Themes | Facilitators to uptake | Barriers to uptake |
Beliefs about outcome Reasons why people choose to attend or not attend health screening. | Positive Health Belief and Attitude Early detection, early treatment Nothing is more important than health | Negative Health Belief and Attitude The basic examination cannot prevent anything I don’t think that I would suffer chronic disease Worries about already having a dangerous illness or disease; adopt an “ostrich’s policy” |
Expectations The needs of health screening. | Expectations (Positive) Physician consultation Professional treatment and medical expert referral service provided Medical expense deduction Incentives | Expectations (Negative) Waiting for so long Service providers are not friendly Useless freebies |
Cost Consideration Should health services be free? | Cost Consideration (Positive) More money, more choices There is no such thing as a free lunch Price is my first priority consideration | Cost Consideration (Negative) Price does not mean accuracy Participants will be reluctant to pay for repeated health checks |
Social Influence What/Who can change my thoughts, feelings, or behavior? | Social Influence (Positive) To cooperate with the company regulations and requirement No one can change my mind I prefer not to change an established itinerary because of a health service | Social Influence (Negative) The mutual influence between relatives and friends |
Emotion After attending health screening. | Positive experiences of Health Screening Have health problems ever been detected by health screening? | Negative experiences of Health Screening Undertaken this on the cheap No help Unable to coordinate with examination time Feels unnecessary as visiting a doctor in Taiwan is very affordable and convenient Poor service attitude No information |
Practical facilitators and barriers What happens at health screening services? | Service Design (Positive) Free or low-cost would be beneficial for the poor Incentives | Service Design (Negative) Time spent waiting in line Hard to follow medical compliance Reluctant to change daily routines Bad service quality Inconvenient transportation Lack of physical activity and/or mental energy Convoluted logistics Cannot match time Lack of promotion Hard to attend for elderly people, handicapped people, or shift workers |