Barriers to Diagnosis Access for Chagas Disease in Colombia

Table 4

Integration of the main findings across the constitutive studies.

Key finding	Health professionals	Health managers	Literature review	Documentation
Diagnosis not considered by physicians	Agreement	Agreement	Agreement	Silence
Unclear screening recommendations	Agreement	Agreement	Agreement	Agreement
Lack of diagnostic tests in hospitals in primary care	Agreement	Agreement	Agreement	Agreement
Few laboratories that perform confirmatory tests	Agreement	Agreement	Agreement	Agreement
Lack of awareness and knowledge among physicians and patients	Agreement	Agreement	Agreement	Silence
Positive blood donors not referred to the primary care centers	Agreement	Agreement	Agreement	Partial agreement
Lack of validation of rapid tests	Agreement	Agreement	Agreement	Agreement
High heterogeneity in test reliability	Agreement	Agreement	Agreement	Partial agreement
Prior authorizations by health insurance institutions	Agreement	Agreement	Agreement	Agreement
Difficulty for physicians to interpret test results	Agreement	Agreement	Silence	Silence
The lack of more diverse staff to serve language minority communities	Partial agreement	Agreement	Agreement	Silence
The multihiring services in different locations	Agreement	Agreement	Agreement	Silence
Cultural barriers	Agreement	Agreement	Agreement	Silence
Internal armed conflict	Agreement	Agreement	Silence	Silence