{
  "file_id": "dr_LR0314",
  "total_codes": 82,
  "codes": [
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "mostly it's about portion control in eating and eating on a regular schedule",
      "context": "Patient understands importance of diet control",
      "file_id": "dr_LR0314",
      "chunk_id": 2
    },
    {
      "code": "Self management",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "Just keeping weight off and trying to get some exercise and eating",
      "context": "Patient takes proactive approach to managing diabetes",
      "file_id": "dr_LR0314",
      "chunk_id": 2
    },
    {
      "code": "Health literacy",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "I look at wounds",
      "context": "Patient is aware of signs of worsening diabetes",
      "file_id": "dr_LR0314",
      "chunk_id": 2
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I'm not so sure it has",
      "context": "Patient unsure about diabetes impact on eyes",
      "file_id": "dr_LR0314",
      "chunk_id": 3
    },
    {
      "code": "No perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now'",
      "quote": "I'm not so sure it has",
      "context": "Patient does not perceive diabetes as affecting their eyes",
      "file_id": "dr_LR0314",
      "chunk_id": 3
    },
    {
      "code": "Self monitoring",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I look at wounds",
      "context": "Patient actively monitors their health",
      "file_id": "dr_LR0314",
      "chunk_id": 3
    },
    {
      "code": "Health awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "I check my feet every day",
      "context": "Patient takes proactive steps to manage their diabetes",
      "file_id": "dr_LR0314",
      "chunk_id": 3
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I'm not so sure it has",
      "context": "Patient unsure about diabetes effect on eyes",
      "file_id": "dr_LR0314",
      "chunk_id": 4
    },
    {
      "code": "No perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now'",
      "quote": "I'm not so sure it has",
      "context": "Patient does not perceive diabetes as affecting eyesight",
      "file_id": "dr_LR0314",
      "chunk_id": 4
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "Right here at the I- WVU Eye Institute",
      "context": "Patient has access to local eye care services",
      "file_id": "dr_LR0314",
      "chunk_id": 4
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "the retinal issues, but not, not recently",
      "context": "Patient has received some education about retinal issues",
      "file_id": "dr_LR0314",
      "chunk_id": 4
    },
    {
      "code": "Lack of mention",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "well, today I had my fields test, which is the flashing lights to see- ... how your peripheral vil- v- vision is.",
      "context": "Patient seems to understand the procedure but doesn't explicitly mention their understanding of DR progression",
      "file_id": "dr_LR0314",
      "chunk_id": 5
    },
    {
      "code": "Regular check-ups",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "so they check that on regularly",
      "context": "Patient receives regular check-ups for their eye condition",
      "file_id": "dr_LR0314",
      "chunk_id": 5
    },
    {
      "code": "Medication adherence",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "in the morning and the evening",
      "context": "Patient is able to manage their medication regimen",
      "file_id": "dr_LR0314",
      "chunk_id": 5
    },
    {
      "code": "Lack of perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "I can see fine now",
      "quote": "I had cataract surgery, I have new lenses, so it's pretty stable now",
      "context": "Patient feels their condition is stable",
      "file_id": "dr_LR0314",
      "chunk_id": 6
    },
    {
      "code": "Easy scheduling process",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "Oh, absolutely. Quite easy",
      "context": "Patient finds scheduling appointments easy",
      "file_id": "dr_LR0314",
      "chunk_id": 6
    },
    {
      "code": "Adequate provider availability",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Reminder systems",
      "quote": "Yeah, his availability is adequate for me",
      "context": "Patient feels their doctor's availability meets their needs",
      "file_id": "dr_LR0314",
      "chunk_id": 6
    },
    {
      "code": "Lack of understanding about DR progression",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I don't know at this point because I had cataract surgery, I have new lenses, so it's pretty stable now",
      "context": "Patient lacks understanding of their condition",
      "file_id": "dr_LR0314",
      "chunk_id": 6
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "And I sat for an hour today, close to an hour waiting for him",
      "context": "Patient experiences long wait time to see doctor",
      "file_id": "dr_LR0314",
      "chunk_id": 7
    },
    {
      "code": "Appointment scheduling difficulties",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "I schedule my appointments around his open calendar",
      "context": "Patient has to work around doctor's availability for scheduling",
      "file_id": "dr_LR0314",
      "chunk_id": 7
