Table 2.

List of Study Themes, Associated Study Sub-Themes, and Relevant Institute of Medicine Domains

Study Themes	Study Sub-themes	Relevant IOM Domain
Evidence-based care that is safe	Providing recommended health maintenance	Effective
	Controlling chronic diseases	Effective
	Knowing and following current recommendations	Effective
	Making accurate diagnoses; not missing diagnoses	Safe
	Delivering efficient care (not too much and not too little)	Efficient
Patient-centered care	Providing personalized care	Patient-centered
	Providing well-coordinated care	Patient-centered
	Spending enough time with patients	Patient-centered
	Responsiveness to patient concerns	Patient-centered
	Being an advocate for patients	Patient-centered
	Understanding social needs	Patient-centered
	Helping patients achieve their goals	Patient-centered
	Prioritizing quality of life	Patient-centered
	Listening to patients	Patient-centered
	Educating patients	Patient-centered
	Establishing trust and long-term relationships	Patient-centered
	Demonstrating compassion	Patient-centered
	Providing timely care	Timely

IOM, Institute of Medicine.
Note: Participants did not mention the concept of equity, which is one of 6 IOM Domains of the quality of healthcare.
Box 1: Key questions for study participants.
What do you consider to be “good” quality of care? What does it “look” like?
What is exceptional quality of care, and how is it different than good quality of care?
What is low quality care, and how is it different than good quality of care?
What kinds of things can a primary care physician do to ensure he/she is providing exceptional quality of care?