Table 3.

Categories and subcategories related to the determinants of health service utilization

Main themes	Categories	Subcategories
Facilitators of health service utilization	Positive personality traits	Self-esteem, Resilience, acceptance of the disease
	Social factors	Appropriate socio-economic status, social support, existence of charities providing services
	Structural-behavioral determinants	Proper rules and supervision, honest behavior of staff
Inhibitors of health service utilization	Personal conditions	Undesirable personality traits, lack of need for treatment, having several diseases at the same time, High cost of treatment in the private sector, low life expectancy
	Insufficient knowledge of the disease	Inadequate knowledge and lack of information about illness, remorse and misconceptions, self-medication
	Negative consequences of disease disclosure	Fear of disease disclosure, stigma and social judgment, social exclusion and isolation, lack of privacy
	Difficult access to services	Lack of comprehensive and specialized centers, inadequate access and scheduling, improper behavior of service providers