Table 4 Factors which could limit access to PM from the perspective of professionals and patients

Lack of coverage by health insurance companies

[29, 54, 80, 90]

Inability to pay out of pocket

[90]

[73, 97]

Decisions of physicians on medical appropriateness

[29]

[26]

Not part of treatment guidelines

[29]

Availability of tests

[29, 80]

Decisions of physicians due to high costs

[29]

[26]

Age

[54, 79]

Clinic or hospital location

[90]

Patient attitudes, norms and education

[90]

Discouragement by significant others

[90]

Lack of communication to the public

[48]

Belonging to a specific ethnic group

[103]

[113]

Lack of profitability for pharmaceutical industry

[96]