Table 3.

Illustrative Quotes for Barriers Described by Patients

Patient education and expectation setting

And having that information prior to the surgery itself, I feel like, made me a more informed patient when I was in the hospital. So as I was experiencing things that one could not even know they would be experiencing during the surgery I had the vocabulary and I had the sense of what to ask Dr [name] when he would visit in the hospital or when a resident would visit in the hospital. [Patient, #17]

Is it normal is it not? I think it’s more just the fear. I think people have a certain fear factor like…They are going through these things and not knowing. [Patient, #13]

Technology access and literacy

I want to talk to somebody, I don't want to text somebody or send an email because sometimes you send an email; God only knows when you're going to get an answer. [Patient, #19]

She don't know how to do it but she do have… she have wi-fi in the house. She has access she just don't know how to do it. [Patient, #16]

Availability of resources and support

I don't think a person who doesn't have a full person to help take care of them can handle the going home right away. [Patient, #10]

I was lucky to have my family around to kind of help me maneuver a little bit. I could imagine it be more difficult if I was by myself. [Patient, #20]

Misalignment of communication preferences

I wouldn't even be much of a video--I'd be an emailer guy. Text or Email. [Patient, #15]

He's not a texter, I'll tell you that. Or he does but he doesn't like it. [Patient, #11]