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Table 2 Major themes of barriers for implementing DARE

From: Why are we not screening for anal cancer routinely - HIV physicians’ perspectives on anal cancer and its screening in HIV-positive men who have sex with men: a qualitative study

Systems factors

Lack of opportunity

 

Unclear referral pathway

 

Differences in HIV care practices

 

No financial incentives

Health provider factors

Lack of evidence

 

Difficulty discussing with patients

 

Lack of confidence in DARE

Patient factors

DARE discomfort

 

Low anal cancer risk awareness