กรณีศึกษาการวิเคราะห์ต้นทุนบริการสุขภาพปฐมภูมิเปรียบเทียบระหว่างโรงพยาบาลส่งเสริมสุขภาพตำบลถ่ายโอนแก่องค์กรปกครองส่วนท้องถิ่นและที่คงสังกัดกระทรวงสาธารณสุข

Chanida Ekakkararungroj; Kridsada Chareonrungrueangchai; Chayapat Rachatan; Sherilyn Pratumsuwan; Thanayut Saeraneesophon; Nachawish Kittibovorndit; Yot Teerawattananon

Authors

Chanida Ekakkararungroj Health Intervention and Technology Assessment Program
Kridsada Chareonrungrueangchai Bangkhla Hospital, Chachoengsao Provincial Public Health Office
Chayapat Rachatan Health Intervention and Technology Assessment Program
Sherilyn Pratumsuwan Health Intervention and Technology Assessment Program
Thanayut Saeraneesophon Health Intervention and Technology Assessment Program
Nachawish Kittibovorndit Health Intervention and Technology Assessment Program
Yot Teerawattananon Health Intervention and Technology Assessment Program

Keywords:

health care decentralization,, unit cost analysis,, primary care services

Abstract

This study aimed to compare the service unit costs of sub-district health promoting hospitals between the transferred and non-transferred hospitals and employed purposive sampling to select two specific provinces, namely Chiang Rai and Lampang. This study used a standard unit cost analysis method, collecting retrospective data on labor, material, and capital (equipment) costs from October 2021 to September 2022, through interviewing practitioners and reviewing data recorded in the sub-district health promoting hospitals. The findings indicated that the transferred sub-district health promoting hospitals had lower unit costs. The decrease was partly attributed to a significant reduction in number of health personnel working in the recently transferred units. Therefore, the allocation of personnel was a critical issue to consider before embarking on the decentralization process. Furthermore, the present study had limitations of studying early period of transfer, during the period of COVID-19 pandemic, and adopting services data from previous studies.

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