{
  "file_id": "dr_JC0228",
  "total_codes": 169,
  "codes": [
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "monitoring and checking it",
      "context": "Patient discusses importance of monitoring blood sugar",
      "file_id": "dr_JC0228",
      "chunk_id": 1
    },
    {
      "code": "Medication adherence",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "I do take my medications of course",
      "context": "Patient prioritizes taking medications",
      "file_id": "dr_JC0228",
      "chunk_id": 1
    },
    {
      "code": "Lifestyle modifications",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I have been doing a keto diet",
      "context": "Patient makes dietary changes to manage diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 1
    },
    {
      "code": "Physical activity",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "when I can, I try to go to the gym",
      "context": "Patient engages in physical activity for diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 1
    },
    {
      "code": "Blood sugar monitoring",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "so I use that and check my sugars with that",
      "context": "Patient uses device to monitor blood sugar levels",
      "file_id": "dr_JC0228",
      "chunk_id": 1
    },
    {
      "code": "Provider guidance",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "what has she, or she or he told you to do?",
      "context": "Patient discusses provider's recommendations",
      "file_id": "dr_JC0228",
      "chunk_id": 1
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "getting my A1C down is my, my one I'm working on the most right now",
      "context": "Patient focuses on blood sugar control but doesn't mention DR or eye care",
      "file_id": "dr_JC0228",
      "chunk_id": 2
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "monitoring and checking it",
      "context": "Patient mentions importance of monitoring blood sugar levels",
      "file_id": "dr_JC0228",
      "chunk_id": 2
    },
    {
      "code": "Medication adherence",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "making sure you take your medications at the right times",
      "context": "Patient emphasizes importance of taking medications correctly",
      "file_id": "dr_JC0228",
      "chunk_id": 2
    },
    {
      "code": "Exercise awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "that exercise is very good for it",
      "context": "Patient recognizes benefits of exercise for diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 2
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I don't really feel, I guess when I get high",
      "context": "Patient lacks clear understanding of diabetes effects",
      "file_id": "dr_JC0228",
      "chunk_id": 3
    },
    {
      "code": "Feeling overwhelmed",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "it makes me feel tired",
      "context": "Patient experiences emotional distress due to diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 3
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "even though I have been doing things, making better choices, this has been going on longer than I knew",
      "context": "Patient was unaware of the progression of their diabetic retinopathy",
      "file_id": "dr_JC0228",
      "chunk_id": 4
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "the last two doctors just said it should get better",
      "context": "Patient received inadequate information from healthcare providers",
      "file_id": "dr_JC0228",
      "chunk_id": 4
    },
    {
      "code": "Lack of patient-provider trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of patient-provider trust",
      "quote": "another doctor where they didn't tell me it'd come to something this until I found out a couple days ago",
      "context": "Patient feels that healthcare providers have not been transparent about their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 4
    },
    {
      "code": "Lack of access",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "my primary care doctor is in Weirton currently, and I'm trying to transfer",
      "context": "Patient having difficulty accessing primary care due to location",
      "file_id": "dr_JC0228",
      "chunk_id": 5
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "I had another doctor where they didn't tell me it'd come to something this until I found out a couple days ago",
      "context": "Patient experienced poor communication from healthcare provider",
      "file_id": "dr_JC0228",
      "chunk_id": 5
    },
    {
      "code": "Lack of patient-provider trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of patient-provider trust",
      "quote": "the last two doctors just said it should get better",
      "context": "Patient lacks trust in providers due to inconsistent information",
      "file_id": "dr_JC0228",
      "chunk_id": 5
    },
    {
      "code": "Difficulty with communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "I've had some difficulty with communicating with them about the fl- these few things",
      "context": "Patient having trouble communicating with primary care doctor",
      "file_id": "dr_JC0228",
      "chunk_id": 5
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "So I've had some difficulty with communicating with them about the fl- these few things.",
      "context": "Patient experiences difficulty communicating with healthcare providers",
      "file_id": "dr_JC0228",
      "chunk_id": 6
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "she did say she wanted to make sure that I got it checked again.",
      "context": "Patient's endocrinologist shows concern for their care",
      "file_id": "dr_JC0228",
      "chunk_id": 6
