Table 7 Examples of perceived barriers related to patient factors

     -     Doctor-patient communication (too much time spent on the computer during consultation)

          •     “It just takes a lot of time and makes you focus too much on your computer and the patient just does not like that. I can see the patient thinking… while I’m only staring at that stupid screen”.

          •     “I click [on the computer] like there’s no tomorrow, also during patient consultation with the patient next to me. And I sometimes find it disturbing, that I spend so much time on the computer…”.

     -     Relevance of alert content for patient (discrepancy between patient’s reason for visit and alert content)

          •     “The patient’s reason for visiting that absolutely does not match the content of the alert. If someone visits with his ankle, you don’t want to receive an advice on statins”.