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Table 5 Unique barriers to specialist outpatient care by chronic condition and number of corresponding studies

From: A systematic review of barriers to optimal outpatient specialist services for individuals with prevalent chronic diseases: what are the unique and common barriers experienced by patients in high income countries?

Barrier Reported in relation to: Number of studies
CAN AST DEP DIA ISC COP ART OST STR Total # Oncology only (n = 53) Other disease (n = 21)
Acceptability
 Choice of professional          1 2 0
 Clinical competence (technical skills)          1 6 0
 Patient factor          2 3 1
Accessibility
 Lodgings          1 1 0
Accommodation
 General          1 2 0
Affordability
 Cost of illness, economic          2 2 1
Availability
 Consultation time          1 5 0
 Provider availability          1 6 0
 Referral          2 6 1
Optimal care
 Inadequate need assessment          2 17 2
  1. CAN Cancer, AST Asthma, DEP Depression, DIA Diabetes, ISC Ischaemic heart disease, COP Chronic obstructive pulmonary disorder, ART Arthritis, OST Osteoporosis, STR Stroke