Table 2 Major and minor themes from thematic analysis

Socio-economic Factors

Cultural Factors

• Community attitudes towards physicians

• Social media education

• Educational programs for the older adults

• Living in a nursing home

• Stigma

• Older adult’s mental support

• Awareness and belief in medication therapy

Economic Factors

• The economic condition of the country

• Family purchasing power

• Employment status

• Income level

• Financial burden imposed by family members

• Family financial support

• Charity centers support

Health System-Related factors

Access

• Medicine shortage

Insurance

• Out-of-pocket costs

• Insurance coverage

Supervision and monitoring of medication therapy

-

Incentive policies for medication therapy

-

Healthcare Provider-related Factors

Healthcare-provider interaction

• Devoted time for the visit

• Communication with the older adults

• Talking about the importance of taking medicine

Medical therapy management

• Polypharmacy management

• Medication reconciliation

• Teaching about medication efficacy

• Management of medication side effects

Physician awareness of the economic situation of the older adults

-

Physician awareness of the medication costs

-

Emphasis on brand medication

-

Drug-related Factors

Efficacy

Dosage form

Price

Side effects

Brand or generic

Onset of action

Disease-related Factors

Being under control

Type of Disease

Time of onset of the disease

Patient-related Factors

Health literacy

Older adults’ attitude to brand medicine

Addiction

The level of self-care

Physical ability

Dependency on others to supply or consume medicines

Perception of the severity of the disease

Educational level

Underlying diseases

• Depression

• Cognitive disorders

Gender

Age