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Table 2 Barriers identified from patient-provider encounters

From: Discussions about preventive services: a qualitative study

Precede/Proceed construct Barrier
Predisposing factors (beliefs, attitudes, knowledge, demographics, background) Fear of becoming ill from influenza vaccine
No symptoms of colorectal cancer
Reinforcing factors (rewards or punishments which follow the behavior
or are anticipated as a consequence)
Anecdotes of negative experiences with influenza vaccine
Enabling factors (environmental factors, such as health insurance, cost, and structural barriers, such as ease of access to care) Patient unable to receive influenza vaccine during visit due to acute illness
Dependence on others for transportation makes return visits more difficult to schedule
Misunderstanding/misinformation about cost of influenza vaccine
Complexity of colorectal screening process
Many topics covered in visits