Coding the data

As described in section 8.2.5 above, a coding matrix was developed, incorporating the themes, direct quotes from the transcripts and initial codes developed by the researcher to

reflect the meaning of the participants’ words. An example of a coding matrix from one transcript is presented in Table 8.2.

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Theme Initial coding Transcript. Brian

AFFORDABILITY No financial issues LN 263. Bulk Billed

APPROACHABILITY Knowledge of health/ perceives need for care Knowledge of health/ perceives need for care Knowledge of health

Beliefs related to health/ knowledge that service can be reached

Knowledge of medications/ health literacy Knowledge of medications/ health literacy Knowledge of services/ knowledge that service can be reached

Knowledge of services/ perceived need Knowledge of medications/ health literacy

LN 77. I know now, I’d been having this breathing problem for two or three days

LN 78.I wasn’t breathing properly

LN 99.I can put up with heart attacks and all the other, but no, if you can’t breathe, it’s

terrible, that is.

LN 103. I wanted to get to the hospital

LN 107.I’m not too sure anything on here’s [written discharge plan] relevant to that. No. I was on these Furosemide tablets, I’m still on those.

LN 117. Attend echocardiogram,” I couldn’t, I had to cancel that. “Decrease that one to

two 20 mil tablets morning only.

LN 168. Because that’s the best place to go to in these things [ED]. They know what to

do, they know all about it and everything

LN 174.Well, it wasn’t too bad the first time I went to the GP.

LN 232. They [diuretic tablets] help the lungs to get rid of the, or help the heart to get rid of the, what would you call it [fluid]?

ACCEPTABILITY Knowledge of health care options

Knowledge of options/ capacity to choose Knowledge of options/ Capacity to choose Lack of knowledge of options

LN 373. it’s where you go [hospital], yeah [when you want it fixed now]

LN 376. the hospital [for non-routine care].

LN 337. I’d ring the ambulance again [in a similar situation], go right in there where the

doctors know me

LN 368. Well, of course you just can’t see a doctor in the middle of the night or middle of the morning.

AVAILABILITY & ACCOMMODATION

Accommodation re appointments and continuity of care/ availability of services

LN 255. Mostly, yes [get a same day appointment]. Sometimes hard, especially when I

was seeing Doctor [previous doctor], she was very hard to get into it [sic]. But I’ve had

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Accommodation re appointments and continuity of care

Ability to physically reach care

LN 259. I would possibly get an appointment [today]. Possibly not.

LN 265. Drives self

APPROPRIATENESS Capacity and motivation to participate in care/self-management

Lack of involvement in decisions about care Capacity to communicate/motivated to

participate in care/ client involvement in decision making

Health literacy, self-efficacy and self-

management/ motivated to participate in care Integration of services

Good ‘fit’

Time spent assessing problem Poor interpersonal skills

Fit between service and client’s needs

Interpersonal qualities of provider. Good ‘fit’

Capacity to communicate/ Health literacy, self- efficacy and self-management

Ability to engage in healthcare

Good ‘fit’ good interpersonal qualities

Good interpersonal qualities

LN 58. Of course I’ve done my thing [checked blood sugar]….Two or three times a day,

blood pressure and temperature.

LN 184. I did have doctor order me two x-rays down there of the chest, so I don’t know

LN 223. When the doctor seen me on that particular Thursday morning I said to the

doctor, I said, “What dosage of that tablet?” She said, “One a day.”

LN 226. Yeah. But because they’re not as strong as they were, they told me to take two

tablets, because these are different strength.

LN 213. Of course, the hospital gave me a medication list I wanted her [GP] to see, …

the hospital will have contacted her [GP].

LN 315. I’ve got a good relationship with the doctors [GPs] down there

LN 86. they [paramedics] done a lot of work on me here

LN 138. The [ward] nurse came and spoke to me but I’m not too sure what it was all

about

LN 246.because she knows the history now, and [regular GP] doesn’t know the history…. well at the present moment I’ll see the one that knows the history

LN 252. Oh, God yeah. I don’t have to say anything to the staff [at GP surgery], I just go in and they say, “Yeah, go and sit over there,” or wherever. They know my name.

LN 316. this thing here [written discharge plan] is very handy Doctor [regular GP] never ever done this for me, give me a letter to do all these things, and I found that very helpful with diet and that.

LN 320. Its good, easy [written discharge plan]. Bring it home and read it

LN 321. But I’m quite satisfied with where I am [GP surgery], we get on really well.

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