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Table 4 Barriers to Use, Free Text Survey Data

From: Exploring differences in the use of the statin choice decision aid and diabetes medication choice decision aid in primary care

Domain

DMCDA

SCDA

Knowledge Barriers

-“I don’t have experience using all the meds listed on the decision aid”

-“Don’t know enough about it”

-“I prefer to send my patients to Endocrinology to discuss treatment options”

-“Often forget it exists”

Attitude Barriers

-“For most of my patients there is an appropriate next step and giving them choices for medications that I would not prescribe doesn’t make sense”

-“Decision aid seems to underestimate benefit”

-“First choice should be metformin”

-“Patients never choose to use a statin with this decision aid”

-“A patient may choose a newer pricey medication with the attractive profile with the attitude of ‘Well, I’m not paying for it’”

External Barrier

-“Computer in rooms often do not pull up the decision aid fast enough”

-“Most patients are already on statins”

-“Decision aid is slow to load. Laminated cards would be helpful”

-“Sometimes discussing options over the phone after test results and hard to use the decision aid remotely”

-“I have a very small number of patients on medications for diabetes”

-“Most of my patients are already on insulin and/or oral agents”

-“Navigating the tool seems a bit clunky”