{ "file_id": "dr_RW1026", "total_codes": 117, "codes": [ { "code": "Lack of adherence to meds", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "I just take my meds when I can", "context": "Patient does not prioritize medication schedule", "file_id": "dr_RW1026", "chunk_id": 0 }, { "code": "Poor health literacy", "category": "BARRIER - SDOH", "subcategory": "Education/health literacy barriers", "quote": "What now?", "context": "Patient seems unclear about diabetes management questions", "file_id": "dr_RW1026", "chunk_id": 0 }, { "code": "Health education importance", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "check my sugar, pretty much make meal plans", "context": "Patient values learning about diabetes management", "file_id": "dr_RW1026", "chunk_id": 0 }, { "code": "Provider guidance", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "my doctor has discussed with you that it's important for people with diabetes to do", "context": "Patient receives guidance from healthcare provider", "file_id": "dr_RW1026", "chunk_id": 0 }, { "code": "Self-management support", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Diabetes self-management support", "quote": "check blood sugar, get exercise, plenty of sleep, diet, take my medication", "context": "Patient is aware of self-management strategies", "file_id": "dr_RW1026", "chunk_id": 0 }, { "code": "Lack of symptoms", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "'I can see fine now' (no perceived urgency)", "quote": "far as symptoms go, there really wasn't no symptoms", "context": "Patient does not experience noticeable symptoms", "file_id": "dr_RW1026", "chunk_id": 1 }, { "code": "No education on DR progression", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "That's pretty much it", "context": "Patient lacks knowledge on diabetes management and complications", "file_id": "dr_RW1026", "chunk_id": 1 }, { "code": "Health education programs", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "check blood sugar, get exercise, plenty of sleep, diet, take my medication", "context": "Patient has received guidance on diabetes management", "file_id": "dr_RW1026", "chunk_id": 1 }, { "code": "Provider discussion on self-care", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "And what are some things your doctor has discussed with you that it's important for people with diabetes to do?", "context": "Patient receives guidance from provider on self-care", "file_id": "dr_RW1026", "chunk_id": 1 }, { "code": "Lack of awareness", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "I noticed my eyes are getting worse", "context": "Patient is unaware of the severity of their condition", "file_id": "dr_RW1026", "chunk_id": 2 }, { "code": "Fear of diagnosis", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Fear of diagnosis/treatment", "quote": "I went from seeing to not", "context": "Patient is experiencing vision loss, potentially fearing diagnosis", "file_id": "dr_RW1026", "chunk_id": 2 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "It's going swimming in a pool and coming up and having water, water in your eyes", "context": "Patient is describing their condition without clear understanding", "file_id": "dr_RW1026", "chunk_id": 2 }, { "code": "Healthcare system support", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "I've had blood-- high blood sugar. I've had low blood sugar", "context": "Patient has received medical attention, indicating some level of healthcare support", "file_id": "dr_RW1026", "chunk_id": 2 }, { "code": "Patient awareness", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "I noticed my eyes are getting worse", "context": "Patient is aware of their condition, potentially due to health education", "file_id": "dr_RW1026", "chunk_id": 2 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "he didn't really say diabetic retinopathy", "context": "Patient unclear about diagnosis", "file_id": "dr_RW1026", "chunk_id": 3 }, { "code": "Poor communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "No, he didn't say nothing about them", "context": "Provider did not communicate effectively", "file_id": "dr_RW1026", "chunk_id": 3 }, { "code": "Lack of education", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Education/health literacy barriers", "quote": "Not really, no. No.", "context": "Patient reports lack of information about diabetes effects on eyes", "file_id": "dr_RW1026", "chunk_id": 4 }, { "code": "Poor provider communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "Nobody's told you anything about how ?", "context": "Patient indicates providers did not inform them about diabetes effects on eyes", "file_id": "dr_RW1026", "chunk_id": 4 }, { "code": "Lack of continuity of care", "category": "BARRIER - Provider/System Issues", "subcategory": "Lack of continuity of care", "quote": "And I had to find another one.", "context": "Patient experienced change in primary care provider", "file_id": "dr_RW1026", "chunk_id": 4 }, { "code": "Accessible providers", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "I had an eye doctor--", "context": "Patient