Summary of the identified factors that promote or impair GPs’ participation in QI programmes
| Promoting factors | Impairing factors |
| Programme content is relevant for general practice | A universal lack of time in practice |
| Provision of relevant clinical tools | QI programme takes more time than what is judged reasonable related to outcome |
| The GP’s wish to be a better doctor | Lack of necessary structural elements needed to follow recommendations |
| The opportunity to participate in professional discussions with close colleagues | QI programme does not give an adequate amount of CME points |
| The opportunity to establish common routines in the GP practice, involving both GPs and other personnel | QI programme contains too much theoretical information that is not seen as relevant for practice |
| Provision of individual clinical data and data over time to observe change | Lack of financial support |
QI, quality improvement.