Example of part of a matrix with intervention objectives for GPs
| Barriers and facilitators | |||
|---|---|---|---|
| Performance objectives | High outcome expectation of tests | Lack of communication skills | Uncertainty of GP |
| In the matrix three performance objectives for GPs (left column) are set against a selection of three barriers and facilitators (top row). The cells show the resulting intervention objectives. If the achievement of a performance objective does not require a barrier or facilitator to be addressed by the intervention, the cell at their intersection remains empty. | |||
| Performs adequate history taking and physical examination | GP states that physical examination is a way of taking patients’ complaints seriously | GP asks patients about reasons for encounter and chooses formulation which he/she feels most comfortable with | GP states that testing does not yield more information than performing physical examination |
| Explains findings and conclusions to patient appropriately | GP states the importance of explaining findings and conclusions to patient | GP demonstrates the use of different formulations to explain findings from history taking and physical examination to patients | GP shows patients he/she is convinced that findings from history taking and examination are sufficient to feel reassured |
| Discusses a 1 month “wait and see” policy | – | GP uses instruction materials in addition to verbal message | GP shows awareness that his/her own uncertainty is a reason to request blood tests |