reports having access to a specialist", "file_id": "dr_RW1026", "chunk_id": 4 }, { "code": "Lack of explanation", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "didn't really get into too much of, , the explanation part of it", "context": "Patient felt doctor didn't explain diabetes effects on eyes thoroughly", "file_id": "dr_RW1026", "chunk_id": 5 }, { "code": "Positive provider relationship", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "And she got my diabetes down and really informed me a lot about diabetes", "context": "Patient had a positive experience with a specialist doctor", "file_id": "dr_RW1026", "chunk_id": 5 }, { "code": "Access to healthcare", "category": "FACILITATOR - Resources & Access", "subcategory": "Accessible providers", "quote": "I got it here", "context": "Patient has access to eye exams at their current location", "file_id": "dr_RW1026", "chunk_id": 5 }, { "code": "Health education programs", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "And she got my diabetes down and really informed me a lot about diabetes", "context": "Patient received health education from their doctor", "file_id": "dr_RW1026", "chunk_id": 5 }, { "code": "Workplace health programs", "category": "FACILITATOR - Resources & Access", "subcategory": "Community health programs", "quote": "we had our eyes tested every three years", "context": "Patient's workplace offers regular eye exams", "file_id": "dr_RW1026", "chunk_id": 5 }, { "code": "Lack of access", "category": "BARRIER - SDOH", "subcategory": "Lack of access to healthcare", "quote": "I didn't really-- --", "context": "Patient implies lack of prior eye exams", "file_id": "dr_RW1026", "chunk_id": 6 }, { "code": "Healthcare system support", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "we get-- , we had our eyes tested every three years", "context": "Patient's workplace provides regular eye exams", "file_id": "dr_RW1026", "chunk_id": 6 }, { "code": "Resources and access", "category": "FACILITATOR - Resources & Access", "subcategory": "Adequate insurance coverage", "quote": "at work, we get-- , we had our eyes tested every three years", "context": "Patient's workplace provides eye exams, implying access to resources", "file_id": "dr_RW1026", "chunk_id": 6 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "I don't know where to begin", "context": "Patient unsure about the examination process", "file_id": "dr_RW1026", "chunk_id": 7 }, { "code": "Poor health literacy", "category": "BARRIER - SDOH", "subcategory": "Education/health literacy barriers", "quote": "I don't know 'cause I really haven't-- really haven't been through it before", "context": "Patient lacks knowledge about the examination procedure", "file_id": "dr_RW1026", "chunk_id": 7 }, { "code": "Accessible providers", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "They pretty much did everything", "context": "Patient received thorough care from providers", "file_id": "dr_RW1026", "chunk_id": 7 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "I think you should have your eyes checked once a year, or if you started having problems", "context": "Patient lacks knowledge about necessary follow-up frequency", "file_id": "dr_RW1026", "chunk_id": 8 }, { "code": "Fear of diagnosis", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Fear of diagnosis/treatment", "quote": "Oh, man. Horrible.", "context": "Patient expresses negative emotions about eye exam experience", "file_id": "dr_RW1026", "chunk_id": 8 }, { "code": "Vision problems", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "I can see fine now", "quote": "I couldn't hardly see at all.", "context": "Patient experiences vision difficulties, contradicting 'no perceived urgency' belief", "file_id": "dr_RW1026", "chunk_id": 8 }, { "code": "Health education", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "I think you should have your eyes checked once a year, or if you started having problems", "context": "Patient demonstrates some knowledge about eye exam frequency", "file_id": "dr_RW1026", "chunk_id": 8 }, { "code": "Lack of clarity on schedule", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "And, , after that, I don't-- really don't know--", "context": "Patient unsure about future appointments", "file_id": "dr_RW1026", "chunk_id": 9 }, { "code": "Easy scheduling process", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "No, it wasn't. -- Yeah. Pretty much.", "context": "Patient found scheduling easy and convenient", "file_id": "dr_RW1026", "chunk_id": 9 }, { "code": "Flexible doctor availability", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "I can match it too.", "context": "Patient's schedule matches doctor's availability", "file_id": "dr_RW1026", "chunk_id": 9 }, { "code": "Transportation issues", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "it's an hour 45-minute drive, right?", "context": "Patient mentions long distance to clinic", "file_id": "dr_RW1026", "chunk_id": 10 }, { "code": "Transportation barriers", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "Well, that's a little bit difficult, 