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Table 1 Results

From: Care-managers’ professional choices: ethical dilemmas and conflicting expectations

Theme

Subthemes

Conflicting expectations

Professional autonomy and loyalty

1. Loyal – to whom?

Patients` needs versus HHC capacity

2. Decisions overruled

Autonomy in professional decision-making versus political intrusion

3. Trust and obligation to notify

Client confidentiality versus obligation to notify

Boundaries of involvement

1. Private or professional

Patients` needs versus needs to be a private person in leisure time

2. Purchaser or provider

Responsibility versus accountability in the role as care-managers

3. Accessibility

Access for patients` - versus workload in the purchaser unit