Table 3 Analysis process moving from categories to themes
CATEGORIES | CATEGORIES | CATEGORIES |
|---|---|---|
1. Physician considers first line officer incompetent | 1. Specialist reachable over phone for advice if personally known | 1. Lack of trust in organizational pathways for seeking information for patient care |
2. Lack of support system for clinical guidance | ||
3. Lack of access to latest literature/research from the Health Department | 2. Focus of departmental meetings on targets and not clinical guidance | 2. Personal professional/social network (locally and distant) for patient care |
4. Lack of functional referral system | ||
SUBTHEME 1 | SUBTHEME 2 | SUBTHEME 3 |
Lack of confidence in available resources | Unpredictable support | Reliance on personal (rather than organizational) resources to safeguard patients’ interests |
MAIN THEME | ||
Formal organizational structures, including supervisory support and technical guidelines, not adequate | ||