Table 3 Representative Quotes of External Factors
External factors within the environment or context influence care planning decisions | |
|---|---|
Subtheme #4. Patient access to resources constrains care plans. | |
Time tradeoffs are inherent | “Either you address the main concern […] and have them come back later. Or, if you can address everything in one visit, then you’re bringing [them] back less times.” (P04) |
Resource availability | “Some of these patients, they come from really far away and we don’t have an MRI and CT where we’re at, we’re like a peripheral site. I wanted some imaging of his back, [but] it means driving down even further.” (P15) |
Subtheme #5. Organizational structures provide boundaries. | |
Tasks pair to visit modality | “We need to be able to maybe see the complex ones more often so that we can uncomplex them. Once they’re stabilized, twice a year is fine, but a lot of these, you’ve got to be seen a lot more often – and a lot of it needs to be face to face; it’s not going to work by phone.” (P23) |
Organizational peculiarities | “Sometimes patients get mixed messages, they get a different message from me and a different message from [...] their civilian provider.” (P19) |