Table 10.
Combined qualitative and quantitative results for practice-related outcomes by study group.
| Practice-related outcome | Survey mean score* ± SD | Descriptive themes | Exemplar quotes | ||
|---|---|---|---|---|---|
| Org providers | Care providers | Patients | |||
| Positively impact engagement in self-management decision making | 4.5 ± 0.58 | Care is efficient Care is person-centered |
“The care approach has to marry and reflect that same philosophy and culture” “It feels to me that there is a cultural elitism thing there, which needs to go away. So, this kind of tool would help with that because it would drive the culture toward partnership” “The magnitude of impact on hard clinical outcomes is probably going to be low. I think if we don't focus on that and be a little more holistic in our health approach and think does this improve treatment satisfaction or does it reduce diabetes distress scores or quality of life score, I think it probably will be positive” |
“We are actually able to directly contact [our patients] and have a conversation without them having to come into the clinic” “It gives information to the patient that they've never had… and shifts the relationship to more of a collaborative one” “it just makes it way easier for those patients to access care… and they don't have to be in town” “[patients] might go home and think, what kind of instructions did [my provider] give me again and if it was all in e-PHR, then I think would make it easier for patients and care providers too” “If we are truly doing person-centered care, around their beliefs and values, we might find that some of the things we know clinically a person should be doing or moving toward may not be the care plan for that individual” |
“Rather than just thinking of [our concerns], we'd actually be acting on them” “It makes you feel more involved, like you have more of a voice in your own health, as weird as that sounds” “I think a lot of factors get left out such as stress levels and activity levels if you have been traveling, for example, or you changed your diet… if [care providers] could just see kind of what you see every day, with your activity changes and emotional changes, it might be a little easier to fine tune how to care for yourself if they had that extra information that usually gets lost” |
| Become a normal part of my work | 3.9 ± 0.60 | ||||
| Easier to participate in SDM | 4.6 ± 0.50 | ||||
| Easier to support patients in self-management | 4.4 ± 0.58 | ||||
| Reduce diabetes complications | 3.6 ± 0.58 | ||||
*
1, strongly disagree, 5, strongly agree.