ฐานข้อมูลวิจัยด้านสุขภาพจิตและจิตเวช

ผู้วิจัย/Authors: Kanjana Tisayaticom, Chitpranee Vasavid, Walaiporn Patcharanarumol, Viroj Tangcharoensathien.

ชื่อเรื่อง/Title: Cost Analysis and Estimate of capitation rate for Universal Health care coverage Project for Fiscal Year 2004.

แหล่งที่มา/Source: Total Abstract Journal of Health Science, Vol 12, Page 336-338.

รายละเอียด / Details:

Based on utilization rate and unit cost of services, the capitation rates for FY2002 and 2003 were estimated to be 1,202 and 1,414 baht respectively. In FY2003, there were more detail costing of preventive and promotion package, super-tertiary care, and private hospitals. This study was aimed to provide details on database and demonstrate how capitation was estimated for FY2004. Similar methods used for FY2003 were employed. There were two most updated data sets on utilization rate, based on the 2001 Health and Welfare survey (HWS) and the first half of the 2002 socio-economic survey (SES). Both surveys were conducted by the National Statistical Office. It was found that the use rate among UC beneficiaries as reported by SES was much lower than that by HWS. It was 2.41 and 1.21 times lower for ambulatory and admission rate. The task force (TF) decided to use HWS data set as it was more reliabke than SES. Two approaches were used to calculate unit cost for FY2002. First, by quick method was based on routine financial and putput reported by contractor hospitals. Second, adjustment of 2001 cost figures were based on labor cost increase and consumer price index, an overall growth rate of 2.9 percent. The first method demostrated controversial findings, the unit cost has reduced (13%) among community hospitals yet increased (11%) among provincial hospitals. Based on the FY2003 principle (same figure for preventive and promotion services, dental services and percent on capital replacement), when the use rate from HWS2001 was multiplied by two unit cost figures, two capitation rates for FY2004 amounted to 1,472 baht respectively. The TF decided to adopt the second method of unit cost estimate, as routine hospital report was not reliable due to changes in reporting form and scope of report (covering health centers and primacy care units). Whereas adjustment of 2001 cost by the increment of the labor cost and inflation would be more realistic. The TF, thereby, adopted 1,447 baht as capitation for FY2004. The rate might be under-estimated, as the utilization rate was quoted from HWS 2001, under the totally different circumstances prior to the implementation of UC. When the financial barrier became minimal. Utilization would increase.

Keywords: unit cost, cost analysis, health service, finance, capitation rate, universal health care coverage project, fiscal year 2004

ปีที่เผยแพร่/Year: 2005

Address: Senior research scholar program in health sytem and policy research International, health policy program Thailand

Code: 20050000561

ISSN/ISBN: 974-506-393-2

Country of publication: Thailand.

Language: English.

Category: Abstract Journal.

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