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Fig 1.

Causal loop diagram.

This diagram shows the identified factors at the level of an individual HCP in bold. These factors interact with each other, but also with factors from other levels. Factors related to the interaction between HCPs and patients are presented in the top left corner. Context factors are shown in the top right corner. Factors related to interdisciplinary interactions are displayed in the bottom right corner. The positive arrows represent relationships that reinforce inadequate behaviour of HCPs in preventing and treating pain in breast cancer follow-up care. The negative arrows stand for inhibiting relationships. When a relationship is reciprocal, a circular arrow was added.

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