'cause I gotta get a ride to get up here", "context": "Patient lacks transportation to clinic", "file_id": "dr_RW1026", "chunk_id": 10 }, { "code": "Lack of education", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "2. Patient Beliefs & Perceptions", "quote": "they really didn't say anything", "context": "Patient received no educational information", "file_id": "dr_RW1026", "chunk_id": 10 }, { "code": "Poor communication", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "3. Provider/System Issues", "quote": "they really didn't say anything", "context": "Patient received no information from provider", "file_id": "dr_RW1026", "chunk_id": 10 }, { "code": "Transportation issues", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "I gotta get a ride to get up here", "context": "Patient faces difficulty due to lack of transportation", "file_id": "dr_RW1026", "chunk_id": 11 }, { "code": "Long distance", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "hour and 45 minutes drive makes it inconvenient", "context": "Patient finds long travel time to clinic inconvenient", "file_id": "dr_RW1026", "chunk_id": 11 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "they explained what diabetes would do with the, , the blood vessels in your eye--", "context": "Patient lacked knowledge about diabetes effects on eyes", "file_id": "dr_RW1026", "chunk_id": 12 }, { "code": "Effective communication", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "they explained what diabetes would do with the, , the blood vessels in your eye--", "context": "Patient received clear information from doctor", "file_id": "dr_RW1026", "chunk_id": 12 }, { "code": "Positive patient-provider relationship", "category": "FACILITATOR - Provider Relationship", "subcategory": "Positive patient-provider relationship", "quote": "Oh, I'm very comfortable", "context": "Patient feels at ease with their eye doctor", "file_id": "dr_RW1026", "chunk_id": 12 }, { "code": "Lack of patient-provider trust", "category": "BARRIER - Provider/System Issues", "subcategory": "Lack of patient-provider trust", "quote": "I'm just another number, just another--", "context": "Patient feels like just a number to their provider", "file_id": "dr_RW1026", "chunk_id": 13 }, { "code": "Poor communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "we didn't understand what really was going on", "context": "Patient had difficulty understanding their condition due to poor communication", "file_id": "dr_RW1026", "chunk_id": 13 }, { "code": "Positive patient-provider relationship", "category": "FACILITATOR - Provider Relationship", "subcategory": "Positive patient-provider relationship", "quote": "I'm very comfortable", "context": "Patient feels comfortable discussing their concerns with their provider", "file_id": "dr_RW1026", "chunk_id": 13 }, { "code": "Effective communication", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "they tell me what, what could happen, what I could do", "context": "Patient receives clear information from their provider", "file_id": "dr_RW1026", "chunk_id": 13 }, { "code": "Lack of patient-provider trust", "category": "BARRIER - Provider/System Issues", "subcategory": "Lack of patient-provider trust", "quote": "I'm just another number, just another--", "context": "Patient feels like just a number to providers", "file_id": "dr_RW1026", "chunk_id": 14 }, { "code": "Poor communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "they-they've got so many people coming through a day", "context": "Patient perceives providers as too busy to communicate effectively", "file_id": "dr_RW1026", "chunk_id": 14 }, { "code": "Lack of understanding about DR progression", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "they tell me what, , what could happen, what, what I could do", "context": "Patient lacks clear understanding of diabetes and its effects", "file_id": "dr_RW1026", "chunk_id": 14 }, { "code": "Effective communication", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "Just tell them", "context": "Patient reports being able to communicate needs to providers", "file_id": "dr_RW1026", "chunk_id": 14 }, { "code": "Patient empowerment", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "I've told them, , , what I do as far as my medication and stuff goes", "context": "Patient takes active role in managing health", "file_id": "dr_RW1026", "chunk_id": 14 }, { "code": "Perceived severity of diabetes", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health literacy", "quote": "Very serious", "context": "Patient understands the seriousness of diabetes-related vision loss", "file_id": "dr_RW1026", "chunk_id": 14 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "So I can't really say, one way or the other, whether diabetes really had anything to do with that or not", "context": "Patient unsure about diabetes impact on vision", "file_id": "dr_RW1026", "chunk_id": 15 }, { "code": "Fear of diagnosis", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Fear of diagnosis/treatment", "quote": "Well, the last two years I've seen what-- know what it's", "context": "Patient