title: Level of accessibility of radiological diagnostic tools of high technology and its effect on human health: study of ultrasonography, CT scan and MRI in different perspective.
abstract: The study was conducted at JNMC, Aligarh, India, to discern the obstacles/hurdles that stood in the way of the patients and the high technology diagnostic tool. For this purpose several parameters were taken eg, education/literacy, occupation and income group, etc. From the study 97% chose to undergo USG and only 3% were defaulters; 86% chose to undergo CT scan and only 14% were defaulters; 79% chose to undergo MRI and 21% were defaulters. Low cost investigations ie, USG and CT scan were more prescribed to IVth social class but MRI was mostly prescribed to IInd. Most of the defaulters were from IVth social class and showed financial problem for getting investigation. Taking into consideration the cost and sensitivity of procedure, it was found in this study that mainly cost determines the outcome. Sensitivity did not matter in patient's perspective. This was the reason that maximum defaulters were found in MRI, followed by CT scan and least in USG. Financial constraint was primary reason declared by defaulters followed by distance. Additional parameters like literacy, occupation and social standing were also found significant in the study in the sense of prescription of investigation and being defaulter.
authors.affiliation: Shri Guru Ram Rai Institute of Medical and Health Science, Dehradun 248001.
authors.forename: Lalit
authors.initials: L
authors.lastname: Kumar
authors.forename: Munawwar
authors.initials: M
authors.lastname: Husain
authors.forename: Ibne
authors.initials: I
authors.lastname: Ahmad
mesh_terms: D057186:Comparative Effectiveness Research; D017048:Health Care Costs; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D007194:India; D008279:Magnetic Resonance Imaging / Q000191:economics / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care; D012680:Sensitivity and Specificity; D012923:Social Class; D013679:Technology, Radiologic / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D014057:Tomography, X-Ray Computed / Q000191:economics / Q000706:statistics & numerical data; D014463:Ultrasonography / Q000191:economics / Q000706:statistics & numerical data