Themes, subthemes and codes based on the thematic analysis
| Domain framework | Themes/subthemes (barriers) | Codes |
| 1. Environmental-related factors | Lack of reimbursement | Financial incentives Non-financial incentives Political-economic condition |
| Lack of resources | Material resources Human resources Limited budget | |
| Lack of time | Time pressure Consultation time Workload Number of patients seen | |
| Lack of clinical audit and feedback | Clinical supervision Filed visit Direct observation File review Clinical performance Feedback | |
| 2. Guideline-related factors | Guideline trustworthiness | Guideline evidence Guideline content Guideline developers Guideline adaptation |
| Outdated guideline | Latest evidences Guideline lifespan Updating process |