Table 4

Most relevant barriers to achieving optimal care quality

NSubpathways in which it is present
Diagnostic errors13
 Barrier 1. Excessive complementary tests52, 3A, 3B, 4, 5
 Barrier 2. Diagnostic errors41, 3A, 3B, 4
 Barrier 3. Underdiagnosis and omission of timely referral41, 3A, 3B, 4
Resource deficiency9
 Barrier 6. Excessive delay in care33A, 3B, 4
 Barrier 7. Lack of physical resources23A, 3B
 Barrier 8. Short time per visit23A, 3B
 Barrier 9. Unavailability of day hospitals24 to 6
Treatment errors7
 Barrier 4. Medication errors (abuse or inappropriate prescription)51, 2, 3B, 4, 5
 Barrier 5. Non-use or improper use of reference guidelines23A, 3B
Lack of health literacy5
 Barrier 10. Poor health education of patients31, 3A, 5
 Barrier 11. Non-delivery of documentation on patient treatment23A, 3B
Inadequate communication with care transitions2
 Barrier 12. Inadequate referral21 to 2
  • N, number of times experts pointed out this barrier as limiting the quality of care.