Table 3.

Qualitative Themes and Participant Quotes

Most challenging aspects	Patients missing appointments: “When patients are ill or they have transportation or health challenges and they miss a visit, it affects the whole group and the group dynamics.”	Finding and paying for staff trained in complementary health approaches: “What has been most challenging is to train our staff in the integrative modalities. We have rarely had the financial resources to hire others into the system with the expertise. Nor had the system been willing to pay for training in integrative modalities.”	Program sustainability: “maintaining appropriate administration/human resources support” “recruitment and programs sustainability, i.e., nursing and front office support.”
Favorite aspects	Patients supporting each other and sharing expertise: “The connection it generates for patients that would usually be isolated.” “Witnessing peer to peer learning.”	Positive changes to patient–provider relationships: “How the (power) dynamic between patient and provider is dissolved. Happier patients and happier providers.” “I enjoy working as a provider with a group—different dynamics than 1:1 with patients.”	Seeing patients' health improve, integrating complementary health approaches: “Patients actually get better and are able to significantly increase the quality of their lives as well as often diminish the pain they are experiencing. I could never get these results in a 1:1 traditional western medicine format of a doctor-patient visit.”
Want to learn from other programs	How to recruit and retain patients: “How to manage enrollment and retention in [a safety-net] population with many barriers to care.”	Staffing and billing for group visits: “How to serve patients with high co-pays.” “How to bill, who can bill.” “Is there a limit to how often [patients] can come and be billed for [group visits]?”	How to measure outcomes: “I would love to see a collective of people gathering data on these groups together, from all their different sites.” “…Interested to know what modalities were the most well received among the different populations.”