Survey Year	Primary Barriers	Other Barriers	Greatest Risk	p-value (Cost Barrier Increase)	p-value (Risk Emergence)
2022	Budget constraints (6.3%, n=18), Lack of perceived benefit (3.5%, n=10)	Other reasons (2.4%, n=7), Uncertain timeline (34.7%, n=100)	-	-	-
2025	Cost (38.01%, n=65), Training (33.92%, n=58)	Ethical/legal concerns (14.04%, n=24)	Over-reliance (59.06%, n=101), Errors (22.81%, n=39), Privacy (11.11%, n=19)	<0.0001	<0.0001