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "she did say she wanted to make sure that I got it checked again.",
      "context": "Patient's endocrinologist communicates effectively with them",
      "file_id": "dr_JC0228",
      "chunk_id": 6
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "So when I got it checked again, just that's whenever I noticed all this extra stuff, so.",
      "context": "Patient feels supported by provider",
      "file_id": "dr_JC0228",
      "chunk_id": 7
    },
    {
      "code": "Aggressive treatment",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "he wants to be aggressive with my treatments",
      "context": "Provider is proactive in treatment approach",
      "file_id": "dr_JC0228",
      "chunk_id": 7
    },
    {
      "code": "Positive attitude",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I'd rather be aggressive than not, so.",
      "context": "Patient is motivated to manage condition",
      "file_id": "dr_JC0228",
      "chunk_id": 7
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "it's circulation... it can restrict blood flow and that causes the, , tension and the squeezing in your eyes",
      "context": "Patient has limited knowledge about diabetes effects on eyes",
      "file_id": "dr_JC0228",
      "chunk_id": 8
    },
    {
      "code": "Provider education",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Health education programs",
      "quote": "just that basically the sugars, , it's circulation",
      "context": "Doctor provided patient with information about diabetes and eye health",
      "file_id": "dr_JC0228",
      "chunk_id": 8
    },
    {
      "code": "Patient awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "diabetes is, is, , directly linked to that and it can restrict blood flow",
      "context": "Patient demonstrates understanding of diabetes effects on eyes",
      "file_id": "dr_JC0228",
      "chunk_id": 8
    },
    {
      "code": "Lack of access",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "I haven't had a typical doctor for quite a while",
      "context": "Patient lacks consistent healthcare provider",
      "file_id": "dr_JC0228",
      "chunk_id": 9
    },
    {
      "code": "Insurance coverage issues",
      "category": "BARRIER - SDOH",
      "subcategory": "Insurance coverage issues",
      "quote": "we had changed insurance a couple times",
      "context": "Patient experiences changes in insurance coverage",
      "file_id": "dr_JC0228",
      "chunk_id": 9
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I'm hoping this will be more consistent",
      "context": "Patient seeks consistent healthcare provider",
      "file_id": "dr_JC0228",
      "chunk_id": 9
    },
    {
      "code": "Healthcare access",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate insurance coverage",
      "quote": "we are settled and moved into Morgantown, so I'm hoping this will be more consistent",
      "context": "Patient has access to healthcare in new location",
      "file_id": "dr_JC0228",
      "chunk_id": 9
    },
    {
      "code": "Insurance coverage issues",
      "category": "BARRIER - SDOH",
      "subcategory": "Insurance coverage issues",
      "quote": "we had changed insurance a couple times",
      "context": "Patient experienced changes in insurance coverage",
      "file_id": "dr_JC0228",
      "chunk_id": 10
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I'm hoping this will be more consistent",
      "context": "Patient expects consistent care from new provider",
      "file_id": "dr_JC0228",
      "chunk_id": 10
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "she did everything from the ch- the glaucoma, , scanned, , the eye exam",
      "context": "Patient describes thorough and clear explanation of eye exam process",
      "file_id": "dr_JC0228",
      "chunk_id": 10
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "she had some very good technology too for that",
      "context": "Patient appreciates provider's use of advanced technology",
      "file_id": "dr_JC0228",
      "chunk_id": 10
    },
    {
      "code": "Uncomfortable procedure",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor patient experience",
      "quote": "It's uncomfortable",
      "context": "Patient finds eye dilation uncomfortable",
      "file_id": "dr_JC0228",
      "chunk_id": 11
    },
    {
      "code": "Positive provider interaction",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "they did a good job",
      "context": "Patient appreciates provider's care during procedure",
      "file_id": "dr_JC0228",
      "chunk_id": 11
    },
    {
      "code": "Frequent follow-up needed",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "minimum would be probably three months",
      "context": "Patient understands importance of regular eye checks",
      "file_id": "dr_JC0228",
      "chunk_id": 11
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "they did a good job",
      "context": "Patient had positive experience with provider",
      "file_id": "dr_JC0228",
      "chunk_id": 12
    },
    {
      "code": "Appointment scheduling difficulties",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "try to call in and get my dates set up",
      "context": "Patient describes process of scheduling appointments",
      "file_id": "dr_JC0228",
      "chunk_id": 12
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "they'll call me to confirm my appointment or whatever",
      "context": "Patient receives clear communication from provider",
      "file_id": "dr_JC0228",
      "chunk_id": 12
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "A little bit longer, more waits",
      "context": "Patient experienced long wait times in the past",
      "file_id": "dr_JC0228",
      "chunk_id": 13
