Patients’ self-constructed beliefs about their condition
Minimizing the importance of T2DM and self-management
Shame or self-blame about motivational challenges self-managing T2DM
Perceptions of Physicians Behaviors
Testing the Relationship
Participants described difficulty understanding the physician and used their assessment to determine whether to remain active.
Participants indicated that a physician used a lecturing/controlling style to direct behavior change.
Power – Distance
An imbalance of power in the medical interaction and a resulting relational distance (separation) between patient and physician.
Perceptions about external influences on the medical encounter
Lack of Continuity
Problems with not knowing the physician and not having a physician who knows you.
Electronic Health Record (EHR)
Participants felt the computer diverted the physician’s attention and participants made assumptions about information in the EHR.
Participants believed that physicians were busy and that time constraints limited communication