Barriers and Facilitators for the Implementation of Exercise Oncology Provision in Germany: A Multilevel, Mixed-Methods Evaluation of the Network OnkoAktiv
Table 2
Barriers (BA), facilitators (FA), or neutral items (N) on the level of the German healthcare system to implement exercise programs, based on mean values (M) on a Likert-scale from 1 to 5 and standard deviation (SD).
Healthcare structure and patient contact
M
SD
BA
FA
Pressure for program implementation
4.5
0.56
x
Resource: structural
3.8
1.14
x
Resource: time
3.6
1.12
x
Resource: staff
3.5
1.26
x
Patients psychological condition
2.7
1.11
N
N
Financing of exercise program
2.4
1.22
x
Complexity of oncological diseases
2.2
0.92
x
Uncertainty in therapy with acute patients
2
1.29
x
Healthcare professionals
Collaboration with oncologists and practitioners
2.5
1.29
N
N
Referral of patients from health care professionals
2.4
1.29
x
Knowledge of HCPs about exercise
1.8
0.72
x
Contact: HCPs (e.g. oncologists and nurses)
2.4
1.07
x
Contact: clinics and ambulances
1.9
1.01
x
Contact: rehabilitation centers
1.4
0.82
x
Contact: universities
1.5
0.83
x
Contact: other exercise institutions
1.5
0.78
x
Contact: regional OnkoAktiv centers
1.5
0.75
x
Items were categorized as a barrier with a mean value <3 and as a facilitator with a mean value >3 and mean values of = 3 were ranked as neutral items (neither nor).
