Themes on Facilitators and Barriers to Healing
| Theme | Facilitator | Barrier |
|---|---|---|
| Caring and connection | Ability to make the patient feel heard and cared for Communicating warmth | Lack of respect for patients |
| Distractions | ||
| Responsiveness to patient needs | Poor listening | |
| Knowing the patient | Clinicians having an in-depth knowledge of their patient’s history | Poor medical records |
| Clinician’s ability to intuitively assess the patient’s desired level of personal connection, information, and involvement in care planning | Poor interpersonal communication skills | |
| Continuity of care | Relationship over time with one clinician or a team | Lack of communication systems among clinicians |
| Contributes to “knowing the patient” | Inattention to the medical record | |
| Clinician turnover | ||
| Time | “Time to heal” | Time pressures |
| Quality time during appointments to get needs met | ||
| Seeing one clinician over a period of months or years (continuity of care) | ||
| Social support | Having friends, family and extended communities that are supportive | Isolation |
| Lack of social support | ||
| Office function | Ease and pleasantness of arranging, receiving, and providing care | Poor front desk experience |
| Scheduling difficulties | ||
| Staff unhappiness | ||
| Lack of resources | ||
| Poorly designed roles | ||
| Patient behavior | Patient’s attitudes toward health and motivation for healing | Unrealistic expectations on part of patients |
| Difficulty of behavior change. | ||
| Unhealthy behaviors (smoking, drinking, etc) |