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Healthcare System Support",
      "quote": "Today was amazing. It was fast",
      "context": "Patient had a positive experience with provider availability",
      "file_id": "dr_JC0228",
      "chunk_id": 13
    },
    {
      "code": "Appointment scheduling difficulties",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "try to call in and then they'll call me to confirm my appointment",
      "context": "Patient describes a potentially cumbersome appointment scheduling process",
      "file_id": "dr_JC0228",
      "chunk_id": 13
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "So I mean, I would say here was excellent",
      "context": "Patient expresses satisfaction with their provider interaction",
      "file_id": "dr_JC0228",
      "chunk_id": 13
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "A little bit longer, more waits",
      "context": "Patient experienced long wait times previously",
      "file_id": "dr_JC0228",
      "chunk_id": 14
    },
    {
      "code": "Rushed appointments",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "I feel rushed, occasionally the, , , the doctor I had in Weirton and I felt it wasn't very thorough",
      "context": "Patient felt rushed during appointments with previous doctor",
      "file_id": "dr_JC0228",
      "chunk_id": 14
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "it was more, , , just in and out. Didn't really take the time to really do the, the work",
      "context": "Patient felt doctor did not communicate effectively",
      "file_id": "dr_JC0228",
      "chunk_id": 14
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Healthcare System Support",
      "quote": "And I got in in three days, so I was very happy with that today",
      "context": "Patient had easy access to provider",
      "file_id": "dr_JC0228",
      "chunk_id": 14
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "But here it's been very good. So",
      "context": "Patient has positive relationship with current provider",
      "file_id": "dr_JC0228",
      "chunk_id": 14
    },
    {
      "code": "Personal issues",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "I have my own personal, self issues",
      "context": "Patient mentions personal issues as a challenge",
      "file_id": "dr_JC0228",
      "chunk_id": 15
    },
    {
      "code": "Stress levels",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Depression/anxiety",
      "quote": "working on my stress levels",
      "context": "Patient identifies stress as an area for improvement",
      "file_id": "dr_JC0228",
      "chunk_id": 15
    },
    {
      "code": "Self management",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "trying to keep my sugar levels, down in the 70 range-ish",
      "context": "Patient is actively managing their diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 15
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I've been told is stress",
      "context": "Patient has received health advice on stress management",
      "file_id": "dr_JC0228",
      "chunk_id": 15
    },
    {
      "code": "Personal issues",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "as more I have my own personal, , self issues-",
      "context": "Patient mentions personal challenges affecting follow-up",
      "file_id": "dr_JC0228",
      "chunk_id": 16
    },
    {
      "code": "Crowded facilities",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of continuity of care",
      "quote": "just crowded-",
      "context": "Patient finds clinic environment overwhelming",
      "file_id": "dr_JC0228",
      "chunk_id": 16
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Long wait times",
      "quote": "you'll get there and you'll have to wait-",
      "context": "Patient experiences delays at the clinic",
      "file_id": "dr_JC0228",
      "chunk_id": 16
    },
    {
      "code": "Anxiety issues",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Depression/anxiety",
      "quote": "I have anxiety issues",
      "context": "Patient's mental health affects follow-up adherence",
      "file_id": "dr_JC0228",
      "chunk_id": 16
    },
    {
      "code": "ADHD",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "I have ADHD-",
      "context": "Patient's neurodevelopmental disorder may impact follow-up",
      "file_id": "dr_JC0228",
      "chunk_id": 16
    },
    {
      "code": "Anxiety issues",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Depression/anxiety",
      "quote": "well I have anxiety issues",
      "context": "Patient experiences anxiety",
      "file_id": "dr_JC0228",
      "chunk_id": 17
    },
    {
      "code": "Frustration issues",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "the frustration issues with the problems I have",
      "context": "Patient feels frustrated with health issues",
      "file_id": "dr_JC0228",
      "chunk_id": 17
    },
    {
      "code": "Lack of education",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "so that, , you could almost connect someone to something, especially if you're diabetic",
      "context": "Patient suggests needing more information on diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 17
    },
    {
      "code": "Health education support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "one of the things that I would suggest personally is somehow a better linkage to a dietary certain thing",
      "context": "Patient suggests needing health education on diet and diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 17
    },
    {
      "code": "Accessible resources",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Community health programs",
      "quote": "so that, , you could almost connect someone to something, especially if you're diabetic",
