Table 2.

Physician perceived concerns/challenges of the computer-assisted HRA

Subtheme and Divergent Views		Representative Quotations
New risk information
	Positive stance	Um, it was interesting and in terms of sometimes bringing up topics that wouldn’t have normally come up. Because sometimes that happens in family medicine that you know your patients so well that you don’t necessarily go over the same old ground every visit. And so it would actually bring these things up in a timely manner. (Interview # 4, page 1)
	Negative stance	I didn’t have any problem with it. It didn’t really give me any new information that I didn’t already know about my patients...Now it would be very different in a department like emergency where they don’t have that ongoing relationship. Or for a busy physician who perhaps doesn’t talk about psychosocial issues. (Interview # 8, page 1)
Patient readiness
	Positive stance	Some of the things were actually quite, um, quite different in terms of why the patient came in, in terms of what the survey picked up. And so a lot of the time we would acknowledge it and then ask the patient, you know, “did you want to focus on this, or focus on the primary reason” they came in. (Interview # 6, page 1)
	Negative stance	To do it when somebody comes in for a sore throat, or blood pressure…I don’t know that that would be the best timing. Mind you, the best timing is, when the patient is ready. (Interview # 9, page 2)
Visit length
	Positive stance	[When] they were in here to discuss their high blood pressure and their diabetes, and there’re no other issues around what we’ve been [given]—the computer survey generated—I did not push it at that point…You’d ask about it, but then say, well maybe you should come back about that. That’s what you’d have to do. Because if they’re in and out and there are five people waiting, it’s not good. I’d probably put it in my notes…to discuss. (Interview # 7, page 4)
	Negative stance	There were all these issues that were brought to light, but most of them were over…it did lead to more time with the patient of course…a lot of them were over diagnosis. (Interview # 10, page 1)