    },
    {
      "code": "Lack of continuity of care",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "Spread thin here at the hospital",
      "context": "Patient implies that doctor may be overworked or unavailable",
      "file_id": "dr_LR0314",
      "chunk_id": 7
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Healthcare System Support",
      "quote": "his availability is adequate for me",
      "context": "Patient feels that doctor's availability meets their needs",
      "file_id": "dr_LR0314",
      "chunk_id": 7
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "At least 30 minutes generally",
      "context": "Patient experiences long wait times",
      "file_id": "dr_LR0314",
      "chunk_id": 8
    },
    {
      "code": "Scheduling difficulties",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "it's just scheduling around my work schedule",
      "context": "Patient has difficulty scheduling appointments around work",
      "file_id": "dr_LR0314",
      "chunk_id": 8
    },
    {
      "code": "Lack of access",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "the script went south on me",
      "context": "Patient had issues with prescription, possibly due to lack of access",
      "file_id": "dr_LR0314",
      "chunk_id": 9
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "the script went south on me",
      "context": "Patient implies financial issue with prescription",
      "file_id": "dr_LR0314",
      "chunk_id": 9
    },
    {
      "code": "Lack of health education",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I haven't ... I used to wear 'em freq- all the time, but now I've just gotten grown used to not wearing sunglasses",
      "context": "Patient lacks knowledge about eye protection",
      "file_id": "dr_LR0314",
      "chunk_id": 10
    },
    {
      "code": "No supplements taken",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "No",
      "context": "Patient does not take vitamins for eye health",
      "file_id": "dr_LR0314",
      "chunk_id": 10
    },
    {
      "code": "Inadequate eye rest",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "not directly",
      "context": "Patient does not prioritize eye rest",
      "file_id": "dr_LR0314",
      "chunk_id": 10
    },
    {
      "code": "Accessible work environment",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I'm working with papers and then, and typing and-",
      "context": "Patient has flexible work setup",
      "file_id": "dr_LR0314",
      "chunk_id": 10
    },
    {
      "code": "Eye care routine",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "So it seems the one thing you really emphasize for your eyecare is eyedrops",
      "context": "Patient has established eye care habit",
      "file_id": "dr_LR0314",
      "chunk_id": 10
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "we talked about it. But, , Dr. Palko is the, the cataract guy, so-",
      "context": "Patient seems unclear about their doctor's role in diabetes care",
      "file_id": "dr_LR0314",
      "chunk_id": 11
    },
    {
      "code": "Provider expertise",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "Dr. Palko is the, the cataract guy",
      "context": "Patient acknowledges doctor's specialization",
      "file_id": "dr_LR0314",
      "chunk_id": 11
    },
    {
      "code": "Urgency to act",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "He, he said, 'You need to do this sooner than later.'",
      "context": "Doctor's advice prompted patient to take action",
      "file_id": "dr_LR0314",
      "chunk_id": 11
    },
    {
      "code": "Discomfort discussing issues",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "Not at all. I mean, I mean, I don't have any problems with-",
      "context": "Patient feels uncomfortable talking about diabetes-related eye problems",
      "file_id": "dr_LR0314",
      "chunk_id": 11
    },
    {
      "code": "Lack of questions",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "Sometimes",
      "context": "Patient does not always ask questions to their doctor",
      "file_id": "dr_LR0314",
      "chunk_id": 12
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I feel comfortable with my doctors",
      "context": "Patient feels at ease with their healthcare providers",
      "file_id": "dr_LR0314",
      "chunk_id": 12
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "we talked about the glasses and the-",
      "context": "Patient and provider engage in open discussion",
      "file_id": "dr_LR0314",
      "chunk_id": 12
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I thought there’s extremely good care here at the Eye Institute",
      "context": "Patient expresses satisfaction with care received",
      "file_id": "dr_LR0314",
      "chunk_id": 13
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "we- ... talked about the glasses and the- ... progressive lenses that I use",
      "context": "Patient discusses conversation with doctor about treatment",
      "file_id": "dr_LR0314",
      "chunk_id": 13
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "Dr. ... in his opinion, larger's better or taller's better with progressives",
      "context": "Doctor provides personalized advice to patient",
      "file_id": "dr_LR0314",
      "chunk_id": 13
