Table 1 Perceived extrinsic barriers reported by study participants
Perceived extrinsic barriers | Number (percentage) of respondents | ||||
|---|---|---|---|---|---|
Patient Engagement | Strongly agree | Agree | Unsure | Disagree | Strongly disagree |
1. Most people would take MCI as normal ageing. | 4.4% | 55.1% | 34.5% | 5.0% | 1.0% |
2. Most people don’t believe there exist effective methods to treat MCI. | 4.2% | 46.4% | 40.7% | 7.5% | 1.1% |
3. Most people believe the diagnosis of MCI would lead to stigma. | 10.9% | 58.0% | 27.6% | 2.5% | 1.0% |
4. Patients prefer to go to a specialist hospital or tertiary hospital if they have cognitive disorder. | 7.2% | 53.6% | 34.6% | 3.8% | 0.7% |
5. Most people don’t have confidence in GPs to detect and manage MCI. | 8.8% | 59.9% | 27.7% | 2.9% | 0.8% |
6. Only when cognition was seriously affected would people go to see a doctor. | 6.6% | 51.6% | 38.0% | 2.9% | 0.9% |
7. People would consider MCI screening tests are too lengthy. | 8.5% | 53.7% | 34.0% | 2.9% | 0.9% |
8. Most people would not detect or manage MCI with money out of pocket. | 4.7% | 43.1% | 44.3% | 7.1% | 0.8% |
9. Most families would not support MCI detection and management. | 4.9% | 49.6% | 41.5% | 3.2% | 0.7% |
10. Most families feel helpless to urge suspected patients to take MCI detection and management. | 4.9% | 49.8% | 39.7% | 4.9% | 0.8% |
11. The less valued by the family, the less likely people would participate in MCI detection and management. | 5.2% | 55.0% | 35.5% | 3.4% | 0.9% |
12. People’s negative attitudes towards life would discourage them to engage in MCI detection and management. | 6.8% | 56.5% | 32.4% | 3.6% | 0.7% |
13. People would not pay much attention to MCI when suffering from too many chronic diseases. | 5.8% | 59.9% | 29.4% | 3.9% | 1.0% |
14. Good relationship with GPs will help patients engage in MCI detection and management. | 5.8% | 59.9% | 29.4% | 3.9% | 1.0% |
Working Environment | Strongly agree | Agree | Unsure | Disagree | Strongly disagree |
1. There exist no evidence-based guidelines designed to facilitate MCI detection and management in our community health centre. | 5.3% | 36.6% | 45.1% | 10.9% | 2.1% |
2. There exist no economic reimbursement in our community health centre to encourage MCI detection and management. | 7.2% | 41.3% | 42.2% | 7.3% | 2.0% |
3. I don’t have enough disposable time to detect and manage MCI. | 8.7% | 44.8% | 37.1% | 7.9% | 1.5% |
4. The institutional routine policies in our community health centre did not include the practice of detecting and managing MCI. | 6.5% | 41.2% | 41.9% | 8.6% | 1.8% |
5. There exists no referral pathway to encourage MCI detection and management in our community health centre. | 5.6% | 32.5% | 42.9% | 16.3% | 2.7% |
6. There exists no supportive team in our community health centre to help GPs to detect and manage MCI. | 5.8% | 35.6% | 44.5% | 12.2% | 1.9% |
7. Our community health center provides no specific training on MCI detection and management. | 5.2% | 33.4% | 43.5% | 16.1% | 1.8% |
8. The clinic electronic system health centre is lack function for improving MCI detection and management. | 6.0% | 40.4% | 41.8% | 9.9% | 1.9% |
9. There is a lack of essential tools for detecting and managing MCI in our community health centre. | 6.8% | 42.3% | 41.3% | 8.1% | 1.5% |
10. There are not enough facilities and space in our community health centre to detect or manage MCI in our community. | 7.0% | 41.5% | 41.3% | 8.4% | 1.8% |
11. There is a serious lack of human resources in our community health centre. | 6.4% | 28.7% | 43.5% | 17.7% | 3.7% |
12. Managers in our community health centre put less emphasis on MCI detection and management. | 4.6% | 23.8% | 52.2% | 16.3% | 3.1% |
System Context | Strongly agree | Agree | Unsure | Disagree | Strongly disagree |
1. The government put less investment on MCI detection and management. | 7.6% | 36.7% | 50.0% | 3.5% | 2.2% |
2. MCI detection and management have not been accepted by the whole society. | 4.7% | 29.4% | 45.5% | 16.4% | 4.0% |
3. The public media focus less on the topic of MCI. | 5.7% | 36.5% | 44.4% | 11.2% | 2.2% |
4. There exist less publication of MCI detection and management from the public media. | 6.1% | 44.4% | 41.1% | 6.4% | 2.0% |
5. The primary health care system does not cover payments from MCI detection and management. | 10.4% | 43.3% | 39.9% | 4.5% | 1.9% |
6. The basic package of public health provides no definite stipulation on MCI detection and management. | 8.1% | 42.9% | 41.6% | 5.1% | 2.3% |
7. The governments’ legislative regulations did not clarify the specific roles of different professions to detect and manage MCI. | 8.2% | 40.5% | 44.6% | 4.6% | 2.1% |