      "context": "Patient suggests needing accessible resources for diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 17
    },
    {
      "code": "Health education programs",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "plan for food management or, or things of that nature",
      "context": "Patient suggests needing guidance on managing diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 18
    },
    {
      "code": "Diabetes self-management support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "self-management",
      "context": "Patient emphasizes importance of self-care",
      "file_id": "dr_JC0228",
      "chunk_id": 18
    },
    {
      "code": "Holistic approaches",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "minor holistic things that you could do",
      "context": "Patient open to alternative methods for managing health",
      "file_id": "dr_JC0228",
      "chunk_id": 18
    },
    {
      "code": "Accessible healthcare",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "having something for people that would be able to go to, for a, a beginner",
      "context": "Patient suggests needing accessible resources for diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 18
    },
    {
      "code": "Stress relief methods",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "ways to relieve stress",
      "context": "Patient recognizes importance of stress management in diabetes care",
      "file_id": "dr_JC0228",
      "chunk_id": 18
    },
    {
      "code": "Family History",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "my grandmother had glaucoma, my aunt had, , eye issues, and my grand- my aunt had diabetes",
      "context": "Patient aware of family history of eye issues and diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 19
    },
    {
      "code": "Preventative Measures",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I'm trying to be more preventative of the things that, , for that",
      "context": "Patient taking proactive steps for health",
      "file_id": "dr_JC0228",
      "chunk_id": 19
    },
    {
      "code": "Healthy Diet",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "I'm trying to eat better and do things, anything I can do to, , as I basically turned 50",
      "context": "Patient making lifestyle changes for health",
      "file_id": "dr_JC0228",
      "chunk_id": 19
    },
    {
      "code": "Stress Management",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I am trying, I said, I'm working on meditation and breathing",
      "context": "Patient using stress management techniques for health",
      "file_id": "dr_JC0228",
      "chunk_id": 19
    },
    {
      "code": "Family History Awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "my grandmother had glaucoma, my aunt had, , eye issues, and my grand- my aunt had diabetes",
      "context": "Patient is aware of family history and trying to be preventative",
      "file_id": "dr_JC0228",
      "chunk_id": 20
    },
    {
      "code": "Preventative Motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I'm trying to be more preventative of the things that, , for that",
      "context": "Patient is motivated to take care of their health",
      "file_id": "dr_JC0228",
      "chunk_id": 20
    },
    {
      "code": "Lack Of Self Care",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "But I don't, there are times where I will probably overstress my eyes with certain things that",
      "context": "Patient is not prioritizing self-care for their eyes",
      "file_id": "dr_JC0228",
      "chunk_id": 20
    },
    {
      "code": "Intention To Change",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "But that's something I definitely would to work on",
      "context": "Patient intends to make positive changes for their health",
      "file_id": "dr_JC0228",
      "chunk_id": 20
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "if you don't treat, if untreated, it can lead to blindness",
      "context": "Patient's understanding of diabetes and vision loss",
      "file_id": "dr_JC0228",
      "chunk_id": 21
    },
    {
      "code": "Education/health literacy",
      "category": "BARRIER - SDOH",
      "subcategory": "Education/health literacy barriers",
      "quote": "I am, I'm a little self-educated enough to know it as well",
      "context": "Patient's self-education on diabetes and its consequences",
      "file_id": "dr_JC0228",
      "chunk_id": 21
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "he did say I was doing a better path",
      "context": "Patient's interaction with their doctor",
      "file_id": "dr_JC0228",
      "chunk_id": 21
    },
    {
      "code": "Health education programs",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I have some nursing background and some medical background and, and dietary actually",
      "context": "Patient's background knowledge on health and diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 21
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I do know that there are consequences to your actions when it comes to those things",
      "context": "Patient's understanding of their health and its consequences",
      "file_id": "dr_JC0228",
      "chunk_id": 21
    },
    {
      "code": "Open communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "I'm open",
      "context": "Patient feels comfortable discussing diabetes with eye doctor",
      "file_id": "dr_JC0228",
      "chunk_id": 22
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I feel I need to ask questions",
      "context": "Patient takes initiative to learn about their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 22
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "I'm fine with it",
