|
Barriers |
Patient barriers | Provider barriers | System barriers |
|
Demographic () | Lack of HIT training (6) | Not using full capability of EMR (20) |
Financial issues/uninsured (18) | Noncompliance with established protocols/guidelines (4) | Coordination with external labs or providers (13) |
Transportation barriers (7) | Preventive care not embedded into practice (2) | Inadequate staff hours or employees: For patient education (3) For coordination (8) |
Transient patient population (5) | General lack of education/training (2) | Limited clinical hours (3) |
Lack of childcare (3) | | No policy/procedure to document all practices (2) |
High patient turnover rate (1) | | Lack of supplies/equipment for procedures (2) |
Other/general (13) | | EMR not yet implemented (1) |
Cultural factors () | | Lack accurate patient contact information (1) |
Fear of procedure or results (9) | | Health professional shortage area (1) |
Language barrier (5) | | No patient surveys (1) |
Trust issues (4) | | Primary care providers do not provide cervical cancer screening (1) |
Discomfort with male providers (3) | | No OB/GYN specialist at HC (1) |
Immigration status (2) | | |
Health beliefs/behaviors () | | |
Lack of awareness/knowledge of cervical cancer screening need (10) | | |
Not seeking preventive care (8) | | |
Do not keep appointments (7) | | |
Lack knowledge of available cervices (2) | | |
Late for appointments (1) | | |
|
| Solutions | |
Patient-targeted | Provider-targeted | System-targeted |
|
Outreach, education, or health promotion for patient population, 59 (74%) | Education/training for providers, 44 (55%) | Utilize HIT/EMR, 63 (79%) |
Improve/increase communication with patients, 53 (66%) | Feedback to providers Team performance, 7 (9%) Individual performance, 3 (4%) | Staffing: hire new employee or increase hours, 46 (58%) |
Facilitate access to care, 29 (36%) | | Regular quality improvement process, 39 (49%) |
| | Implement protocol to better manage care, 32 (40%) |
| | Improve recording keeping, 24 (30%) |
| | Improve coordination with external providers, labs, 21 (25%) |
|