Theme | Identified barrier | Comm. | Clin. | Reg. | Industry | Patients | Total |
Clinical | Inappropriate use of test | 1 | 1 | 1 | 0 | 1 | 4 |
Lack of clinical utility | 1 | 4 | 0 | 2 | 0 | 7 | |
Reduced accuracy | 0 | 2 | 2 | 0 | 0 | 4 | |
Discourages use of clinical judgement | 0 | 1 | 0 | 1 | 0 | 2 | |
Cultural | Lack of awareness | 0 | 0 | 0 | 2 | 0 | 2 |
Lack of clinician buy-in | 0 | 0 | 0 | 6 | 1 | 7 | |
Resistance to change | 4 | 0 | 1 | 2 | 0 | 7 | |
Need for service reconfiguration | 5 | 0 | 0 | 2 | 0 | 7 | |
Lack of Accountability | 0 | 0 | 0 | 0 | 1 | 1 | |
Evidence | Cost of evidence generation | 0 | 1 | 0 | 2 | 0 | 3 |
Lack of evidence | 2 | 0 | 1 | 0 | 0 | 3 | |
Lack of evaluation methodology | 0 | 1 | 0 | 1 | 0 | 2 | |
Repetition of small scale local studies | 0 | 0 | 0 | 3 | 0 | 3 | |
Rate of technology development | 0 | 0 | 1 | 0 | 0 | 1 | |
Financial | Commissioning | 1 | 0 | 0 | 0 | 3 | 4 |
Cost of test | 5 | 3 | 1 | 3 | 2 | 14 | |
Lack of investment in new technology | 0 | 1 | 0 | 3 | 0 | 4 | |
Payer identification | 1 | 0 | 0 | 2 | 0 | 3 | |
Reimbursement | 0 | 0 | 2 | 0 | 0 | 2 | |
Siloed budgets | 1 | 1 | 1 | 1 | 0 | 4 | |
Organisational | Asset control | 0 | 0 | 1 | 0 | 0 | 1 |
Duration of consultation | 1 | 2 | 1 | 0 | 0 | 4 | |
Increased workload | 2 | 1 | 0 | 1 | 0 | 3 | |
Threat to laboratory services | 4 | 0 | 1 | 3 | 0 | 8 | |
Reduced throughput | 0 | 0 | 1 | 0 | 0 | 1 | |
Regulation | 0 | 0 | 0 | 2 | 0 | 2 | |
Trust Autonomy | 0 | 0 | 0 | 2 | 0 | 2 | |
Design and Quality Assurance | Maintenance requirements | 1 | 0 | 1 | 0 | 0 | 2 |
Training burden | 2 | 6 | 4 | 2 | 0 | 14 | |
Poor usability | 0 | 0 | 1 | 1 | 0 | 2 | |
Lack of connectivity | 1 | 0 | 0 | 1 | 0 | 2 | |
Lack of technical support | 0 | 0 | 1 | 0 | 0 | 1 |
Clin, clinicians; Comm, commissioners; Reg, regulators.