{
  "file_id": "dr_DA1010_Part2",
  "total_codes": 25,
  "codes": [
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I went to diabetes education classes at Mon General with April Lombardi",
      "context": "Patient participated in diabetes education classes",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 0
    },
    {
      "code": "Provider expertise",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "for somebody to teach diabetes and to tell you what to eat and they don't have diabetes",
      "context": "Patient questions provider's credibility due to lack of personal experience with diabetes",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 0
    },
    {
      "code": "Access to dieticians",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Community health programs",
      "quote": "And I've talked to numerous dieticians",
      "context": "Patient has access to multiple dieticians for support",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 0
    },
    {
      "code": "Perceived helpfulness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "Well, you're gonna learn a little bit from all of 'em",
      "context": "Patient finds education classes somewhat helpful",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 0
    },
    {
      "code": "Lack of trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of patient-provider trust",
      "quote": "for somebody to teach diabetes and to tell you what to eat and they don't have diabetes",
      "context": "Patient questions provider's credibility due to lack of personal experience with diabetes",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 1
    },
    {
      "code": "Health education barriers",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "it's just book learning. I can do that, I can do that from the internet",
      "context": "Patient feels health education is insufficient or not personalized",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 1
    },
    {
      "code": "Social support networks",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "I've got a very, very special friend. And she's the head dietician down here in campus",
      "context": "Patient has a supportive friend who is a healthcare professional",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 1
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "And she's helped me with a lot of stuff",
      "context": "Patient has access to a helpful and supportive healthcare provider",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 1
    },
    {
      "code": "Personal relationship",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "I didn't want that to be a factor",
      "context": "Patient stopped attending appointments due to personal relationship with dietician",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 2
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "And she's very good",
      "context": "Patient praises the dietician, indicating a positive relationship",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 2
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I met her through an appointment",
      "context": "Patient had access to the dietician through an appointment",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 2
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I don't, I don't know",
      "context": "Patient expresses uncertainty about treatment",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 3
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "Well, how in the hell can it?",
      "context": "Patient expresses frustration and uncertainty about treatment outcome",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 3
    },
    {
      "code": "Fear of treatment",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "No more. No more.",
      "context": "Patient expresses fear of needle procedure for eye treatment",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 4
    },
    {
      "code": "Painful experience",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "It wasn't no picnic.",
      "context": "Patient describes previous treatment experience as painful",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 4
    },
    {
      "code": "Painful experience",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "It wasn't no road, it wasn't no, , picnic. It was, it was, it was painful.",
      "context": "Patient had a painful experience during treatment",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 5
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "So what they put in this eye was different than what they put in that eye.",
      "context": "Patient seems unsure about treatment differences",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 5
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "Whenever I feel jumping up and running.",
      "context": "Patient feels anxious during treatment",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 5
    },
    {
      "code": "Lack of trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of patient-provider trust",
      "quote": "It seems you come in to get one problem fixed and they create two others",
      "context": "Patient expresses distrust in healthcare providers",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 6
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "It seems you come in to get one problem fixed and they create two others",
      "context": "Patient implies poor communication from healthcare providers",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 6
    },
    {
      "code": "Negative expectations",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "It seems you come in to get one problem fixed and they create two others",
      "context": "Patient has negative expectations about healthcare visits",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 6
    },
    {
      "code": "Routine exam",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "Well, today was just a routine exam",
      "context": "Patient attends regular check-ups",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 6
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "he's happy",
      "context": "Patient seems satisfied with provider's attitude",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 7
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "he checked the retinas to make sure it was still staying attached",
      "context": "Patient understands what provider did during exam",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 7
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "today was just a routine exam",
      "context": "Patient had easy access to scheduled appointment",
      "file_id": "dr_DA1010_Part2",
      "chunk_id": 7
    }
  ]
}