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Figure 4.3c
                                  Preferred sector for future chronic disease management consultations




                                  30.5%                                                           1.0%
                                                                                                  4.6%


                                  36.9%

                                                                                                 27.0%




                                    Public service providers  No preference  Uncertain/No opinions
                                    Private service providers  Won’t have regular visits




                             Factors influencing willingness to participate in the Scheme
                             75.3% of respondents without a prior diagnosis expressed willingness to
                             participate in the Scheme (Question 8). Given that many factors determine actual
                             participation in the Scheme and adherence to the recommended frequency of screening, we
                             used the WHO framework on universal access to construct and understand the factors that
                             may promote or inhibit participation in the Scheme. The accessibility, financial affordability,
                             and acceptability of the Scheme are assessed as follows.

                             i. Physical accessibility

                             In analysing the facilitators to participation, we found that physical convenience is critical.
                             Of the respondents who were asked about their willingness to participate in the Scheme and
                             who provided at least one motivation for participating, 67.5% reported geographical
                             convenience as either their primary or secondary reason to participate
                             (Question 5). Similarly, of the respondents who provided at least one motivation for seeking
                             care for disease management, 56.9% reported the convenience of location as
                             either their primary or secondary reason for choice of service provider
                             type (Question 11a). This highlights the importance of ensuring the physical accessibility of
                             service providers who will participate in the Scheme.

                             ii. Financial affordability

                             Beyond physical convenience, respondents are motivated by a reasonable price level for
                             screening and management services. Our survey revealed that respondents are price
                             sensitive to healthcare services, given that 66.0% of respondents factor the price
                             of services in their decision to engage in regular screening (Question 5). In
                             the event of having a diagnosis of a chronic condition, 58.3% of respondents
                             attributed reasonable service pricing as their primary or secondary
                             consideration in decisions on sector for follow-up care to manage their conditions
                             (Question 11a).













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