriers and Facilitators to Identifying and Addressing Caregiver Needs and Risks

		Physician Group
	All Physicians (N = 106)	Internists (n = 44)	Geriatricians (n = 62)	P value
Barriers, %
Lack of time	81.1	81.8	80.6	.88
Inadequate reimbursement	39.6	43.2	37.1	.53
Inability to have private discussion with the caregiver	33.0	36.4	30.6	.54
Lack of access to referral options	27.4	34.1	22.6	.19
Uncertainty about assessing caregiver issues	24.5	25.0	24.2	.92
Uncertainty about referral option	22.6	25.0	21.0	.63
Reluctance of caregivers to discuss needs	22.6	25.0	21.0	.63
HIPAA regulations and privacy concerns	20.8	25.0	17.7	.36
Discomfort bringing up sensitive topics with caregivers	8.5	9.1	8.1	.85
None; do not discuss or assess caregiver issues	7.5	4.5	9.7	.32
Concern about personal liability	7.5	9.1	6.5	.61
Responsibility of other health care providers	2.8	4.5	1.6	.37
Irrelevance to the clinical care of patients	1.9	4.5	0.0	.09
Facilitators,a %
Better availability of referral options	71.0	66.7	74.1	.41
Easier referral mechanisms	69.7	64.3	73.7	.32
Co-location of behavioral/mental health specialists	67.0	69.0	65.5	.71
Co-location of care managers or social workers	65.0	69.8	61.4	.39
Training in how to address caregiver issues	64.4	57.1	69.5	.20
Co-location of caregiver’s primary care provider	50.0	53.5	47.4	.54

Note: Multiple responses allowed.

^aProportion of respondents endorsing each facilitator as “helpful” or “very helpful.”