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, as education, literacy, occupation, income group etc. 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 investigation i.e. USG & 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. Taking into consideration the cost and sensitivity
of procedure it was found that mainly cost determine 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.