hesitant to discuss vision loss", "file_id": "dr_RW1026", "chunk_id": 15 }, { "code": "Health education", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "Well, well, right now I got partial", "context": "Patient has some knowledge about diabetes and vision", "file_id": "dr_RW1026", "chunk_id": 15 }, { "code": "Diabetes awareness", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health literacy", "quote": "Very serious", "context": "Patient recognizes diabetes severity", "file_id": "dr_RW1026", "chunk_id": 15 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "but with the diabetes, I don't know, it's, it's up in the air", "context": "Patient unsure about diabetes impact on vision", "file_id": "dr_RW1026", "chunk_id": 16 }, { "code": "Fear of diagnosis", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Fear of diagnosis/treatment", "quote": "I don't know, it's, it's up in the air", "context": "Patient anxious about potential vision loss", "file_id": "dr_RW1026", "chunk_id": 16 }, { "code": "Provider empathy", "category": "FACILITATOR - Provider Relationship", "subcategory": "Provider empathy", "quote": "doctor said I wouldn't have-- I wouldn't have the eyesight of a 20-year-old, but 30 is all right", "context": "Patient feels reassured by doctor's words", "file_id": "dr_RW1026", "chunk_id": 16 }, { "code": "Health education", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "doctor said I wouldn't have-- I wouldn't have the eyesight of a 20-year-old, but 30 is all right", "context": "Patient receives information about vision expectations", "file_id": "dr_RW1026", "chunk_id": 16 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "I can see colors, and-- I can see copiers and papers, the pencils--", "context": "Patient describes visual limitations without mentioning disease progression", "file_id": "dr_RW1026", "chunk_id": 17 }, { "code": "Fear of diagnosis", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Fear of diagnosis/treatment", "quote": "I've got all kinds of-- I've go eye problems", "context": "Patient expresses concern about multiple eye issues", "file_id": "dr_RW1026", "chunk_id": 17 }, { "code": "Healthcare System Support", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "we've got injections, , dilate", "context": "Patient mentions receiving treatments, implying access to care", "file_id": "dr_RW1026", "chunk_id": 17 }, { "code": "Patient Empowerment", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "I can see colors, and-- I can see copiers and papers, the pencils--", "context": "Patient demonstrates some understanding of visual limitations", "file_id": "dr_RW1026", "chunk_id": 17 }, { "code": "Rude provider", "category": "BARRIER - Provider/System Issues", "subcategory": "Rude or dismissive providers", "quote": "He's a quack", "context": "Patient had negative experience with provider", "file_id": "dr_RW1026", "chunk_id": 18 }, { "code": "Poor communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "And then he just left the room", "context": "Patient felt provider did not communicate effectively", "file_id": "dr_RW1026", "chunk_id": 18 }, { "code": "Lack of patient-provider trust", "category": "BARRIER - Provider/System Issues", "subcategory": "Lack of patient-provider trust", "quote": "I called him a quack when I left", "context": "Patient does not trust provider", "file_id": "dr_RW1026", "chunk_id": 18 }, { "code": "Rude provider", "category": "BARRIER - Provider/System Issues", "subcategory": "Rude or dismissive providers", "quote": "I called him a quack when I left", "context": "Patient had negative experience with provider", "file_id": "dr_RW1026", "chunk_id": 19 }, { "code": "Lack of trust", "category": "BARRIER - Provider/System Issues", "subcategory": "Lack of patient-provider trust", "quote": "I called him a quack when I left", "context": "Patient does not trust provider", "file_id": "dr_RW1026", "chunk_id": 19 }, { "code": "Negative experience", "category": "BARRIER - Emotional/Psychological", "subcategory": "Feeling overwhelmed", "quote": "It sucks", "context": "Patient had negative experience with diagnosis", "file_id": "dr_RW1026", "chunk_id": 19 }, { "code": "Fear of vision loss", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Fear of diagnosis/treatment", "quote": "it-it's going from being able to see to not being able to see", "context": "Patient fears losing vision", "file_id": "dr_RW1026", "chunk_id": 19 }, { "code": "Lack of understanding", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "it come on fairly quick", "context": "Patient expresses surprise at rapid vision loss", "file_id": "dr_RW1026", "chunk_id": 20 }, { "code": "Feeling overwhelmed", "category": "BARRIER - Emotional/Psychological", "subcategory": "Feeling overwhelmed", "quote": "It sucks", "context": "Patient expresses negative emotions about diagnosis", "file_id": "dr_RW1026", "chunk_id": 20 }, { "code": "Positive experience", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "Oh, that's been pretty good", "context": "Patient describes overall positive experience with eye