Table 3. Barriers and facilitators in management of FI in primary care
Barriers to screening and treating patients with FI n (%)
 Insufficient skills703 (56.1)
 FI not common or significant enough to justify enquiring with patient95 (7.6)
 Concerns that patient may not be receptive to screening or intervention378 (30.1)
 Insufficient time to screen or provide intervention150 (12.0)
 Insufficient support from specialists178 (14.2)
 Wish to avoid further referrals of patients with FI in the future38 (3.0)
 Perception that FI has no effective treatment, so screening is futile83 (6.6)
 Perception that FI is not the most important issue during the consultation115 (9.2)
 Lack of interest in screening or treating FI70 (5.6)
 GP’s embarrassment to ask patients about any bowel leakage50 (4.0)
 Avoidance of patient’s embarrassment if probed about bowel leakage problems113 (9.0)
 Perception that FI should only be treated by specialists in the field76 (6.1)
Facilitators to screening and treating patients with FI
 Knowing exactly who to refer to1071 (84.6)
 Knowing exactly where to refer to938 (74.1)
 Easier referral pathway583 (46.1)
 More resources to assist677 (53.5)
 Having effective treatments available567 (44.8)
 Belief among GPs that screening and intervention are important590 (46.6)
 Having more detailed communication from specialists after referral609 (48.1)
 Having less detailed communication from specialists after referral75 (5.9)
 Access to up-to-date management guidelines and recommendations898 (70.9)
 Further training to allow GP to be more comfortable talking to patients about FI570 (45.0)
 Further training to allow GP to be more knowledgeable treating FI860 (67.9)
 No facilitators identified42 (3.3)
  • Totals for individual items may not equal 1285 owing to missing data. FI = faecal incontinence.