Research Article

A Continuing Medical Education Campaign to Improve Use of Antibiotics in Primary Care

Table 2

Perceived barriers to achieving appropriate antibiotic use in responder’s practice at University of Colorado, Family Medicine Review, 2012 .

BarrierNumber (% of all barriers identified)

Patient expectations/agendas146 (27.1)
Breaking old habits75 (13.9)
Fear that patients will go elsewhere65 (12.1)
Patient complexity45 (8.3)
Worry about patient complaints39 (7.2)
Staff need more training29 (5.4)
Appointment time29 (5.4)
Medical-legal concerns20 (3.7)
Patient adherence20 (3.7)
Competing priorities14 (2.6)
Need for additional skills12 (2.2)
Relationships with other physicians10 (1.9)
Others9 (1.7)
Staff competing priorities8 (1.5)
Reimbursement5 (0.9)
Organizational policies3 (0.6)
**Remembering4 (0.7)
No barriers2 (0.4)

From a menu of 18 items plus “no barriers,” each respondent was asked to select the top three. The total of responses averages about 3.06 per respondent because some gave more than 3. We chose to include all selected responses.
**Remembering: recalling what practice changes to make.