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. Author manuscript; available in PMC: 2020 Jul 1.
Published in final edited form as: J Am Geriatr Soc. 2019 Mar 7;67(7):1379–1385. doi: 10.1111/jgs.15850

Table 3.

Enabling factors and barriers to the Patient Health Priorities Identification process

Enabling Factors Barriers
Facilitator characteristics “[Facilitator] is easy to talk to, and she knows the different questions to ask to get around and into things. And, she made it a lot easier.” (P9) I thought it was gonna be a similar type of a situation [as a different home visit] where they were gonna come out and really evaluate my health. But it was—it was just basic—some basic questions. It was—actually, it was very quick.” (P146)
Patient demographic and clinical characteristics “Well, they put me on several other medications when I’d had the stroke, and I’m on so many, I don’t know what the heck they’re for. So she [facilitator] could explain to me what they were for. That helped a lot, because I just know I’m taking a lot of medication. I don’t like taking all these pills.” (P9) “I pushed back a lot of doctors because I was on overload. I couldn’t cope with it all” (P5).
Patient social support (e.g. caregiver, spouse) “I keep my husband around ‘cuz he tells me these things, because I can’t think of ‘em” (P5). “I don’t really get into conversations about my health with my family that much. They live miles away from me.” (P124)
Relationship between the patient and their primary care provider “He [clinician] said it’s very important to him to find the questions that you might have that you didn’t ask me or a treatment that you think might have helped. In other words, help him [help me] with my problem.” (P142) “Some of ‘em are very not receptive. Sometimes you have no choice but to stick with that doctor. So basically when that happens, you just don’t raise the issue. Which is not the way the doctor-patient relationship should be.” (P197)
Changing priorities of the patient “But I think it’s important to check like twice a year to see the changes that have happened. Because we are changing day by day.” (P35). “I don’t feel that I’m really qualified for this because my health is in excellent condition…I didn’t have that many issues so I didn’t feel I was a very good candidate” (P182).