Table 1.

Barriers to change at different levels of healthcare from Grol and Wensing 2004 [26]

Level	Barriers/incentives
Innovation	Advantages in practice, feasibility, credibility, accessibility, attractiveness
Individual professional	Awareness, knowledge, attitude, motivation to change, behavioural routines
Patient	Knowledge, skills, attitude, compliance
Social context	Opinion of colleagues, culture of the network, collaboration, leadership
Organizational context	Organization of care processes, staff, capacities, resources, structures
Economic and political context	Financial arrangements, regulations, policies