      "context": "Patient feels at ease discussing concerns with provider",
      "file_id": "dr_JC0228",
      "chunk_id": 22
    },
    {
      "code": "Lack of provider empathy",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Rude or dismissive providers",
      "quote": "they weren't really going to gimme any answers",
      "context": "Patient felt dismissed by previous healthcare providers",
      "file_id": "dr_JC0228",
      "chunk_id": 23
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "they weren't really going to gimme any answers",
      "context": "Patient experienced poor communication with previous healthcare providers",
      "file_id": "dr_JC0228",
      "chunk_id": 23
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I feel I need to ask questions",
      "context": "Patient takes initiative to ask questions and understand their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 23
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "I have felt that way before, so-",
      "context": "Patient experiences effective communication with current healthcare provider",
      "file_id": "dr_JC0228",
      "chunk_id": 23
    },
    {
      "code": "Patient advocacy",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "Do you ever tell them what you feel is good for you, advocating for yourself? Speaker 2: Absolutely. Yeah",
      "context": "Patient advocates for themselves and expresses their needs to healthcare providers",
      "file_id": "dr_JC0228",
      "chunk_id": 23
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I try to tell them the things that, , as far as , what, what things that I'm trying to do",
      "context": "Patient takes initiative to inform themselves",
      "file_id": "dr_JC0228",
      "chunk_id": 24
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "I try to ask, , as far as , , or if I, I feel I need something, if I need to ask a doctor",
      "context": "Patient feels comfortable asking questions",
      "file_id": "dr_JC0228",
      "chunk_id": 24
    },
    {
      "code": "Self-advocacy",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I would definitely advocate for myself to be , 'Can we move this along or could we do that?'",
      "context": "Patient speaks up for their needs",
      "file_id": "dr_JC0228",
      "chunk_id": 24
    },
    {
      "code": "Understanding of DR severity",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "Very, , yeah. Very s- very, very serious",
      "context": "Patient recognizes the seriousness of diabetes-related vision loss",
      "file_id": "dr_JC0228",
      "chunk_id": 24
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I would definitely advocate for myself",
      "context": "Patient takes initiative to manage care",
      "file_id": "dr_JC0228",
      "chunk_id": 25
    },
    {
      "code": "Provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "be honest. be forward.",
      "context": "Patient values open communication with provider",
      "file_id": "dr_JC0228",
      "chunk_id": 25
    },
    {
      "code": "Understanding of DR progression",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "Very, , yeah. Very s- very, very serious.",
      "context": "Patient acknowledges seriousness of diabetes-related vision loss",
      "file_id": "dr_JC0228",
      "chunk_id": 25
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "be kind",
      "context": "Patient values a kind and honest provider",
      "file_id": "dr_JC0228",
      "chunk_id": 26
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "shoot me straight",
      "context": "Patient wants clear and direct communication from provider",
      "file_id": "dr_JC0228",
      "chunk_id": 26
    },
    {
      "code": "Bedside manner",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "just have a bedside manner",
      "context": "Patient values a good bedside manner in their provider",
      "file_id": "dr_JC0228",
      "chunk_id": 26
    },
    {
      "code": "Lack of understanding about DR progression",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I think not very likely",
      "context": "Patient underestimates risk of losing eyesight due to diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 26
    },
    {
      "code": "Honest provider communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "be honest",
      "context": "Patient values honesty in provider communication",
      "file_id": "dr_JC0228",
      "chunk_id": 26
    },
    {
      "code": "Lack of perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now'",
      "quote": "I think not very likely",
      "context": "Patient does not believe they are at risk for vision loss",
      "file_id": "dr_JC0228",
      "chunk_id": 27
    },
    {
      "code": "Positive outlook",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I'm taking steps to not make that happen",
      "context": "Patient is proactive about their health",
      "file_id": "dr_JC0228",
      "chunk_id": 27
    },
    {
      "code": "Good health literacy",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I'm taking steps to not make that happen",
      "context": "Patient understands importance of self-care",
      "file_id": "dr_JC0228",
      "chunk_id": 27
    },
    {
      "code": "Lack of provider referral",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "I wish the other doctors would've told me to go to the eye doctor",
      "context": "Patient feels providers failed to recommend necessary care",
      "file_id": "dr_JC0228",
      "chunk_id": 28
    },
    {
      "code": "Delayed diagnosis awareness",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "The things that I wish I would've caught just a little bit sooner",
      "context": "Patient regrets not seeking care earlier",
