Unit Cost of Health Care Services at Ban Khao Thong Sub-district Health Promoting Hospital, Phayuha Khiri District, Nakornsawan Province during Fiscal Year 2020-2021

Abstract

The research design of this study was descriptive study and the objective was to analyze the unit cost of health care services through the provider’s viewpoint in Ban Khaothong Health Promoting Hospital, Phayuhakhiri district, Nakhonsawan province during the fiscal year 2020–2021. The collecting data process was conducted by the standard questionnaire which was divided into 3 parts including labor cost (LC), material cost (MC), and capital cost (CC). The unit cost of health care services was analyzed in 9 activities including (1) treatment, (2) mother and child health, (3) family planning, (4) expanded program on immunization, (5) school health, (6) special clinic of non-communication diseases, (7) thai traditional medicine, (8) dental health and (9) disease control. The result of this study was analyzed by descriptive statistic including number, percentage, ratio and mean. The total cost in 2020 was 3,790,120.17 baht which was divided into labor cost 3,138,519.96 baht (82.81%), material cost 213,505.54 baht (5.63%) and capital cost 438,094.67 baht (11.56%). The total cost in 2021 was 4,105,831.66 baht which was divided into labor cost 3,290,760.00 baht (80.15%), material cost 228,131.67 baht (5.56%) and capital cost 586,939.99 baht (14.30%). The cost ratio among labor cost, material cost and capital cost was 14.70:1.00:2.05 and 14.42:1.00:2.57 in 2020-2021, respectively. In 2020, the maximum of unit cost was found in the disease control activity 9,504.02 baht/case and 4,752.01 baht/visit, and the minimum of unit cost was found in treatment activity 143.50 baht/case and 31.98 baht/visit. In 2021, the maximum of unit cost was found in disease control activity 8,970.42 baht/case and 4,257.15 baht/visit and the minimum of unit cost was found in treatment activity 170.02 baht/case and 34.35 baht/visit. These results are useful for more efficient budget planning at Khao Thong Health Promotion Hospital.