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Acceptability
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Theme
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Patients
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Clinicians/Administrators
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Peer Support
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Improved Patient Experience
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Peer navigators may address inefficiencies and delays during referrals
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Peer navigators will help patients navigate unfamiliar health facilities
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Stigma
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Peer navigators may reduce perceived bias and judgement by clinic staff through accompanying patients and orienting them to the new health facility
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Patients may feel uncomfortable disclosing personal health information to other community members (Peer navigators, who are not seen as health professionals)
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Integrating Peer Navigators into local clinics
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Due to regional differences in culture and language, patients referred to a different facility (in a different community) may not feel comfortable or trust their receiving peer
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Nurses and administrators currently help facilitate referrals, and there may be conflict when peers come in to assume this role
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HIT Package
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Information Sharing Between Facilities
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Referral information (including clinical data) can be available to clinicians at facilities across the health system
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Electronic forms must be streamlined and user-friendly, as clinicians have encountered inefficient forms in the past
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HIT Reliability
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(No patients commented on HIT reliability)
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The intervention would need a backup so that data is not lost and the core functionality of referral navigation may proceed in the event of power or network outage
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Appropriateness
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Theme
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Patients
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Clinicians/Administrators
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Peer Support
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Capacity of Peer-based Education
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Peer navigators may provide patient education on hypertension on multiple occasions during referral process
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Patients with hypertension may be inappropriate peer support providers as they may be older, harder to retain, and less familiar with technology; in addition, these patients lack formal health training necessary to provide peer support (participants advocated for use of Community Health Volunteers
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Prohibitive Costs
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Without transport or funds, referral barriers may still be insurmountable for patients
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Patients may not complete referrals without providing transport, incentives, and/or peer accompaniment
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Peer Navigator Accessibility
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Peer navigators may be inaccessible or unreachable when needed by patients
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Concerns that peer navigators may be difficult for patients to locate at busy facilities like MTRH
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Peer-Clinician Information Sharing
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(No patient comments on appropriateness of Peer-Clinician Interactions)
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Peer navigators will effectively relay clinical information between clinicians at different facilities during referrals
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HIT Package
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Centralized Data Storage
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(No patient comments on appropriateness of HIT tools)
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Referral data is stored centrally and can be accessed via tablet by referring or receiving clinicians
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Integration Barriers with Existing Record System
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Clinical information must be accessible no matter what health record system is used, meaning that the intervention must integrate all existing systems
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