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Table 2 Major themes, categories and codes

From: Managing diabetes mellitus with comorbidities in primary healthcare facilities in urban settings: a qualitative study among physicians in Odisha, India

Theme

Categories

Codes

Health system preparedness to manage diabetes comorbidities

Challenges in relation to infrastructure and logistics

Supply of medicine

Laboratory facilities

Inadequate human resources

Lack of trained support staff

Management of records and documentation

Poor record keeping

Improper registration of chronic disease patients

Strengthen formal referral channels

Support of pharmaceutical companies

Community participation and literacy

Awareness campaigns among community members

Active engagement of community health workers

Challenges faced by physician to treat diabetes comorbidities

Barriers to provide effective treatment

Lack of confidence

Lack of orientation and training on skill development

High patient density

Facilitators for effective treatment

Skill development on time management

Networking with seniors, specialists

Patient physician relationship

Patients' related factors in management of diabetes comorbidities

Treatment adherence

Multiple issues affecting the adherence

Non-compliance

Traditional beliefs

Attitudes towards change and appraisal of comorbidity

Healthcare expenditure

Socio-economic status

Out-of-pocket expenditure

Incentives, Subsidy, Insurance

Maintaining a personal treatment record

Previous prescription

Care-seeking pathway history

Diagnostic reports