IDRC Digital Library

Assessment of a substitute or complement for inpatient and outpatient care of visceral leishmaniasis in Nepal (Journal of Vector Borne Diseases, 49: 242-248)

Show simple item record

dc.contributor.author Raj Adhikari, Shiva
dc.date.accessioned 2015-03-04T20:22:21Z
dc.date.available 2015-03-04T20:22:21Z
dc.date.issued 2012
dc.identifier.citation Raj Adhikari, S. (2012). An assessment of a substitute or complement for inpatient and outpatient care of visceral leishmaniasis in Nepal. Journal of Vector Borne Diseases, 49: 242-248. en
dc.identifier.uri http://hdl.handle.net/10625/53809
dc.identifier.uri http://www.mrcindia.org/journal/issues/494242.pdf
dc.description.abstract Background & objectives: The burden of visceral leishmaniasis (VL) in Nepal, as in other developing countries, falls disproportionately upon the rural poor. Promoting use of outpatient (OP) care, an alternative to inpatient (IP) care has long been advocated to reduce cost of care in both the demand and supply sides as substitution of relatively cheaper resources for expensive resources in the production of health care services. The paper aims to assess the intensity of demand for VL care and explore possibilities of the substitutability or complementation patterns between OP care and IP care of VL. Methods: In order to explore the possibility of substitute (or complement) of OP care for IP care, we exploited the ordinary least squared method by utilizing recently collected data from the VL endemic districts of Nepal. The sample size represented >25% of the population of VL of the country. The paper measured the sensitivity analysis of demand for OP and IP cares using appropriate demand models. Results: The coefficients of demand models gave negative relationship between quantity demanded for health care and their prices. It is plausible that OP price has strong power than IP price to determine the respective quantity demanded for health care. As expected, income has negative sign, but not significant that means income has no effect on determining the demand for health care because VL is a disease of poor. Conclusion: Recently, improvements in treatment and diagnostic techniques suggest a substitute of OP care for IP care; however, the OP and IP cares are complements due to behavioural factors. en
dc.format Text en
dc.format.extent 1 digital file (p. 242-248) en
dc.language.iso en
dc.publisher National Institute of Malaria Research en
dc.subject COMPLEMENT en
dc.subject DEMAND en
dc.subject NEPAL en
dc.subject PRICE en
dc.subject SUBSTITUTION en
dc.subject VISCERAL LEISHMANIASIS en
dc.subject DEVELOPING COUNTRIES en
dc.subject HEALTH SERVICES en
dc.subject INFECTIOUS DISEASES en
dc.subject PUBLIC HEALTH en
dc.subject OUTPATIENTS en
dc.subject INPATIENTS en
dc.title Assessment of a substitute or complement for inpatient and outpatient care of visceral leishmaniasis in Nepal (Journal of Vector Borne Diseases, 49: 242-248) en
dc.type Journal Article (peer-reviewed) en
idrc.project.number 106439
idrc.project.componentnumber 106439003
idrc.project.title Equity in Health and Health Financing: Building and Strengthening Developing Country Networks en
idrc.dspace.access IDRC Only en
idrc.rims.adhocgroup IDRC SUPPORTED en
idrc.recordsserver.bcsnumber IC01-4451-35
idrc.noaccess Due to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d'auteur, le texte intégral de cet extrant de recherche n'est pas accessible dans la Bibliothèque numérique du CRDI, et il n'est pas possible d'en faire la demande à la Bibliothéque du CRDI. en


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record