Physician-related factors

Patient-related factors

Care system related factors

Phillips et al. 2001

Overestimation of care provided

Soft reasons

Lack of education, training not centered on therapeutic goals

Lack of familiarity with guidelines

Lack of enthusiasm for management of asymptomatic problems

Previous experiences of drugs side effects

Bad training to medical practice

Scheen & Giet 2010


Knowledge problems ignorance or/and disagreement or/and complexity of recommendations

Adherence problems

Too much medications and fear to add another drug

Solo medical practice

Kalafate et al. 2015

44.5% do not examine patients

25% do not adapt treatment

No following of lifestyle recommendations

Cognitive disorders

Side effects fear

Disease denial

Lack of confidence in physician

Bad organization of medical visits