Characteristics of outpatient care delivery system | Multiple service providers; multiple processes; intermittent contacts; multiple problems; patients can walk away anytime | No idea how the system works |
Working/service environment | No continuing patient–provider relationship; no complete medical records; not sharing information; lack of interprofessional communication; not enough time; no medication supervision; excessive policy intervention; understaffing; seriously overloaded; high stress level | Insecure; crowded; scared of being infected |
Provider–patient communication | Patients do not disclose essential information; poor literacy of patients; no patient identification system; forged identification; patients talk too much but do not get to point; wrong information shared between patients; waste of time; patients not reasonable; patients too demanding; patients not understanding; patients have too high expectation | Doctors show impatience; doctors do not ask; doctors do not listen; patients being seen as making trouble; no chance to ask questions; being deterred from arguing for our own interest |
Decision-making by providers | Poor knowledge; lack of experience; one-off contact | Over-service for profit; without thinking about how expensive; without thinking about adverse effects; depend on machines; over-prescribe; do not care about things beyond their specialty; money grab machine |
Decision-making by patients | Do not read medication instructions; depend on unreliable information; negative influence from other patients; demand immediate solution; seek second opinion; use one doctor to argue against another | Follow instructions from doctors; self-protection; always being passive; trust public media; seek advice from fellow patients; do not know how to choose; prefer to have same doctor |