Decision-making process of Kala Azar care: results from a qualitative study carried out in disease endemic areas of Nepal

作     者：Shiva Raj Adhikari Siripen Supakankunti M Mahmud Khan 

作者机构：Department of EconomicsPatan Multiple CampusTribhuvan UniversityKathmanduNepal Faculty of EconomicsChulalongkorn UniversityBangkokThailand Department of Health Services Policy and ManagementUniversity of South CarolinaCarolinaUSA 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2013年第2卷第1期

页      面：105-111页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 07[理学] 0701[理学-数学] 070101[理学-基础数学] 

基　　金：We would like to thank the UNICEF/UNDP/World Bank/WHO Special Program for Research and Training in Tropical Diseases(TDR) Geneva for providing the financial support for this study 

主　　题：Kala Azar Decision-making process Utilization Nepal 

摘      要：Background:Analysis of consumer decision making in the health sector is a complex process of comparing feasible alternatives and evaluating the levels of satisfaction associated with the relevant *** paper makes an attempt to understand how and why consumers make specific decisions,what motivates them to adopt a specific health intervention,and what features they find attractive in each of the ***:The study used a descriptive-explanatory design to analyze the factors determining the choices of healthcare *** was collected through focus group discussions and in-depth ***:The results suggest that the decision making related to seeking healthcare for Kala Azar(KA)treatment is a complex,interactive *** and family members follow a well-defined road map for decision *** process of decision making starts from the recognition of healthcare needs and is then modified by a number of other factors,such as indigenous knowledge,healthcare alternatives,and available *** and individual characteristics also play important roles in facilitating the process of decision *** results from the group discussions and in-depth interviews are consistent with the idea that KA patients and family members follow the rational approach of weighing the costs against the benefits of using specific types of medical ***:The process of decision making related to seeking healthcare follows a complex set of steps and many of the potential factors affect the decision making in a non-linear *** analysis suggests that it is possible to derive a generalized road map of the decision-making process starting from the recognition of healthcare needs,and then modifying it to show the influences of indigenous knowledge,healthcare alternatives,and available resources.