      "file_id": "dr_JC0228",
      "chunk_id": 28
    },
    {
      "code": "Provider communication gap",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "I wish they would've pushed a little harder on if I would've known it was at the level it was",
      "context": "Patient feels providers did not adequately communicate urgency",
      "file_id": "dr_JC0228",
      "chunk_id": 28
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "if I would've known it was at the level it was",
      "context": "Patient expresses regret over not pushing harder for diagnosis due to lack of knowledge",
      "file_id": "dr_JC0228",
      "chunk_id": 29
    },
    {
      "code": "Family history awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "My grandmother had glaucoma and I believe my mom does actually",
      "context": "Patient is aware of family history, potentially empowering them to take action",
      "file_id": "dr_JC0228",
      "chunk_id": 29
    },
    {
      "code": "Denial",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "I can see fine now",
      "quote": "There was a time where I'd more, be in more denial",
      "context": "Patient experiences denial about their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 30
    },
    {
      "code": "Worry",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "be a little bit more, more worried",
      "context": "Patient feels worried about their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 30
    },
    {
      "code": "Denial",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Patient beliefs",
      "quote": "There was a time where I'd more, be in more denial",
      "context": "Patient initially denied their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 31
    },
    {
      "code": "Worry",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Emotional distress",
      "quote": "be a little bit more, more worried",
      "context": "Patient experiences worry about their condition",
      "file_id": "dr_JC0228",
      "chunk_id": 31
    },
    {
      "code": "Prevention motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education",
      "quote": "prevention",
      "context": "Patient is motivated by prevention",
      "file_id": "dr_JC0228",
      "chunk_id": 31
    },
    {
      "code": "Longevity motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "it definitely benefits on their longevity",
      "context": "Patient believes regular healthcare services improve longevity",
      "file_id": "dr_JC0228",
      "chunk_id": 31
    },
    {
      "code": "Prevention motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "prevention. motivation to, , I, , people that go to the doctors, people that get check-ups.",
      "context": "Patient is motivated by prevention and health benefits",
      "file_id": "dr_JC0228",
      "chunk_id": 32
    },
    {
      "code": "Desire for longevity",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "wanting to live longer and have a health, , a happy, healthy life.",
      "context": "Patient values long-term health outcomes",
      "file_id": "dr_JC0228",
      "chunk_id": 32
    },
    {
      "code": "Cost concerns",
      "category": "BARRIER - Cost-Related Barriers",
      "subcategory": "Expensive treatments/surgery",
      "quote": "cost can be. cost can be a factor.",
      "context": "Patient is discouraged by high costs",
      "file_id": "dr_JC0228",
      "chunk_id": 32
    },
    {
      "code": "Frustration with timing",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "frustration, , timing.",
      "context": "Patient experiences frustration with appointment scheduling",
      "file_id": "dr_JC0228",
      "chunk_id": 32
    },
    {
      "code": "Emotional state",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "personal mood.",
      "context": "Patient's emotional state affects healthcare utilization",
      "file_id": "dr_JC0228",
      "chunk_id": 32
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "he became comforting to me and made me, guided me in a good way",
      "context": "Patient had a positive experience with their doctor",
      "file_id": "dr_JC0228",
      "chunk_id": 33
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "someone that told me, 'Look, , we're not looking to find anything, , we're just, we're here to help you and get you to that next level'",
      "context": "Patient felt supported by their doctor's empathetic approach",
      "file_id": "dr_JC0228",
      "chunk_id": 33
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "he became comforting to me and made me, guided me in a good way",
      "context": "Patient appreciated their doctor's clear and reassuring communication",
      "file_id": "dr_JC0228",
      "chunk_id": 33
    },
    {
      "code": "Positive staff personality",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "just personality of staff and people",
      "context": "Patient appreciates friendly healthcare staff",
      "file_id": "dr_JC0228",
      "chunk_id": 34
    },
    {
      "code": "Good attitude of staff",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "the girls that work here... and a good attitude",
      "context": "Patient values positive attitude of healthcare staff",
      "file_id": "dr_JC0228",
      "chunk_id": 34
    },
    {
      "code": "Rude or dismissive providers",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Rude or dismissive providers",
      "quote": "exactly the opposite of what I said",
      "context": "Patient implies negative experience with provider",
      "file_id": "dr_JC0228",
      "chunk_id": 34
    },
    {
      "code": "Lack of patient-provider trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of patient-provider trust",
      "quote": "when you're just a, a patient",