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I don't think it is a risk at this point",
      "context": "Patient underestimates diabetes risk",
      "file_id": "dr_LR0314",
      "chunk_id": 14
    },
    {
      "code": "No perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now'",
      "quote": "I don't think it is a risk at this point",
      "context": "Patient feels no immediate need for follow-up",
      "file_id": "dr_LR0314",
      "chunk_id": 14
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I thought there's extremely good care here at the Eye Institute",
      "context": "Patient has trust in healthcare providers",
      "file_id": "dr_LR0314",
      "chunk_id": 14
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "do the things I'm supposed to do to be a good diabetic person",
      "context": "Patient has knowledge of self-care",
      "file_id": "dr_LR0314",
      "chunk_id": 14
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I don't, I really don't know",
      "context": "Patient unsure about diabetes impact on eyesight",
      "file_id": "dr_LR0314",
      "chunk_id": 15
    },
    {
      "code": "No perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now'",
      "quote": "It's very good",
      "context": "Patient feels current vision is fine, no need to worry",
      "file_id": "dr_LR0314",
      "chunk_id": 15
    },
    {
      "code": "Avoidance due to fear",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "I don't want- ... to worry about it so I don't think about it",
      "context": "Patient avoids thinking about potential vision loss due to fear",
      "file_id": "dr_LR0314",
      "chunk_id": 15
    },
    {
      "code": "Lack of mention",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "Just going from a world of mud to a world of color",
      "context": "Patient discusses improvement in vision but not follow-up",
      "file_id": "dr_LR0314",
      "chunk_id": 16
    },
    {
      "code": "Work environment",
      "category": "BARRIER - Social Determinants of Health (SDOH)",
      "subcategory": "Education/health literacy barriers",
      "quote": "I work in an archives and I work with old papers",
      "context": "Patient's job may expose them to dust, potentially irritating eyes",
      "file_id": "dr_LR0314",
      "chunk_id": 16
    },
    {
      "code": "No codes directly",
      "category": "NO BARRIER OR FACILITATOR",
      "subcategory": "None",
      "quote": "Get dust and things or out in the yard maybe",
      "context": "Patient discusses potential eye irritants but not follow-up",
      "file_id": "dr_LR0314",
      "chunk_id": 16
    },
    {
      "code": "Physician communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Physicians here are very good",
      "context": "Patient praises physician communication",
      "file_id": "dr_LR0314",
      "chunk_id": 17
    },
    {
      "code": "Patient motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "well, I'm motivated",
      "context": "Patient self-reports being motivated for healthcare",
      "file_id": "dr_LR0314",
      "chunk_id": 17
    },
    {
      "code": "Self motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "Self-motivation- ... is one of 'em",
      "context": "Patient mentions self-motivation as a factor for follow-up adherence",
      "file_id": "dr_LR0314",
      "chunk_id": 18
    },
    {
      "code": "Family support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "I wanna be around my, for my wife and be able-",
      "context": "Patient mentions family as a motivator for follow-up adherence",
      "file_id": "dr_LR0314",
      "chunk_id": 18
    },
    {
      "code": "Positive attitude",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "Just something I have to do and-",
      "context": "Patient shows a positive attitude towards follow-up appointments",
      "file_id": "dr_LR0314",
      "chunk_id": 18
    },
    {
      "code": "Good provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "Physicians here are very good",
      "context": "Patient mentions good provider relationship as a facilitator",
      "file_id": "dr_LR0314",
      "chunk_id": 18
    },
    {
      "code": "Positive experience",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I think it's all positive, due to the quality of the care here",
      "context": "Patient has a positive experience with healthcare services",
      "file_id": "dr_LR0314",
      "chunk_id": 19
    },
    {
      "code": "Quality of care",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "the quality of the care here",
      "context": "Patient appreciates the high-quality care at the Eye Institute",
      "file_id": "dr_LR0314",
      "chunk_id": 19
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I think it's all positive, due to the quality of the care here",
      "context": "Patient implies a positive relationship with providers",
      "file_id": "dr_LR0314",
      "chunk_id": 19
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "the MyChart thing is really great because",
      "context": "Patient finds online portal helpful",
      "file_id": "dr_LR0314",
      "chunk_id": 20
    },
    {
      "code": "Reminder systems",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Reminder systems",
