Assignment: Organizational Level Barriers

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Assignment: Organizational Level Barriers

Assignment: Organizational Level Barriers

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In conclusion, our study finds that a majority

of providers perceived that pre-clinic use of our

decision aid for CRC screening was a useful,

time-saving adjunct to their usual approach to

counselling about CRC screening and increased

the overall quality of decision making. Never-

theless, many of the providers felt that imple-

mentation of the decision aid into their practices

outside of the context of a clinical trial would be

challenging, thus highlighting the need for cost-

effective strategies for addressing provider,

practice and organizational level barriers to

routine use. We speculate that Internet-based

tools with enhanced navigation functionality

have the greatest dissemination potential, as

they offer a feasible, low-cost solution to many

of the structural barriers to implementation, as

well as a way to reconcile the diversity of opin-

ion related to content.

Acknowledgement

None.

Conflicts of interest

The authors have no conflict of interests.

Funding

This study was supported by grant RO1

HS013912 from the Agency for Healthcare

Research and Quality.

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