A Comparison of the Unit Costs of Health Care Services Provided with and Without Transfer to Local Administrative Organization of the Tambon Health Promoting Hospitals
Keywords:
Unit cost, Health care services, Local administrative organizationAbstract
The study's objective was to compare the unit cost ratio and unit cost of health care services delivered with and without transfer to local administrative organization of the Tambon Health Promoting Hospitals (THPH). The investigation of standardized unit costs from the perspectives of healthcare professionals. A sample was selected using the purposive sampling approach by grabbing contracting parties of primary care unit services delivered with and without transfer to local administrative organization of the THPH in 2008 and 2012 with 16 health care services. Information on both budget and non-budget items in the fiscal year 2022 was gathered. Utilizing standardized unit cost analysis of the THPH was divided into labor cost (LC), material cost (MC), and capital cost (CC). Data was presented as total costs, and activity unit costs with percentages, and medians.
The unit cost of healthcare services activities provided by the THPH without transfer to local administrative organizations was 42,440,038.73 Baht, whereas the unit cost of healthcare services activities provided by the THPH with transfer to local administrative organizations was 63,653,317.44 Baht. The ratio of healthcare service unit costs both with and without transfer to the local administrative organizations of the THPH, ranged from 50.32 to 52.52. Nearly all labor costs between 51.57 and 65.27 were within budget. Nearly all of the material cost came from health care service subsidies between 67.99 and 70.10. The median unit cost for medical care was between 41.29 and 319.34 Baht and the median unit cost for non-medical care between 27.27 and 1,576.35 Baht.
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