      "context": "Patient feels like just a number, not valued",
      "file_id": "dr_JC0228",
      "chunk_id": 34
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "someone that told me, Look, we're not looking to find anything, we're just, we're here to help you",
      "context": "Patient appreciates empathetic provider",
      "file_id": "dr_JC0228",
      "chunk_id": 34
    },
    {
      "code": "Lack of patient-provider trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "when you're not getting treated that. You are, you're not any different than anyone else",
      "context": "Patient feels like just another patient, not unique",
      "file_id": "dr_JC0228",
      "chunk_id": 35
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "'We give this to everyone, we're giving it to you too.'",
      "context": "Patient feels like provider is not communicating effectively",
      "file_id": "dr_JC0228",
      "chunk_id": 35
    },
    {
      "code": "Social support networks",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Patient Empowerment",
      "quote": "my wife to truth for, yeah. I would say my wife who's a nurse.",
      "context": "Patient has supportive spouse who is a nurse",
      "file_id": "dr_JC0228",
      "chunk_id": 35
    },
    {
      "code": "Family support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Patient Empowerment",
      "quote": "We try to help each other",
      "context": "Patient and daughter support each other with diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 35
    },
    {
      "code": "Social Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "We try to help each other",
      "context": "Patient has a supportive family member",
      "file_id": "dr_JC0228",
      "chunk_id": 36
    },
    {
      "code": "Family Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "She's a good, she's a very good support system",
      "context": "Patient has a supportive family member",
      "file_id": "dr_JC0228",
      "chunk_id": 36
    },
    {
      "code": "Health Education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "We talk about it",
      "context": "Patient discusses health with supportive family member",
      "file_id": "dr_JC0228",
      "chunk_id": 36
    },
    {
      "code": "Social Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "We, we help each other",
      "context": "Patient has a supportive relationship with someone",
      "file_id": "dr_JC0228",
      "chunk_id": 37
    },
    {
      "code": "Health Education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I have a little bit, but at- ... the time I really didn't",
      "context": "Patient participated in diabetes education class",
      "file_id": "dr_JC0228",
      "chunk_id": 37
    },
    {
      "code": "Emotional Readiness",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "I wasn't really mentally ready for what I was experiencing at that time",
      "context": "Patient was not emotionally prepared for diabetes education",
      "file_id": "dr_JC0228",
      "chunk_id": 37
    },
    {
      "code": "Emotional barriers",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "I wasn't really mentally ready for what I was experiencing at that time",
      "context": "Patient expresses emotional unpreparedness",
      "file_id": "dr_JC0228",
      "chunk_id": 38
    },
    {
      "code": "Social Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "I do have someone to help me with my chores, my food, things that",
      "context": "Patient has support system for daily tasks",
      "file_id": "dr_JC0228",
      "chunk_id": 39
    },
    {
      "code": "Lack of Understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "they just don't understand when it comes to certain things",
      "context": "Support system lacks full understanding of patient's condition",
      "file_id": "dr_JC0228",
      "chunk_id": 39
    },
    {
      "code": "Emotional Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "do you have people who you can share your worries or fears about your diabetes and your eyesight?",
      "context": "Patient has people to share concerns with",
      "file_id": "dr_JC0228",
      "chunk_id": 39
    },
    {
      "code": "Limited Support",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I think they do to a point, but I don't think they do fully",
      "context": "Support system has limited understanding of patient's needs",
      "file_id": "dr_JC0228",
      "chunk_id": 39
    },
    {
      "code": "Emotional distress",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Depression/anxiety",
      "quote": "the emotional beat up it takes sometimes on you, the wear and tear of the frustration",
      "context": "Patient experiences emotional burden due to diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 40
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "they just don't understand when it comes to certain things",
      "context": "Patient feels others do not comprehend the challenges of living with diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 40
    },
    {
      "code": "Social support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "And that would again, be my wife when it comes-",
      "context": "Patient has a supportive spouse to help with daily tasks",
      "file_id": "dr_JC0228",
      "chunk_id": 40
    },
    {
      "code": "Feeling overwhelmed",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "the sacrifices sometimes you make-",
      "context": "Patient feels overwhelmed by the demands of diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 40
    },
    {
      "code": "Lack of empathy",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Rude or dismissive providers",
