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

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dc.contributor.authorRaj Adhikari, Shiva
dc.date.accessioned2015-03-04T20:22:21Z
dc.date.available2015-03-04T20:22:21Z
dc.date.issued2012
dc.description.abstractBackground & 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.formatTexten
dc.format.extent1 digital file (p. 242-248)en
dc.identifier.citationRaj 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.urihttp://hdl.handle.net/10625/53809
dc.identifier.urihttp://www.mrcindia.org/journal/issues/494242.pdf
dc.language.isoen
dc.publisherNational Institute of Malaria Researchen
dc.subjectCOMPLEMENTen
dc.subjectDEMANDen
dc.subjectNEPALen
dc.subjectPRICEen
dc.subjectSUBSTITUTIONen
dc.subjectVISCERAL LEISHMANIASISen
dc.subjectDEVELOPING COUNTRIESen
dc.subjectHEALTH SERVICESen
dc.subjectINFECTIOUS DISEASESen
dc.subjectPUBLIC HEALTHen
dc.subjectOUTPATIENTSen
dc.subjectINPATIENTSen
dc.titleAssessment 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.typeJournal Article (peer-reviewed)en
idrc.dspace.accessIDRC Onlyen
idrc.noaccessDue 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
idrc.project.componentnumber106439003
idrc.project.number106439
idrc.project.titleEquity in Health and Health Financing: Building and Strengthening Developing Country Networksen
idrc.recordsserver.bcsnumberIC01-4451-35
idrc.rims.adhocgroupIDRC SUPPORTEDen

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