|
| 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%) |
|
