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Table 5 Barriers

From: Quality improvement in small office settings: an examination of successful practices

Barriers   Impact of Barriers  
Time constraints N = 26; 66% Changed timeline N = 12; 31%
Costs N = 18; 47% Provided training N = 8; 21%
Equipment problems N = 11; 29% Changed staffing N = 5; 13%
Lack of properly trained/motivated staff N = 10; 26% Brought in external consultants N = 2; 5%
Took more time than expected N = 9; 24% Changed systems/processes N = 2; 5%
Lack of financial incentives N = 8; 21% Increased budget N = 1; 3%
Resistance of clinical staff N = 7; 18% Changed leadership N = 0
Staff turnover N = 5; 13%   
Process more difficult than expected N = 4; 10%   
Conflicting pressures from others N = 4; 10%   
Used more resources than expected N = 3; 8%   
Incompatible systems/processes N = 3; 8%   
Evaluation of results N = 2; 5%   
Tracking implementation N = 2; 5%   
Lacked information on process N = 1; 3%   
Lack of nonfinancial rewards N = 1; 3%   
  1. Factors cited as barriers to performance measurement and quality improvement, reported in percentages of physicians who reported them.