Cost of primary health care in universal insurance at Health Center 16, Bangkok Metropolitan Administration.
The purpose of the present study was to illustrate the cost of services in health promotion and prevention, out patient (OPD) and dental care in Health Center (No. 16) Bangkok Metropolitan Administration. The analysis of the cost components could be used as key data for future planning, budgeting and resources preparing for the short and long terms. The cost centers were categorized to be executive, services and supporting unit. The simultaneous equation method was employed to allocate all costs from other associated cost centers to the service unit. The unit cost per visit was 372.76 baht, while the unit cost per capitation was 532.83 baht. The unit cost of health promotion and prevention per capitation was 288.95 baht, whereas the unit cost of OPD care per capitation was 183.47 baht and the unit cost of dental care per capitation was 55.37 baht. The labor cost accountedfor 83.67 per cent, capital cost 6.09 per cent and material cost 10.24 per cent of the total cost. Unit costs of OPD and dental care were lower than the proposed budget while the unit cost of health promotion and prevention was higher. This could be due to some patients seeking OPD care from King Chulalongkorn Hospital instead, while the health promotion and prevention offering was more than that normally offered in other Health Centers. The improvement of labor efficiency and the decrease of labor cost would be the short and long run strategies respectively.
Vimolket
Thosporn
T
Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand. vthospor@chula.ac.th
Kamol-ratanakul
Pirom
P
Tobprakhon
Sonthaya
S
D003151:Community Health Centers / Q000191:economics*; D003361:Cost Allocation; D017048:Health Care Costs; D006293:Health Promotion / Q000191:economics; D006801:Humans; D011320:Primary Health Care / Q000191:economics*; D013785:Thailand; D019472:Universal Health Insurance / Q000191:economics*