doctors", "file_id": "dr_RW1026", "chunk_id": 21 }, { "code": "Lack of prior issues", "category": "FACILITATOR - Provider Relationship", "subcategory": "Positive patient-provider relationship", "quote": "I haven't had any dealings with-- , I seen the eye doctor or having a normal eye doctor, or nor-normal examination", "context": "Patient has not had negative experiences with providers", "file_id": "dr_RW1026", "chunk_id": 21 }, { "code": "New process", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "So right now, it's still new process", "context": "Patient is in the initial stages of treatment and follow-up", "file_id": "dr_RW1026", "chunk_id": 21 }, { "code": "Lack of access", "category": "BARRIER - SDOH", "subcategory": "Lack of access to healthcare", "quote": "I haven't had any dealings with-- , I seen the eye doctor or having a normal eye doctor, or nor-normal examination", "context": "Patient is new to the process and lacks experience with eye care", "file_id": "dr_RW1026", "chunk_id": 22 }, { "code": "Lack of trust", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of patient-provider trust", "quote": "So I'm not gonna give, , anyone excellent until I know them", "context": "Patient is hesitant to trust new healthcare providers", "file_id": "dr_RW1026", "chunk_id": 22 }, { "code": "Visual impairment", "category": "BARRIER - SDOH", "subcategory": "Education/health literacy barriers", "quote": "I can't see my phone", "context": "Patient's visual impairment limits their ability to use technology", "file_id": "dr_RW1026", "chunk_id": 22 }, { "code": "Accessible communication", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "being available, , calling them--", "context": "Patient values being able to call and communicate with healthcare providers", "file_id": "dr_RW1026", "chunk_id": 22 }, { "code": "Accessible providers", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Accessible providers", "quote": "being available, calling them-- and, schedule appointments and stuff", "context": "Patient finds it helpful to be able to call and schedule appointments", "file_id": "dr_RW1026", "chunk_id": 23 }, { "code": "Effective communication", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "being available, calling them-- and, schedule appointments and stuff", "context": "Patient values being able to communicate with providers", "file_id": "dr_RW1026", "chunk_id": 23 }, { "code": "Reminder systems", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Reminder systems", "quote": "being available, calling them-- and, schedule appointments and stuff", "context": "Patient implies that being able to schedule appointments is helpful, possibly due to reminder systems", "file_id": "dr_RW1026", "chunk_id": 23 }, { "code": "Lack of support system", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Emotional/Psychological", "quote": "No, you do it by yourself?", "context": "Patient lacks daily diabetes care support", "file_id": "dr_RW1026", "chunk_id": 24 }, { "code": "Social support networks", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Social support networks", "quote": "I got some. my sisters.", "context": "Patient has supportive family members", "file_id": "dr_RW1026", "chunk_id": 24 }, { "code": "Emotional support", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Social support networks", "quote": "They support me", "context": "Patient receives emotional support from sisters", "file_id": "dr_RW1026", "chunk_id": 24 }, { "code": "Social Support", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Social support networks", "quote": "Yeah. They support me.", "context": "Patient has sisters who provide emotional support", "file_id": "dr_RW1026", "chunk_id": 25 }, { "code": "Transportation Assistance", "category": "FACILITATOR - Resources & Access", "subcategory": "Transportation assistance", "quote": "My sister do. My transportation.", "context": "Patient has sisters who help with transportation", "file_id": "dr_RW1026", "chunk_id": 25 }, { "code": "Health Education", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "Yep. I wanna say, , seven years ago.", "context": "Patient participated in a diabetes education class", "file_id": "dr_RW1026", "chunk_id": 25 }, { "code": "Limited Health Advice", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "No. Mostly just you doc-- call your doctor for advice.", "context": "Patient relies solely on doctor for health advice", "file_id": "dr_RW1026", "chunk_id": 25 }, { "code": "Health education", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health education programs", "quote": "They tell-- , diet, -- medications", "context": "Patient attended a week-long education class", "file_id": "dr_RW1026", "chunk_id": 26 }, { "code": "Prior knowledge", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health literacy", "quote": "So I knew a little bit-- prior going into it", "context": "Patient had existing knowledge about diabetes", "file_id": "dr_RW1026", "chunk_id": 26 }, { "code": "Family support", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Social support networks", "quote": "my father