The survey respondents point to three recurring obstacles driving this trend. They cited “confusing bureaucracy” and complex payment processes among the biggest challenges in accessing medical care. More than half – 55 per cent – said they did not know where to go when they needed care.
Arjan Toor, CEO, health, Prudential, says healthcare can feel overwhelming, especially at times when people are already worried about their health.
“When people are unwell, they need clear guidance on where to go, who to speak to and what treatment may cost,” he says. “But many patients struggle to find the information they need about their condition, the treatment options available to them and how to access care. That uncertainty can make it harder to make confident decisions, causing people to delay seeking treatment even when help is available.”

High and unexpected costs are another barrier, especially for emergency care: one in three respondents said their healthcare costs had been higher than expected. Concern about having to rely on family members for financial support was also frequently mentioned as a reason for delayed care. This points to a broader issue: when patients cannot anticipate the financial impact of treatment, cost becomes a cause of hesitation as well as stress.
“For patients, the worry is often not only about whether they can afford treatment, but also the uncertainty around not knowing how much treatment will cost beforehand,” Toor explains. “For someone facing a serious illness, not knowing how much they may ultimately need to pay can add another layer of worry at a time when important decisions need to be made quickly.”
The third obstacle relates to information gaps. More than 55 per cent of patients felt they did not have the right information to make decisions about their medical treatment, while almost 40 per cent turned to digital tools for guidance about treatment after initial diagnosis.
“Many choose to turn to the internet or AI [artificial intelligence] to get answers about their health, but that can sometimes leave patients feeling even less certain about what to do next,” adds Toor. “Without clear information, conditions that were once minor can become more serious or complex, and more costly to treat.”
Ongoing healthcare challenges
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