ต้นทุนบริการและปัจจัยที่มีผลต่อต้นทุนบริการของผู้ติดเชื้อเอชไอวีและผู้ป่วยเอดส์ ณ โรงพยาบาลพระทองคำเฉลิมพระเกียรติ 80 พรรษา

Piyanuch Butsoongnoen

Authors

Piyanuch Butsoongnoen Phra Thong Kham Chaloem Phrakiat Hospital, Nakhon Ratchasima

Keywords:

cost, HIV, AIDS, multiple regression, cost function

Abstract

This study was a retrospective descriptive study. The objectives were to determine the costs and formulate the cost function due to HIV and AIDS treatment from a provider perspective for the fiscal year 2018 at Phra Thong Kham Chaloem Phrakiat Hospital, Nakhon Ratchasima province. Descriptive statistics were used to summarize demographic characteristics and costs. Stepwise multiple regression was employed to construct the cost function.

Ninety-six patients with complete cost data were analyzed. Male and female was equal. More than sixty-nine percent aged higher than 40 years old (mean age 42 years). The total treatment cost was 1,652,314 baht, or an annual average of 17,212 baht per person. Based on the fitted regression model, the significant explanatory variables included drug resistance, the number of out-patient visits, age, and adherence to treatment. The model could explain fifty-seven percent of the cost (Sig. F<0.001).

In conclusion, the present study provided a description of costs of HIV and AIDS treatment. It also explored factors affecting institutional costs. These data can assist financial and efficiency management.

References

Department of Disease Control, Ministry of Public Health. Research planning in disease control. Bangkok: Department of Disease Control, Ministry of Public Health; 2019. (in Thai)

Ministry of Public Health. Public health statistics A.D. 2018. Bangkok: Ministry of Public Health; 2018.

Visedbuppha P. Cost analysis of out patients who received antiretroviral therapy under national health insurance system in Prasamut Chedi Swatthayanon Hospital. Thai AIDS Journal. 2015;27(1):15-24. (in Thai)

Wongsin U, Pongpattrachai D. Cost analysis of HIV/AIDS outpatient service in Thailand. Journal of Health Systems Research. 2019;13(4):410-9. (in Thai)

Khiaocharoen O, Pannarunothai S, Zungsontiporn C. Cost of acute and sub-acute care for stroke patients. J Med Assoc Thai. 2012;95(10):1266-77.

Kongdaeng W. Estimating medical costs of out-patients among diabetes mellitus patients in community hospital. TJPHS. 2019;2(2):54-61. (in Thai)

World Health Organization. ICD-10: international statistical classification of disease and related health problems, 10th revision. Geneva: World Health Organization; 1992.

Office of the Permanent Secretary, Ministry of Public Health. Unit cost manual. Bangkok: CO-OP Thai printing; 2013. (in Thai)

Riewpaiboon A. Cost analysis. Bangkok: Faculty of Pharmacy, Mahidol University; 2006. (in Thai)

Riewpaiboon A. Cost analysis in health systems development. Bangkok: Saksopha press; 2018. (in Thai)

Chiangchaisakulthai K, Khiaocharoen O, Wongyai D, Sornsilp D, Sangwanich U. Hospital costing study in the hospital under Ministry of Public Health, 2010-2011. Journal of Health Science. 2013;22(6):1061-8. (in Thai)

Office of the Permanent Secretary, Ministry of Public health. The calculation of capital depreciation costs. Letter no. 0201.024.6/370 dated 23rd February 2016. (in Thai)

Sthapornnanon N. Medication non adherence. Thai Bulletin of Pharmaceutical Sciences. 2012;7:23-40.