Clinician Responses (n = 3,524) Coded Using a Combination of 1) Measures-based Coding and 2) Emergent Coding
Measure-based codes used (n = 27) informed by measures used and located with the following entities: National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set, National Quality Forum, and the Agency for Healthcare Research and Quality | ||
---|---|---|
Code Group | Codes in code group | Percent responses to which group code applied* |
Measure-based | Chronic disease; control of disease; counseling; evidence-based medicine, guidelines, benchmarks; prevention, immunization, vaccination; risk stratification; access; continuity; documentation or recording; follow up; medication management; patient received something; patient satisfaction; patient understands doctor; productivity; referrals, tracking systems; cost and utilization; written care plan; compliance or adherence; specific targets; quality of life; functional status; rates or percentages of population | 57.7% |
Emergent codes used (n = 65) based on concepts identified through the patterned appearance of key words, phrases, or ideas as determined through iterative data reading and discussion by three co-authors (RSE, MMG, EMB) | ||
Patient-focused | Ask the patient; family; patient real understanding; patient as partner or team member; patient experience and perspective; patient feels known; patient goals or values; patient involved in decisions of care; patient needs are met; patient outreach; personalized or tailored care | 7.5% |
Patient-centered | Engagement; patient centered; patient education; patient grade of practice; patient responsibility | 18.8% |
Tenets of primary care | Comprehensiveness; coordination, including transitions; equity and social justice; longitudinal; problem recognition; relationship or trust; wholism or whole person | 12.5% |
Employee focus | Collaborative; employee satisfaction, joy, retention, turnover; interprofessional or multidisciplinary; staff; team talk; top of license/skill set; training, continuing education | 12.0% |
Work processes | Efficiency; electronic medical record; information management; learning organization; self assess, adapts, changes; quality improvement; timeliness | 13.6% |
Practice qualities | Communication; integration; promotion of health or wellness; qualities a practice should have; health information technology; transparency | 10.8% |
Outside clinic walls | Community connections, practice networks; more, less, limit, too much, too little of something; payment; social determinants of health | 4.5% |
Clinicians | Advocates for patients and communities; understands the patient; competent and up to date; empathy, caring, compassion, respect; complexity and ambiguity, listens to or talks to patient; qualities a clinician should have; setting priorities | 13.5% |
Care focus | Appropriate; behavioral health, substance use; care agnostic to constraints; right care, right time, right place; targeted condition or type of care; weight, food, nutrition, physical activity | 11.2% |
Patient talk | Care management; litmus test; missing measures; social history and habits (not smoking); symptom reduction; weighing of risks and benefits | 2.6% |
↵* Percentages in this column exceed 100% when added. This is because one response could be assigned more than one code.