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PLEASE RANK THE BARRIERS FROM (1) MOST IMPORTANT TO (4) LEAST IMPORTANT.
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Difficulty explaining complex immunologic processes
Rapidly changing treatment options for MS
Lack of time in office for patient education
Risks/benefits not clearly elucidated in MS literature
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*
*
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Very ConfidentConfidentSomewhat ConfidentNot Very ConfidentNot At All Confident
Low patient adherence to current therapy
Adverse effects or poor tolerability to current therapy
Breakthrough disease activity (relapses, MRI changes)
Patient preference for different agent
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Very ImportantImportantSomewhat ImportantNot Very ImportantNot At All Important
Coordinating between specialized MS care center and community care
Maintaining accurate and up-to-date health records
Planning strategies to optimize patient care beyond the neurology clinic (e.g. rehabilitation)
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RoutinelyOccasionallyRarely
Work with an MS nurse specialist to coordinate care plan
Team up with other healthcare providers to provide lifestyle support and education to patients
Refer to rehabilitation specialist to evaluate potential for improved functional status
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