ต้นทุนการดูแลผู้ป่วยมะเร็งแบบประคับประคองของโรงพยาบาลชุมชนในจังหวัดขอนแก่น

Pimprapa Vankun; Kritsanee Saramunee; Surasak Chaiyasong

Authors

Pimprapa Vankun Master of Pharmacy Program (Primary Care Pharmacy) Faculty of Pharmacy, Mahasarakham University
Kritsanee Saramunee Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University
Surasak Chaiyasong Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University

Keywords:

cost, palliative care, cancer, health care provider’s perspective, patient’s perspective

Abstract

Palliative care is crucial care for cancer patients, especially those who are moving toward the end-stage. The World Health Organization states that palliative care is low cost. However, a cost analysis of such care is limited in Thailand. This study aimed to perform a cost analysis of palliative care for cancer in a community hospital. The analysis was conducted based on two perspectives: the health care provider’s and the patient’s. Cost data of 42 palliative cancer patients were recorded from January 1 to December 31, 2018. The cost of the provider’s perspective included labor and material costs from three departments: outpatient, inpatient, and home-visit, whereas the patient’s perspective covered the direct medical cost, direct non-medical cost, and opportunity cost. Results show that the average cost of the provider’s perspective was 16,525 ± 14,979 baht per patient: from outpatient 4,309 ± 7,103 baht, inpatient 10,915 ± 11,704 baht, and home care 1,301 ± 1,977 baht. The cost on provider’s perspective was mainly born by medical materials (68%). The average cost on the patient’s perspective was 38,707 ± 32,943 baht per patient: 5,262 ± 5,571 baht for outpatient, 6,231 ± 7,355 baht inpatient, 20,806 ± 20,454 baht home care, and 6,408 ± 17,336 baht for seeking other healthcare. The patient cost was predominantly opportunity cost (69%). The Ministry of Public Health and the National Health Security Office should consider the budget plan for palliative care.

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