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. 2023 Jan;22(1):83–101.

Table 3.

The content extracted from the qualitative research on challenges in providing care to diabetic and COPD patients during disasters

Categories Subcategories Codes
Integrated Management Control and Supervision

  1. Lack of a systematic patient care pattern

  2. inadequate follow-up of patient treatment process

  3. Inter-organizational
Patient Data Management

  1. Lack of intelligent systems for identification of patients

  2. Loss of patient medical records

  3. Lack of private sector patient data
Volunteer Management

  1. Weak healthcare volunteer management

  2. Lack of job description for volunteers in disasters

  3. doubled work load of indigenous workers living in the region
Physical Psychosocial Health (PPSH) Psychological Impacts

  1. Patients’ grief and mourning

  2. Patients’ stress and PTSD

  3. Patients’ fear and panic
Exacerbation of Signs and Symptoms

  1. Blood sugar fluctuations

  2. Exacerbation of respiratory symptoms

  3. Neglecting late complications
Special Patient Characteristics

  1. Being a single parent

  2. Senility and disability of the patient in self-care

  3. Suffering underlying diseases
Health Literacy and the Behavior Risk Perception

  1. Lack of early intelligent warning system for patients with chronic diseases

  2. Lack of determining safe places in rural areas

  3. Neglecting the screening of patients with chronic medical disorders
Values and Beliefs

  1. Fatalism

  2. disrespect patients with chronic diseases

  3. Opportunism and business-mindedness of authorities in crises
Education and Awareness

  1. Low knowledge of service providers on helping patients with chronic diseases

  2. Neglecting scholars in crises by authorities

  3. Lack of personal preparedness in emergency evacuation
Barriers to Healthcare Delivery Facilities and Human Resources

  1. Medicine shortage

  2. Inadequate accommodation

  3. Lack of specialized health centers for patients with chronic diseases in disasters

  4. Lack of specialized medical staff
Financial and Living Problems and Insurances

  1. Financial inability of patients in paying treatment costs

  2. Increased out-of-pocket treatment payments

  3. Disability and unemployment

  4. Inadequate coverage of insurance organizations
Accessibilities and Geographic Access

  1. Overpopulation

  2. Border Inhabitation Issues

  3. Impassability of rural access roads