Table 2 Physicians’ barriers to screen patients with rheumatoid arthritis for hyperlipidemia with their respective priority votes
Level | Sub-level | Rheumatologist Votes (%)a | PCP Votes (%)a |
|---|---|---|---|
Physician Level | Total Votes, % | 82.7 | 42.5 |
Lack of time | 34.0 | 1.7 | |
Conflict regarding ownership of hyperlipidemia screening | 25.9 | 10.8 | |
Lack of training and knowledge of hyperlipidemia guidelines | 17.9 | 19.2 | |
Focus only on RA | 4.9 | – | |
Physician prioritization of RA symptomology over preventive measures | – | 10.0 | |
Lack of physician knowledge about RA | – | 0.8 | |
Patient Level | Total Votes, % | 7.4 | 44.2 |
Complexity of RA and its treatment | 2.5 | 9.2 | |
Patient prioritization of RA symptomology over preventive measures | 2.5 | 9.2 | |
Patient expectations | 1.8 | – | |
Patient already on multiple medications | 0.6 | 0.0 | |
Side effects of RA medications and RA drug interactions | 0.0 | – | |
Comorbidities | 0.0 | – | |
Patient’s barriers with transportation | 0.0 | – | |
Multiple blood draws | 0.0 | 8.3 | |
Side effects of statins and drug interactions with statins | 0.0 | 5.0 | |
Poor patient compliance with medical care | 0.0 | 9.2 | |
Patients’ lack of awareness of CVD risk | – | 3.3 | |
System Level | Total Votes, % | 9.9 | 13.3 |
Lack of care coordination | 6.8 | 11.7 | |
Financial barriers (limited insurance coverage, cost of repeating labs) | 3.1 | 0.0 | |
Lack of financial incentive for screening | – | 1.7 |