When we asked survey respondents what barriers they faced in relying on evidence to make decisions, they answered that the most serious barriers were a lack of training in both data analysis and in how to evaluate and apply research findings.
Challenges remain in meaningfully engaging young scientists with the main barriers being a lack of funding and support, as well as poor job security among young people currently.
One of the biggest barriers is a lack of patient knowledge about their health conditions, and about how those conditions can be managed in order to stay healthy.
I believe that one of the most common barriers is a lack of familiarity with the U.S. Graduate School classroom and academic experience.
Other notable barriers were a lack of mental health literacy, and negative past experiences of help-seeking.
Those still in the development stage responded that the top three barriers were: a lack of expertise in HTR (n = 10); political barriers (n = 9); and a lack of interest (n = 9).
One of the main barriers was a lack of referrals due to insufficient knowledge of physicians about the COTiD program, not experiencing psychosocial interventions to be part of their frame of reference, and experiencing a lack of contact with occupational therapists in their network [ 17].
The most frequently perceived barriers were: a lack of knowledge and skills, no agreement on guideline recommendations, negative outcome expectancy, low self-efficacy, no consensus with patients, and a lack of information about treatments provided by mental health professionals, together with waiting lists.
Other less frequently experienced barriers were a lack of available resources including finances and personnel, lack of relevance (e.g. absence of on-site revascularization options or number of employed cardiology residents), frequent updates of the guidelines and unexpected circumstances including the absence of key persons due to sick leave.
Another potential barrier is a lack of integration between health and social care services.
