Provider-Level Barriers

Formal continuing medical education was uncommon across the professions represented in the study. Guideline knowledge from training often gave way to ingrained clinical routines. Pharmacists' dispensing decisions were influenced by patient demand and stock availability more than guideline adherence. Resistance to newer updates was attributed to entrenched routines under clinical pressure rather than necessarily conscious refusal. Participants preferred brief point-of-care resources over long guideline documents.