In they come on weekends and perform

In Sri Lanka, service availability is low in outside of the main
city Colombo. Most of the consultants refer radiology and Nuclear medicine
services from rural areas to Colombo as there are no other options. Though
considerable amount of novel equipment available in some government hospitals,
patients need to wait in the waiting list in months and months to get their
service. Due to high volume of surgeries conducting at government sector
hospitals, patients are referred to privet hospitals in Colombo for better and
faster services. Unavailability of modern tech instruments at distance
hospitals also lead patients to decide to take high quality services when the
time of need. For an example, in Hospital sector Cardiologist either refers
patients to known Cardiologist at Colombo area or they come on weekends and
perform procedures like Angiograms at main Colombo hospitals. After confirming
the report, they confirm whether patient need to go for further treatments,
cardiologist refer patients to Cardio Thoracic Surgeon to go ahead and perform Coronary
Artery Bypass Grafting (CABG) or Percutaneous
Transluminal coronary angioplasty (PTCA).


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In Sri Lanka we can observe higher chances among younger people
may reflect their busier schedules, and attitudes toward and knowledge about
health care. Physicians are the decision makers and consult for treatments.
Therefore, high regard for physician authority lowered the chances of having
acceptability-related unmet health care needs. On the other hand, a tendency to
rely on self-care raised the chances of reporting unmet needs growing out of
these reasons.

Gender difference

Women were more likely than men to report unmet health care needs
due to service availability and acceptability problems. South Asian country
like Sri Lanka, women’s health tended to be poorer than men’s. The gender gap
in availability-related unmet needs persisted when demographic and
socio-economic characteristics were controlled. Health status, it appears, was
a key factor linking gender with availability-related unmet needs. However, in
main cities like Colombo, women are more likely to go for medical checkups due
to public awareness on cancer diseases. Therefore, most of the hospitals having
Well- women centers to address those issues. Mammogram and pap smears are the
most common and high profit earning investigations in city areas.

Unmet needs can be defined as the
difference between services judged necessary to deal appropriately with health
problems and services actually received. Most of the time unmet need can be
categorized for accessibility (related to cost and proximity), availability
(related to the timely provision of health service), and acceptability (related
to personal attitudes and circumstances).