Sample Clinician Quotes from Post-Study Semistructured Interviews
| Topic | Quotes | Practice Setting |
|---|---|---|
| Time | “… that was the big inhibition for me—the time factor. When patients come here they often have four or five issues, and you can’t add another thing.” | Private practice |
| “… it’s difficult when it’s busy and it’s difficult not to be directive. Being directive doesn’t take much time.” | Private practice | |
| “… [the action plan] helped me prioritize that as opposed to the 16 other priorities …” | Safety net | |
| Resources | “It would be kind of nice to have an appointment just to talk about the action plan.” | Private practice |
| “Anything that adds more paper is a problem.” | Safety net | |
| “[The action plan] made it more real and achievable for patients to set goals … and by doing that and calling them back a week later it was extremely helpful for them… . It would be really nice if we could continue that. We don’t have the resources to do that.” | Private practice | |
| General comments | “It would be hard to totally let [the action plan] be patient-driven.” | Safety net |
| “I get to the point where I say, ‘The action plan is you’re going to take a lipid-lowering medicine, you’re going to take it for 4 weeks, here’s the lab slip.’ ” | Private practice | |
| “The emphasis on getting patients to assume some responsibility for their own care is good.” | Private practice | |
| “… paring down to one thing, pin it down, that was a shift for me.” | Safety net | |
| “[The action plan] really gives you a chance for buy in and I found it’s more successful to give them a chance to talk about their health and what’s important for them, so I like it.” | Safety net | |
| “When a patient didn’t do the action plan I was flummoxed. I didn’t know what to do next.” | Private practice | |
| “I really felt like [the action plan] impacted the way I did health education with lots and lots of patients … ” | Safety net | |
| “I felt disappointed when patients did not reach their goals, even if they only did 50%.” | Private practice | |
| “If an action plan comes up naturally in a visit then it’s a good idea.” | Private practice | |
| “I like the concept, but most doctors, and probably myself, will do [action plans] for a while and then go back to the old pattern of yelling at the patients to change their behaviors—because that is how we were taught.” | Private practice | |
| Other caregivers | “I think [the action plan] would be much better for the non-clinician to do, because of time.” | Private practice |
| “I think it would be empowering for our nurses to do action plans when they’re not busy doing other stuff.” | Safety net | |
| “… if we had our nurse and MAs trying to do [action plans] it would slow things down even more.” | Safety net | |
| “All those medical assistants, health educators, social workers, that would be awesome if they could [do action plans] before or after the visit.” | Private practice |