      "quote": "I just feel just a lot of people are selfish with their feelings",
      "context": "Patient perceives lack of empathy from others, possibly including healthcare providers",
      "file_id": "dr_JC0228",
      "chunk_id": 41
    },
    {
      "code": "Self research",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I do a lot of my own research",
      "context": "Patient takes initiative to educate themselves about their health",
      "file_id": "dr_JC0228",
      "chunk_id": 41
    },
    {
      "code": "Access to resources",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate access to information",
      "quote": "I even use ChatGPT certain things, so",
      "context": "Patient has access to online resources for health information",
      "file_id": "dr_JC0228",
      "chunk_id": 41
    },
    {
      "code": "Access to healthcare",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "If wh- if, if I need that- ... thing. Yeah.",
      "context": "Patient implies uncertainty about accessing healthcare",
      "file_id": "dr_JC0228",
      "chunk_id": 42
    },
    {
      "code": "Healthcare System Support",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "If wh- if, if I need that- ... thing. Yeah.",
      "context": "Patient mentions ability to access healthcare professionals",
      "file_id": "dr_JC0228",
      "chunk_id": 42
    },
    {
      "code": "Provider Relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I wouldn't do it for more sympathy, but yeah.",
      "context": "Patient implies a positive relationship with their provider",
      "file_id": "dr_JC0228",
      "chunk_id": 42
    },
    {
      "code": "Lack of urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "I can see fine now",
      "quote": "I try not to let it, to be honest with you",
      "context": "Patient downplays impact of eyesight on daily life",
      "file_id": "dr_JC0228",
      "chunk_id": 43
    },
    {
      "code": "Safety concerns",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I don't wanna get anybody hurt",
      "context": "Patient takes responsibility for safety due to eyesight limitations",
      "file_id": "dr_JC0228",
      "chunk_id": 43
    },
    {
      "code": "Visual difficulties",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "certain times when I can't see certain things really well",
      "context": "Patient experiences visual difficulties in daily life",
      "file_id": "dr_JC0228",
      "chunk_id": 43
    },
    {
      "code": "Adaptation strategies",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "I've been trying to change some things with my life",
      "context": "Patient adapts to eyesight limitations by making lifestyle changes",
      "file_id": "dr_JC0228",
      "chunk_id": 43
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I felt I got full, the best. I don't think I could have walked out here with a better treatment than I got today, to be honest.",
      "context": "Patient expresses satisfaction with care received",
      "file_id": "dr_JC0228",
      "chunk_id": 44
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "I wanted to, I wanted to get an answer today, so-",
      "context": "Patient indicates desire for clear information from provider",
      "file_id": "dr_JC0228",
      "chunk_id": 44
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "I felt I got full, the best. I don't think I could have walked out here with a better treatment than I got today, to be honest.",
      "context": "Patient feels understood and supported by provider",
      "file_id": "dr_JC0228",
      "chunk_id": 44
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I had, I honestly, I just wanted to get, know what was wrong.",
      "context": "Patient able to access provider for care",
      "file_id": "dr_JC0228",
      "chunk_id": 44
    },
    {
      "code": "Mental health aspect",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Depression/anxiety",
      "quote": "it's a lot more of a mental game than it is a physical game",
      "context": "Patient emphasizes the mental challenge of managing diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 45
    },
    {
      "code": "Social support importance",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "support is extremely important if you can get it and have people to communicate with",
      "context": "Patient highlights the value of social support in managing diabetes",
      "file_id": "dr_JC0228",
      "chunk_id": 45
    },
    {
      "code": "Mental game",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "I just think a lot of it is, , it, personally, I think it's a lot more of a mental game than it is a physical game.",
      "context": "Patient views diabetes management as mentally challenging",
      "file_id": "dr_JC0228",
      "chunk_id": 46
    },
    {
      "code": "Lack of support",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Cultural beliefs about healthcare",
      "quote": "I do think support is extremely important if you can get it and have people to communicate with.",
      "context": "Patient emphasizes importance of social support",
      "file_id": "dr_JC0228",
      "chunk_id": 46
    },
    {
      "code": "Denial",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I think a lot of people, the biggest problem is denial-",
      "context": "Patient believes denial is a major obstacle to diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 46
    },
    {
      "code": "Social support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "I do think support is extremely important if you can get it and have people to communicate with.",
      "context": "Patient values social support for diabetes management",
      "file_id": "dr_JC0228",
      "chunk_id": 46
    }
  ]
}