This led to reluctance to attend appointments.
This has led to reluctance to freely share and therefore unequal participation.
This stigma also led to reluctance to disclose the condition in various environments.
It is possible that concerns regarding toxicity, such as myositis, or exacerbating polypharmacy in the RA patients led to reluctance to prescribe additional medications.
Intravenous iron is less commonly used as fear of anaphylaxis with iron dextran formulations, and long infusion time with iron polymaltose, have led to reluctance amongst clinicians [ 13].
The results of the Canadian Transfusion in Critically Ill trial [ 29] might have also led to reluctance to provide transfusions at higher hemoglobin concentrations.
(female, government department) In turn, this led to reluctance among women to 'self-promote as leaders, even though they could be wonderful leaders' (female, hospital).
This led to reluctance on the part of participants to approach patients to ask permission to examine them, even when the examination was not an intimate examination.
Previous experience of dealing with the organisation may have led to reluctance to engage voluntarily with it, particularly if that experience was negative (e.g. refusal of training practice accreditation or a poor GP appraisal encounter).
The debate around rebound pain has led to reluctance by clinicians to treat these patients with corticosteroids, while mounting evidence demonstrates that the risks of asthma itself outweigh those of steroid use.
Limited mental health knowledge and skills, and viewing mental health as outside of their scope of practice, led to reluctance to tackle the mental health aspects of the intervention, and additional training and mentoring were required to ensure this was done adequately.
