| Impact | Representative quote* |
|---|---|
| Gaps in programming | "So after listening to [the] talk about the 4 Ms [Mental, Mechanical, Metabolic and Monetary], we had staff members say 'Well, I want to know what are questions that I can ask to help me identify the 4 Ms and I sat there a little bit with my jaw open because as a Primary Care Network we've already created that framework and we've created the questions and we trained the staff on it, but we haven't followed up." (dietitian 3) |
| Scheduling | "Well, it's mostly time, right, so, like, even if it would be, I don't know, I find the schedule is a little bit too full but I think that's more like a clinic problem than anything." (nurse 29) "More time. That's the biggest thing honestly is just time because part of my role is to improve access to this clinic so we have four physicians with varying panel sizes from 1500-4000 patients so if you can't, they can't get in to see that doctor [for] 3 to 4 weeks. … So if I book hour-long appointments with everybody, I'm not improving. I am for a very, very small proportion of these people but then I'm going to be booked up for a month ahead." (nurse 9) |
| Access | "[X] and [Y] talked about waiting time for weight loss clinics and how they can wait for years and then find out they are not eligible and how some go out of the country to get it [procedure] done." (field notes, session 10) |
| Resource allocation | "She thinks the Primary Care Network is a lot better than the picture [X] painted. That the Primary Care Network has all this equipment but they have the staff but not their clinics." (nurse 7) |
| Identified need | "From this a discussion came up around the Primary Care Network offering more support to patients who are thinking of entering a bariatric program, or who have lost weight and might need emotional support." (field notes, session 10) |
*Quotes were edited to improve readability.