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

Ÿ Early detection, early treatment

Ÿ Nothing is more important than health

Negative Health Belief and Attitude

Ÿ The basic examination cannot prevent anything

Ÿ I don’t think that I would suffer chronic disease

Ÿ Worries about already having a dangerous illness or disease; adopt an “ostrich’s policy”

Expectations

The needs of health screening.

Expectations (Positive)

Ÿ Physician consultation

Ÿ Professional treatment and medical expert referral service provided

Ÿ Medical expense deduction

Ÿ Incentives

Expectations (Negative)

Ÿ Waiting for so long

Ÿ Service providers are not friendly

Ÿ Useless freebies

Cost Consideration

Should health services be free?

Cost Consideration (Positive)

Ÿ More money, more choices

Ÿ There is no such thing as a free lunch

Ÿ Price is my first priority consideration

Cost Consideration (Negative)

Ÿ Price does not mean accuracy

Ÿ Participants will be reluctant to pay for repeated health checks

Social Influence

What/Who can change my thoughts, feelings, or behavior?

Social Influence (Positive)

Ÿ To cooperate with the company regulations and requirement

Ÿ No one can change my mind

Ÿ I prefer not to change an established itinerary because of a health service

Social Influence (Negative)

Ÿ The mutual influence between relatives and friends

Emotion

After attending health screening.

Positive experiences of Health Screening

Ÿ Have health problems ever been detected by health screening?

Negative experiences of Health Screening

Ÿ Undertaken this on the cheap

Ÿ No help

Ÿ Unable to coordinate with examination time

Ÿ Feels unnecessary as visiting a doctor in Taiwan is very affordable and convenient

Ÿ Poor service attitude

Ÿ No information

Practical facilitators and barriers

What happens at health screening services?

Service Design (Positive)

Ÿ Free or low-cost would be beneficial for the poor

Ÿ Incentives

Ÿ Service Design (Negative)

Ÿ Time spent waiting in line

Ÿ Hard to follow medical compliance

Ÿ Reluctant to change daily routines

Ÿ Bad service quality

Ÿ Inconvenient transportation

Ÿ Lack of physical activity and/or mental energy

Ÿ Convoluted logistics

Ÿ Cannot match time

Ÿ Lack of promotion

Ÿ Hard to attend for elderly people, handicapped people, or shift workers