268 Chapter 9 Table 3. (continued) Domain Facilitators Barriers Chapter 4 Chapter 5 Chapter 6 Chapter 4 Chapter 5 Chapter 6 Outer setting - Content of PROMs (irrelevant and repetitive questions) - Content of PROMs (irrelevant and repetitive questions) - Increased motivation for PROM use in society - Collaborations and networks - Support hospital board - No support hospital board Inner setting - Time-consuming - Time-consuming - Time-consuming - Low response-rate - Low discussion-rate - Bottom-up implementation - Financial resources Characteristics of individuals - Insecure about skills to interpret and communicate about PROMs - Patients with low health literacy skills / nonnative speakers cannot complete PROMs - Motivated clinicians - Not seeing the added value and goal - Not seeing the added value and goal
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