Table 4.

Negative Themes and Subthemes With Corresponding Participant Quotations and Number of Times Referenced in Focus Group Transcripts (n = 10).

Theme	Subtheme	Example quotation	References (%)
Quality of care	Poor communication	JU012703: “I wouldn’t get phone calls back. I would have an issue—like either the pharmacy would say the doctor never sent the medication and then they said they would call me back, but I never got called back.”	9 (6.2%)
Access to care	Poor access to medications	JU102704: “The range of prescriptions is limited. I have ADHD, so he prescribes me Vyvanse, so if I didn’t have health insurance, that prescription would be $375 a month, which he doesn’t carry in his practice.”	6 (4.1%)
	Difficulty referring out to specialists	JU102702: “I had to make an appointment to see a specialist and the cost was just outrageous. So, I found that a bit stressful, having to go outside the model and the pricing was just astronomical.”	11 (7.6%)
Affordability	Inability to afford membership fee	JU102702: “I was like really upset, like I don’t have the money, but I need to see you … In my case, it was bad because I’ve been unemployed and with health issues, I can’t go without a physician. So if the payment is behind, you won’t be able to see him. And with that payment, that also includes your medicine.”	4 (2.8%)