Patients’ perspectives on BETTER 2 prevention and screening: qualitative findings from Newfoundland & Labrador

Amount of material is overwhelming and time consuming

Strong evidence base (previous RCT)

Patients liked comprehensiveness (multifactorial approach, as opposed to specific disease or organ)

Intervention too costly

Intervention is cost effective (investing in prevention offsets acute care costs)

Lack of remuneration

Lack of resources (particularly staff)

Physicians’ perception that prevention practitioner's visit duplicates services

Other stakeholders (including managers) see CDPS as a 'hot topic'

Patients see visits as valuable, necessary, and& motivating

None

Interest in prevention 

Ability to support and motivate patients

Lack of local champion or losing a local champion (for example, physician left community)

None

Not working as a team (for example, team tensions, lack of relationship, competition, or unclear roles)

Working as a team (for example, trust or physicians appreciating prevention practitioners structuring CDPS)

Not including collaborators enough in planning process

Starting collaborative conversations early

Lack of awareness/misconception of BETTER approach

Team members being available

Frequent and open conversations