Next, a decision, assessment or other event was identified for the interviewee, in which he/she had been an active participant.
In this phase, the interviewer carried out cognitive debriefing interviews in which the interviewees had the opportunity to suggest changes in words, phrases and expressions.
To do this, we used a questioning method during the semi-structured interviews in which the interviewee was asked systematically to reflect on his or her life, as seen from the perspective of another person.
In contrast, the availability, quality, and cost of healthcare were a consideration for a number of interviewees in Panama, which is booming as a medical tourism destination and has several hospitals that offer insurance plans catering to U.S. retirees (including one in Panama City that is affiliated with Johns Hopkins University).
When talking about how they discovered their ikigai, many interviewees listed incidents in which they felt invigorated or excited, which served as a clue to identify their ikigai.
Interviewees described cultures in which verbal abuse was common and staff were frightened to speak up for fear of being targeted themselves.
In the second frame the interviewees described situations in which they were forced to choose an alternative which, from their point of view, was suboptimal or undesirable but which was the only possible alternative in the present situation.
In the cases these were discussed, the interviewees described situations in which there were other factors that tip the scales in favour of other values than the best of citizens in terms of comprehensive care.
Several interviewees reported situations in which the decisions, potentially most beneficial for citizens, were not implemented, as there were other more important objectives that were pursued at the time.
However, the interviewers received training in their ethical responsibilities to the interviewee with regard to privacy and dignity, and also techniques to ask neutral questions, be sensitive to the interviewees' own agenda and create a supportive communicative atmosphere in which interviewees should feel free to answer questions honestly and openly.
