Table 4 System Challenges: Themes and Exemplar Coded Statements
System Challenge Theme | Adults with T2D | Provider |
|---|---|---|
Clinic resources and quality of care | No medication/insulin available Only able to obtain some medications at the clinic No glucometer or strips available | Lack of staff time (e.g. rushed appointments) Lack of staff availability Difficult to build rapport with patients Constant medication/supplies shortage |
Staff insensitivity | Perceive that provider is critical and rude if having difficulty with diabetes management Does not feel listened to by provider Perceives that provider scares them about complications | |
Patient Engagement Barriers | Patients move frequently Patients miss or forget appointments Patients live far away – difficult transportation Staff turnover prevents patients from coming to clinic |