      "quote": "Puts it, sends it to your phone and",
      "context": "Patient appreciates electronic reminders",
      "file_id": "dr_LR0314",
      "chunk_id": 20
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "they could stop the billing",
      "context": "Patient is frustrated with billing process",
      "file_id": "dr_LR0314",
      "chunk_id": 20
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "Stop billing me for stuff",
      "context": "Patient is concerned about being billed",
      "file_id": "dr_LR0314",
      "chunk_id": 21
    },
    {
      "code": "Self motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I'm pretty well- self-motivated",
      "context": "Patient takes initiative in managing diabetes",
      "file_id": "dr_LR0314",
      "chunk_id": 21
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "doctor told me, ask- every time he asked me, well, your AC- A1c is good, you don't need to worry about that",
      "context": "Patient lacks understanding of diabetes management",
      "file_id": "dr_LR0314",
      "chunk_id": 22
    },
    {
      "code": "Fear of procedure",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "No, no one wants to prick their finger",
      "context": "Patient fears blood sugar monitoring",
      "file_id": "dr_LR0314",
      "chunk_id": 22
    },
    {
      "code": "Spousal support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "My wife is there if I need some help",
      "context": "Patient has supportive spouse for daily care",
      "file_id": "dr_LR0314",
      "chunk_id": 22
    },
    {
      "code": "Health education programs",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I participated in a diabetes education class",
      "context": "Patient attended diabetes education session",
      "file_id": "dr_LR0314",
      "chunk_id": 23
    },
    {
      "code": "Diabetes self-management support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "they gave you pamphlets and a couple cookbooks",
      "context": "Patient received educational materials for self-management",
      "file_id": "dr_LR0314",
      "chunk_id": 23
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "they gave you- pamphlets and a couple cookbooks",
      "context": "Patient received educational materials",
      "file_id": "dr_LR0314",
      "chunk_id": 24
    },
    {
      "code": "Social support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "My wife is- best friend",
      "context": "Patient has a supportive spouse",
      "file_id": "dr_LR0314",
      "chunk_id": 24
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I have reached out through MyChart to the hospital",
      "context": "Patient can easily contact healthcare providers",
      "file_id": "dr_LR0314",
      "chunk_id": 24
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Pretty quick response",
      "context": "Patient experiences timely communication from nursing staff",
      "file_id": "dr_LR0314",
      "chunk_id": 24
    },
    {
      "code": "Helpful staff",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "And helpful.",
      "context": "Patient finds nursing staff responsive",
      "file_id": "dr_LR0314",
      "chunk_id": 25
    },
    {
      "code": "Positive expectations",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "just to get, make sure my pressures are where he wants them to be.",
      "context": "Patient has clear understanding of visit goals",
      "file_id": "dr_LR0314",
      "chunk_id": 25
    },
    {
      "code": "Lack of access",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "if you're not everyone can come to this Eye Institute",
      "context": "Patient mentions limited access to the Eye Institute",
      "file_id": "dr_LR0314",
      "chunk_id": 26
    },
    {
      "code": "Poor care elsewhere",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of continuity of care",
      "quote": "I don't think that they do the dilation that they should when, when you go to the-",
      "context": "Patient expresses concern about quality of care at other facilities",
      "file_id": "dr_LR0314",
      "chunk_id": 26
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "being a diabetic is my entrée into the hospital",
      "context": "Patient has access to hospital care due to diabetes",
      "file_id": "dr_LR0314",
      "chunk_id": 26
    },
    {
      "code": "Transportation issues",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "it's a long haul to get here",
      "context": "Patient mentions distance as a challenge",
      "file_id": "dr_LR0314",
      "chunk_id": 27
    },
    {
      "code": "Lack of access to healthcare",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "I wish there was more satellite institutes or something",
      "context": "Patient expresses desire for more accessible care options",
      "file_id": "dr_LR0314",
      "chunk_id": 27
    },
    {
      "code": "Accessible providers",
      "category": "B. FACILITATORS TO FOLLOW-UP",
      "subcategory": "1. Healthcare System Support",
      "quote": "I wish there was more satellite institutes or something",
      "context": "Patient suggests having more providers in different locations would be helpful",
      "file_id": "dr_LR0314",
      "chunk_id": 27
    }
  ]
}