Table 4.
Respondent Experiences with Key PCMH Domains
| PCMH domain | Representative quotes |
|---|---|
| Shared decision-making | “Well, I’ll say it like this. It’s like having a child, and you let them think they’re making the decision, but the whole time you know what they’re gonna do because you’re gonna tell them what to do. So it’s like—I’m not a doctor. If I knew what to take to make me get better, I wouldn’t go to a doctor. I’d just go get it. But he has my best care in mind and he does take good care of me and my wife, so he gives us options.”-(Participant 57596) |
| “Yeah, in the end run, it’s my problem and it’s my health and my body, so if I have any objections or any questions in the back of my mind, I’m not going to take the thing until I discussed with the doctor. If he clears up the little things in my mind, well, then I’m happy and I take the medicine. And I’ve been happy with my medications and I do take them.”-(Participant 22035) | |
| “Well, I haven’t—I haven’t had any reason to say no, you know, if she recommends something. I think that she does a good job, so far as my care is concerned.” -(Participant 14949) | |
| Team-based care | “Who helps with my care? All that works there. I think the crew is efficient. The lab technician is very efficient. The aides that take the blood pressures, and whatever else, and they’re very efficient.”-(Participant 14985) |
| Care coordination | “Well, I feel like he [Doctor] was informed about it, because with the office called me to say would you come in, because I had to see my surgeon at 2 weeks, and then go to see him [Doctor]… I was happy that they called me. It was probably [Doctor’s assistant] that called me, I think, and said we were aware that you had your gallbladder out and would you call and make an appointment. And I think that’s how it happened.”-(Participant 61316) |
| Electronic health records | “I think it’s great, only because now when I go see other doctors, they can pull it up on their computer or they can see what the last notes that was made on me, so they would know where I’m at.”-(Participant 48884) |
| “I haven’t had that great of a concern other than hopefully the wrong people don’t get into it. The people will—just the everyday neighbors or anybody can get into your records. Or people that know you and work in a specific place may decide to just go into your records. Yeah, I’m concerned about that.”-(Participant 14985) | |
| “I am somewhat not comfortable with it. I think they should be able to spend more time speaking to me instead of typing in so much. But I don’t mind.”- (Participant 48792) | |
| Access to care | |
| Scheduling appointments | “I was able to always get an appointment regardless of whatever time fit my schedule… So I really like that office because they do work around my schedule.”-(Participant 63780) |
| “I can’t get an appointment for maybe a week or a month, she’s always booked up, and I don’t like to see other doctors, so that’s why I guess I can say it’s kind of hard getting an appointment with her unless I’m extremely sick, they’ll fit me in, something like that. But the whole time on the phone is horrible. They put you on hold, and sometimes even they don’t come back. It just hangs up.”-(Participant 48806) | |
| Communication between appointments | “Well, if I have any questions I can always call and leave a message, you know, and the doctor will call me back.”-(Participant 14949) |
| “E-mail… So I use that to communicate with the doctor.” (Participant 14967) | |