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Information Assymetry impact on treatment seeking behavior

  • Shivani Singh
  • Agency : Treatment Seeking Behavior, Information Assymetry, Health Facility
  • Objective :
    To understand the treatment seeking behaviour of people coming to tertiary hospitals at Jaipur city. To understand the journey ( number of health facility ) that patient goes in search of treatment .To understand the impact of information asymmetry in treatment related decision  making.  To  provide  recommendation  for  the feasibility of e-chikitsa call centre project on the basis of findings from this study.

  • Background : Not Available
  • Methodology : This study is descriptive cross sectional study. Study tool used is semi-structured interview schedule. Survey is done through individual interview of IPD  patient  attendants.  Sample  of  100  respondents  is drawn from two tertiary care hospitals of  Jaipur city.50 respondents each is taken from a government (SMS- Sawai Man Singh  ) and a private hospital (SDMH –Santokba Durlabhji Memorial Hospital).
  • Findings : 90.37% of all respondents has said to avail other services before coming to tertiary hospital and 43% has said to avail more then two hospitals before coming here. Reason told to be not able to diagnose disease, services unavailability or ineffective treatment. Then 59% of all respondents said to have explored options for treatment but only 35.4% knows the best of health care agencies for their respective disease. For affordability issues only 14.6% of all  respondents  said  to  have  insurance  and  reason  for others not having insurance is ignorance about insurance schemes. Again 62.2% of all respondents want to avail medical services other then allopathic. But only 34% has idea about services availability in city.     86% of all respondents found to have hindrance in seeking treatment due to improper information. Whereas 94% of all respondents were in favor of a call centre which can give healthcare service information on a phone call.
  • Recommendations : All these findings prove the existence of information asymmetry between health service and people of rajasthan. Information asymmetry is definitely adding to the sufferings of not only patients but of whole family. It leads to time, monetary and other resource loss. People are not empowered to make informed choice decision easily. Project like echikitsa call centre can give solutions to bridge gap of such information asymmetries. Such project would help people to make choice decision and can guide them about available services.
To understand the treatment seeking behaviour of people coming to tertiary hospitals at Jaipur city