Table 1.

The Interview topic guide.

(1) How much do you know about the medical alliance and the referral system?
(2) Who recommended the downward referral to you? And, why did you accept it?
(3) How did you feel when you learned that your family members could be referred down?
(4) Did you encounter any difficulties during the referral process? If so, what are the specific difficulties? To solve these difficulties, who helped you?
(5) What do you think of the medical treatment and care your family members receive now?
(6) What other medical treatment, rehabilitation and nursing needs of you and your patient have not been met here?