Table 2 The themes, categories, subcategories and codes related to the non-compliance of the therapeutic orders prescribed by specialists
Theme | Category | Subcategory | Code |
|---|---|---|---|
Individual-related (patient-centered) factors | Demographic factors | Age | Â |
Gender | Â | ||
Educational level | Â | ||
Marital Status | Â | ||
Job type | Â | ||
Ethnicity | Â | ||
Cognitive factors (beliefs) | Health literacy | Â | |
Patient knowledge | Â | ||
Health importance degree for the individual and health motivations | Â | ||
Individual’s recognition and perception from nature |  | ||
Previous experience | Â | ||
Religious beliefs’ perception and believing | believe in specialisms | ||
cultural features and values | |||
Ethnic-religious beliefs | |||
Folk perspectives and non-professional interventions | |||
Individual’s perception, expectations and judgment from treatment period | |||
Medications effectiveness perception | |||
Mental stereotypes | |||
Reasoning power and decision- making attitudes | Â | ||
Forgetfulness | Â | ||
Psychological factors (negative attitudes toward treatment) | Fear of disclosing information (stigmatization) | Â | |
Obsession | Â | ||
Depression and weakness | Â | ||
Anxiety | Â | ||
Fear and denial | Â | ||
Behavioral factors | Behavioral habits and individual’s ability to change them/behavioral habits and lifestyle |  | |
Disease-related factors | Disease type | Â | Â |
Disease stage and severity | Â | Â | |
comorbidities (disease complexity and having chronic diseases)/ Underlying diseases | Â | Â | |
Therapy-related factors | Route of administration | Â | Â |
Treatment complexity | Â | Â | |
Duration of the treatment period | Â | Â | |
Medication side effects | Â | Â | |
The healthcare provider-related (healthcare system) factors | Individual attributes | Ethics and behavior (professional ethics) | Â |
Background and experience | Â | ||
Therapist’s literacy |  | ||
Fame | Â | ||
communication and patients’ trust in physicians |  | ||
The extent of doctor’s recognition from patients and doctor’s decision-making attitude (prescribing a lot or few amounts of medications) |  | ||
Power enforcing attitude (therapist to patient) | Â | ||
Professional principles | Enough time (therapist for the patient) | ||
Regular attendance (therapist) | |||
Guidelines following | |||
Service provision system characteristics | Ownership and nature | Â | |
Service provision system structure | Referral system | ||
Interaction and communication mechanisms between therapist and patient (participation, decision-making and interaction attitudes) | |||
Intervention of specialties and lack of patient guidance system | |||
Standards and protocols | |||
Payment system | Payment mechanism (type) | ||
Level of payment (price) | |||
Insurance coverage/basic and supplementary | |||
Access | Waiting time | ||
Physical facilities | |||
Geographical access | |||
Medication access (medication rareness) | |||
Informational infrastructures | |||
Equipment and technology | |||
Legal Guarantees | Lack of supervision | ||
Doctor’s misconduct/the claim of doctor’s misconduct | |||
Corruption in service provision | |||
The systematic interactions between traditional and modern medicine | Convergence between two types of medicine | ||
Different application of two medicines in the disease treatment | |||
Socioeconomic-related factors | Economic issues | Direct costs of treatment | Possibility of costs payment by household (low income) |
Indirect costs of treatment (transportation, diet) |  | ||
Social issues | Job security (anxiety about job loss) | Â | |
Concerns and environmental stresses (especially in the workplace) | Â | ||
Advertising, Media and Cyberspace | Â | ||
Pride in treatment | Â | ||
Supportive system | Family | ||
Friends and relatives | |||
Social groups |