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Table 2 Primary Themes and Subthemes of Factors that Influence Anti-TNF Prescribing Decisions

From: Factors that influence rheumatologists’ anti-tumor necrosis factor alpha prescribing decisions: a qualitative study

Primary Theme


External Environment

NICE Recommendations

Clinical Commissioning Groups

Cost Pressures

Published Clinical Evidence

Colleagues in Different Hospitals

Pharmaceutical Industry

Internal Hospital

Systems to Promote Compliance with NICE Recommendations

Internal Treatment Pathways

Hospital Culture


Patient Influence

Clinical Autonomy

Consultant Experience

Perception of DAS28

  1. DAS28: Disease Activity Score-28 Joints; NICE: National Institute for Health and Care Excellence