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. 2022 Oct 27;11(2):e41933. doi: 10.2196/41933

Table 2.

Categories, subcategories, and codes discovered in the study.

Category/Subcategory Code
Communication challenges

Poor medical staff communication
  • Insufficient understanding and empathy

  • Unkindness and disrespect

  • No face-to-face communication

  • Inflexibility of health staff


Lack of psychological support
  • Creating fear in the patient about signs and consequences of the disease

  • Change of doctor due to inappropriate behavior of the doctor

  • Lack of individual counseling

  • Lack of suitable space for consultation and haste of health staff

Challenges to participation in treatment

Lack of patient participation
  • Not giving the patient the right to comment

  • Lack of explanation about the treatment process: complications, alternative therapies and duration of treatment

  • The patient is not involved in nutrition

Educational challenges

Training program bugs
  • Continuity of training programs

  • Training programs do not start on time

  • Advertising for fellow physicians in training programs


Inadequate training
  • Dissatisfaction with the educational information provided and its duration

  • Get additional information from other educational resources

  • Providing information in an authoritarian manner

  • Lack of adequate training in the diagnosis and treatment and complications of the disease

  • Not giving enough training in self-care

  • Not teaching about traditional medicine

Challenges of the health care system

Inefficiency of the care system
  • Short visit by a doctor

  • Not seeing a doctor even by paying for a visit

  • Lack of access to the relevant specialist (in person or by phone)

  • Do not do specialized patient work as a team

  • Duplicate record making for the patient


Caregiver inefficiency
  • Do not follow the patient’s treatment