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Primary reason for screening:


                                  14.0%


                                  14.5%                                                          53.8%




                                  17.7%



                                    Own health conditions  Recommended by professionals
                                    For early disease prevention  Other reasons


                                  Secondary reason for screening:


                                  13.4%


                                  15.5%                                                          47.6%




                                  23.5%



                                    Own health conditions  Recommended by professionals
                                    For early disease prevention  Other reasons




                             Deviation between preferences and actual healthcare utilisation
                             patterns
                             There is no majority preference for follow-up care in the public or private
                             sector upon participation in the Scheme, with over 60% of respondents
                             expressing either preference for or indifference to receiving follow-up care in the private
                             sector. Specifically, 36.9% of respondents would prefer to receive follow-up
                             care from private service providers, while 30.5% exhibited no strong preference for
                             care from either service provider type (Question 10a) (Table 4.4 and Figure 4.3c).

                             Despite respondents’ ambivalent preference of service provider type for chronic disease
                             management services upon participation in the Scheme, the actual utilisation patterns for
                             screening and management demonstrate a strong tendency for public sector
                             service usage—particularly amongst chronic disease patients and
                             individuals aged 45 years or above. For example, 63.7% of respondents who
                             regularly participated in screening frequented public service providers (including HA
                             hospitals, GOPCs or Specialist Out-patient Clinics (SOPCs), Department of Health (DH)
                             clinics, etc.) (Question 3). Utilisation of the public sector is higher amongst people with
                             chronic disease, as 88.9% of respondents diagnosed with chronic health conditions reported
                             that they sought public service providers for management of elevated levels of blood
                             pressure, heart diseases, stroke, and diabetes (Question 6b). Separately, a significant
                             positive association was observed between age group and past selection of service provider
                             type for chronic disease management, particularly amongst individuals aged 45 years or


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