ผู้วิจัย/Authors: Orawan Siloakit

ชื่อเรื่อง/Title: Cost and Efficiency of Srithanya Hospital

แหล่งที่มา/Source: Journal of Mental Health of Thailand, Vol.11, No.3, September 2003, Page 133.

รายละเอียด / Details:

The retrospective study of cost and efficiency of Srithanya Hospital for the fiscal year 2001 was carried out. Data were gathered from payment reports, total number of actives staff and total patients during 1 October 2000-30 September 2001. All departments were classified into 3 groups, i.e.non-revenue producing cost centre NRPCC, revenue producing cost centre RPCC and patient services PS according to their service behave. Capital depreciation cost was calculated by using discount rate equalled to the interest rate on fixed deposit at the beginning of the study 4%. Costs from NRPCC, RPCC were allocated to PS by using the simultaneous equation allocation method with appropriated allocation criteria for each unit. The results revealed that Srithanya had 1,303 actual beds (1430 bed-setting), 1,207 staff, 136,647 out-patient cases, 8,154 in-patient cases, 569,795 hospital day and 69,88 days of length of stay. There were 18 NRPCC (general administration, registration etc.) 5RPCC (Pharmacy, Medical technology) and 49 PS (out –patient service, dentistry, etc.) According to the 2001 fiscal year, Srithanya received 373,214,831.11 Baht allocated directedly 162,501,728.30 (43.54%) 82,050,194.87 (21.98%) and 128,662,907.94 Baht (34.47%) to NRPCC, RPCC and PS respectively. The ratio of labour cost: material cost: capital cost was 46:48: 6. The full cost (FC) of out-patient service, neurologic clinic, emergency service, medical order by mail, social welfare, community service, recreation unit were 641.04, 2,683.50, 855.62, 416.92, 153.26, 1,553.63, 32.93 Baht per case respectively. For rehabilitation activities, i.e., special education, occupational therapy, indurstrial therapy and Friend shop were 148.27, 753.23, 657.81 and 5,046.82 Baht/case respectively. Dental, relaxation, psychology, were 1,910.38, 678.65, 210,69 Baht/head respectively. Average FC of inpatient was 18,856.19 Baht/case and 347.79 Baht/day. The FC of health promotion activities were 8,177,213 Baht. Net out-patient income was 123,000,287.11 Baht (67.93% of accrual income) The accrual revenue and the net revenue reovery of FC of out-patient unit (code 301-305) were 77.40 and 64.53 respectively. The turn over bed occupancy rate were 9.84 and 119.81 respectively. The efficiency of bed utility according to characteristic of patient-ward or diganostic group was discussed. ‹dd

Keywords: unit cost, efficiency, mental health, psychiatry, service, NRPCC, RPCC, PS, psychiatric patient, policy, labuor cost, material, income

ปีที่เผยแพร่/Year: 2003

Address: Srithanya Hospital, Department of Mental Halth

Code: 20040000291

ISSN/ISBN: 2859-497-X

Country of publication: Thailand

Language: English.

Category: Abstract Journal.

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