Mapped health care organization, management and policy barriers with facilitators for health promotion program implementation in primary care
| Barriers | Facilitators |
|---|---|
| 1. Lack of financial and political support for health promotion implementation | 1. Perception of health promotion as a valuable part of the health system and fundamental to primary care |
| 2. Consultation time constraints |
|
| 3. Difficulty managing competing day-to-day demands | 3. Schedule-sharing of patients or working in mini-teams to cover all patient needs |
| 4. Lack of unity among center professionals | 4. Fostering a culture that values teamwork |
| 5. Poor communication | 5. Scheduling weekly check-in meetings |
| 6. Lack of majority of professionals in a given center participating | 6. Encouraging commitment by not “punishing” participation, for instance by allowing participants to recuperate extra work hours dedicated to the program |
| Barriers | Facilitators |
|---|---|
| 1. Lack of financial and political support for health promotion implementation | 1. Perception of health promotion as a valuable part of the health system and fundamental to primary care |
| 2. Consultation time constraints | 2A. Adapting the patient schedule to allow longer consultation times, either one each day or all on one day a week 2B. Taking advantage of open appointment times in schedule to have a longer consultation |
| 3. Difficulty managing competing day-to-day demands | 3. Schedule-sharing of patients or working in mini-teams to cover all patient needs |
| 4. Lack of unity among center professionals | 4. Fostering a culture that values teamwork |
| 5. Poor communication | 5. Scheduling weekly check-in meetings |
| 6. Lack of majority of professionals in a given center participating | 6. Encouraging commitment by not “punishing” participation, for instance by allowing participants to recuperate extra work hours dedicated to the program |