was diabetic", "context": "Patient has a family history of diabetes", "file_id": "dr_RW1026", "chunk_id": 26 }, { "code": "Transportation issues", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "can't really go outdoors much", "context": "Patient has difficulty going out due to eyesight and mobility issues", "file_id": "dr_RW1026", "chunk_id": 27 }, { "code": "Mobility issues", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "can't move", "context": "Patient has difficulty with mobility, using a cane", "file_id": "dr_RW1026", "chunk_id": 27 }, { "code": "Lack of access to activities", "category": "A. BARRIERS TO FOLLOW-UP", "subcategory": "1. Social Determinants of Health (SDOH)", "quote": "can't really go outdoors much", "context": "Patient has limited ability to participate in outdoor activities", "file_id": "dr_RW1026", "chunk_id": 27 }, { "code": "Lack of access", "category": "BARRIER - SDOH", "subcategory": "Lack of access to healthcare", "quote": "that's been so tough", "context": "Patient mentions difficulty related to their condition", "file_id": "dr_RW1026", "chunk_id": 28 }, { "code": "Internet Access", "category": "BARRIER - SDOH", "subcategory": "Education/health literacy barriers", "quote": "having access to the information", "context": "Patient mentions internet access as a potential issue for telemedicine", "file_id": "dr_RW1026", "chunk_id": 28 }, { "code": "Positive provider relationship", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "I get pretty good, yeah", "context": "Patient describes their interaction with the eye doctor as positive", "file_id": "dr_RW1026", "chunk_id": 28 }, { "code": "Patient Comfort", "category": "FACILITATOR - Patient Empowerment", "subcategory": "Health literacy", "quote": "Oh, I'm comfortable", "context": "Patient feels comfortable asking questions to their eye doctor", "file_id": "dr_RW1026", "chunk_id": 28 }, { "code": "Telehealth options", "category": "FACILITATOR - Healthcare System Support", "subcategory": "Telehealth options", "quote": "I'd be all right", "context": "Patient is open to using telemedicine for follow-up appointments", "file_id": "dr_RW1026", "chunk_id": 28 }, { "code": "Lack of control", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "Not much at all", "context": "Patient feels they have no control over their eye care decisions", "file_id": "dr_RW1026", "chunk_id": 29 }, { "code": "Rushing communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Poor communication", "quote": "it's just monotonous", "context": "Patient feels their doctor rushes through explanations", "file_id": "dr_RW1026", "chunk_id": 29 }, { "code": "Positive provider relationship", "category": "FACILITATOR - Provider Relationship", "subcategory": "Effective communication", "quote": "I'm comfortable", "context": "Patient feels at ease asking questions to their eye doctor", "file_id": "dr_RW1026", "chunk_id": 29 }, { "code": "Poor communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Provider/System Issues", "quote": "he just rattled off", "context": "Patient feels eye doctor rushes through communication", "file_id": "dr_RW1026", "chunk_id": 30 }, { "code": "Rushed communication", "category": "BARRIER - Provider/System Issues", "subcategory": "Provider/System Issues", "quote": "I feel that they are rushing their communication", "context": "Patient perceives eye doctor as rushed", "file_id": "dr_RW1026", "chunk_id": 30 }, { "code": "Effective communication", "category": "FACILITATOR - Provider Relationship", "subcategory": "Provider Relationship", "quote": "he explains results recommendations for your eyes pretty good", "context": "Patient feels eye doctor communicates effectively", "file_id": "dr_RW1026", "chunk_id": 30 }, { "code": "Clear explanations", "category": "FACILITATOR - Provider Relationship", "subcategory": "Provider Relationship", "quote": "the explanations are clear in a way that everybody can understand", "context": "Patient appreciates clear communication from eye doctor", "file_id": "dr_RW1026", "chunk_id": 30 }, { "code": "Respected provider", "category": "FACILITATOR - Provider Relationship", "subcategory": "Provider Relationship", "quote": "I feel pretty good about my eye doctor", "context": "Patient has positive relationship with eye doctor", "file_id": "dr_RW1026", "chunk_id": 30 }, { "code": "Lack of choice", "category": "BARRIER - SDOH", "subcategory": "Social Determinants of Health", "quote": "some people ain't got choice", "context": "Patient mentions lack of choice as a factor", "file_id": "dr_RW1026", "chunk_id": 31 }, { "code": "Lifestyle factors", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Patient beliefs about diabetes", "quote": "some it's lifestyle", "context": "Patient attributes diabetes to lifestyle choices", "file_id": "dr_RW1026", "chunk_id": 31 }, { "code": "Genetic factors", "category": "BARRIER - Patient Beliefs & Perceptions", "subcategory": "Lack of understanding about DR progression", "quote": "Some are born with it", "context": "Patient mentions genetic predisposition to diabetes", "file_id": "dr_RW1026", "chunk_id": 31 } ] }