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Table 2 Exploring the challenges in the financial transaction between CNCSCs and their clients

From: The financial transaction between counseling and nursing care service centers (CNCSCs) and their clients: a qualitative study

Main Category Subcategory Initial Code
A:Theflaunted atmosphere due to direct financial transaction A1. Direct unfavorable monetary exchanges The financial pressure on clients caused by their direct payment of the costs incurred by services
Problems in the reimbursement of the costs due to the lack of public insurance coverage
The reluctance and inability to direct out of pocket payment for health-related expenses
A2. The complex interaction with private insurance companies The low acceptance of CNCSCs and the independent rule-setting by some private insurance companies
The complex documentation needed for the reimbursement of costs by complementary insurance
The incomplete reimbursement of costs by private insurance companies
B:Instability in determining tariffs for nursing services B1.Inadequate attention to CNCSC services The ambiguity and undefined roles of CNCSCs in price-setting
Delay in updating Irrational and outdated prices
B2.The need to bargain with the CNCSCs and clients to fix a price Bilateral (CNCSC-client) efforts for financial profiting
Clients being uncertain about the price of nursing services offered at CNCSCs
B3. A defective environment of competence Independent nursing home care by nurses and clinics
Easier access to inexpensive, although unprofessional and low-quality, home care services
The client’s preference for receiving services from hospitals and governmental health care centers given their comparatively lower prices
C: The use of benefit strategies for cost-effective services and client satisfaction C1. Regulating financial transactions with the families Financial transactions limited to only one of the family members
Avoiding a direct financial transaction between the CNCSCs staffs and the family members
C2. Expediency trying to expand organizational relationships A cautious work relationship with some semi-private organizations
Trying to expand professional relationships with rich and financially-independent organizations
Trying to expand the delivery of services to clients with complementary insurance coverage
C3.Trying to rationalize the costs of service for the clients Informing the clients about the sensitivity and benefit of community-based nursing services
Assisting the clients in preparing adequate documentation for the reimbursement of costs by complementary insurance