Unit cost of healthcare services at 200-bed public hospitals in Myanmar: what plays an important role of hospital budgeting?

Abstract:

BACKGROUND:Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective. The study also analyzed the cost structure of the hospitals to allocate and manage the budgets appropriately. METHODS:A hospital-based cross-sectional study was conducted at 200-bed Magway Teaching Hospital (MTH) and Pyinmanar General Hospital (PMN GH), in Myanmar, for the financial year 2015-2016. The step-down costing method was applied to calculate unit cost per inpatient day and per outpatient visit. The costs were calculated by using Microsoft Excel 2010. RESULTS:The unit costs per inpatient day varied largely from unit to unit in both hospitals. At PMN GH, unit cost per inpatient day was 28,374 Kyats (27.60 USD) for pediatric unit and 1,961,806 Kyats (1908.37 USD) for ear, nose, and throat unit. At MTH, the unit costs per inpatient day were 19,704 Kyats (19.17 USD) for medicine unit and 168,835 Kyats (164.24 USD) for eye unit. The unit cost of outpatient visit was 14,882 Kyats (14.48 USD) at PMN GH, while 23,059 Kyats (22.43 USD) at MTH. Regarding cost structure, medicines and medical supplies was the largest component at MTH, and the equipment was the largest component at PMN GH. The surgery unit of MTH and the eye unit of PMN GH consumed most of the total cost of the hospitals. CONCLUSION:The unit costs were influenced by the utilization of hospital services by the patients, the efficiency of available resources, type of medical services provided, and medical practice of the physicians. The cost structures variation was also found between MTH and PMN GH. The findings provided the basic information regarding the healthcare cost of public hospitals which can apply the efficient utilization of the available resources.

journal_name

BMC Health Serv Res

authors

Than TM,Saw YM,Khaing M,Win EM,Cho SM,Kariya T,Yamamoto E,Hamajima N

doi

10.1186/s12913-017-2619-z

subject

Has Abstract

pub_date

2017-09-19 00:00:00

pages

669

issue

1

issn

1472-6963

pii

10.1186/s12913-017-2619-z

journal_volume

17

pub_type

杂志文章
  • Patients' understanding of genetic susceptibility testing in mainstream medicine: qualitative study on thrombophilia.

    abstract:BACKGROUND:UK and US policy initiatives have suggested that, in the future, patients and clinicians in mainstream medicine could use genetic information to prevent common illnesses. There are no studies on patients' experience and understanding of the process of testing for common genetic susceptibilities in mainstream...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-82

    authors: Saukko PM,Ellard S,Richards SH,Shepherd MH,Campbell JL

    更新日期:2007-06-12 00:00:00

  • Effect of counselling on health-promoting lifestyle and the quality of life in Iranian middle-aged women: a randomised controlled clinical trial.

    abstract:BACKGROUND:Promotion of healthy lifestyle is an important strategy. This study was conducted to determine the effects of counselling on health-promoting lifestyle and quality of life in middle-aged women. METHODS:This randomised, controlled, clinical trial was conducted on 102 middle-aged women presenting to health ce...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12913-019-4176-0

    authors: Karimlou V,Charandabi SM,Malakouti J,Mirghafourvand M

    更新日期:2019-06-03 00:00:00

  • Patient anxiety and concern as predictors for the perceived quality of treatment and patient reported outcome (PRO) in orthopaedic surgery.

    abstract:BACKGROUND:Previous studies have shown that patients' anxiety and dissatisfaction are predictors for increased postoperative pain and reduced efficacy of pain treatment. However, it remains to be shown whether patient anxiety and concern are predictors for the perceived quality of treatment and patient reported outcome...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-244

    authors: Bilberg R,Nørgaard B,Overgaard S,Roessler KK

    更新日期:2012-08-08 00:00:00

  • Why does the NHS struggle to adopt eHealth innovations? A review of macro, meso and micro factors.

    abstract:BACKGROUND:Having a tax-funded and supposedly 'National' Health Service (NHS), one might assume that the UK is well-positioned to roll out eHealth innovations at scale. Yet, despite a strong policy push, the English NHS has been limited in the extent to which it has exploited the potential of eHealth. MAIN BODY:This p...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-019-4790-x

    authors: Asthana S,Jones R,Sheaff R

    更新日期:2019-12-21 00:00:00

  • The NHS Diabetes Prevention Programme: an observational study of service delivery and patient experience.

    abstract:BACKGROUND:The NHS Diabetes Prevention Programme (NHS-DPP) is a nine-month, group-based behavioural intervention for adults in England at risk of developing Type 2 diabetes. Four independent providers were commissioned to deliver versions of the NHS-DPP, in line with NHS England specifications. This observational study...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05951-7

    authors: Hawkes RE,Cameron E,Cotterill S,Bower P,French DP

    更新日期:2020-11-27 00:00:00

  • Supply sensitive services in Swiss ambulatory care: an analysis of basic health insurance records for 2003-2007.

    abstract:BACKGROUND:Swiss ambulatory care is characterized by independent, and primarily practice-based, physicians, receiving fee for service reimbursement. This study analyses supply sensitive services using ambulatory care claims data from mandatory health insurance. A first research question was aimed at the hypothesis that...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-315

    authors: Busato A,Matter P,Künzi B,Goodman DC

    更新日期:2010-11-23 00:00:00

  • Examining the pace of change in contraceptive practices in abortion services - a follow-up case study of a quality improvement collaborative.

    abstract:BACKGROUND:Among all women who experienced an abortion in Sweden 2017, 45% had previously underwent at least one abortion. This phenomenon of increasing rates of repeat abortions stimulated efforts to improve contraceptive services through a Quality Improvement Collaborative (QIC) with user involvement. The participati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05799-x

    authors: Kilander H,Brynhildsen J,Alehagen S,Thor J

    更新日期:2020-10-16 00:00:00

  • Development of mental health indicators at the district level in Madhya Pradesh, India: mixed methods study.

    abstract:BACKGROUND:Strengthening routine information systems for mental health can augment scale up of community mental health services in India and other low- and middle-income countries. Currently little routine data is available in Indian settings. This study aimed to develop a core set of indicators for monitoring mental h...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3695-4

    authors: Ahuja S,Gronholm PC,Shidhaye R,Jordans M,Thornicroft G

    更新日期:2018-11-19 00:00:00

  • Case-studies of displacement effects in Dutch hospital care.

    abstract:BACKGROUND:Under a constrained health care budget, cost-increasing technologies may displace funds from existing health services. However, it is unknown what services are displaced and how such displacement takes place in practice. The aim of our study was to investigate how the Dutch hospital sector has dealt with the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05086-9

    authors: Wammes JJG,Frederix G,Govaert P,Determann D,Evers S,Paulus A,Stadhouders N,Jeurissen P,Oortwijn W,Adang EMM

    更新日期:2020-03-30 00:00:00

  • Correction to: Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya.

    abstract::An amendment to this paper has been published and can be accessed via the original article. ...

    journal_title:BMC health services research

    pub_type: 已发布勘误

    doi:10.1186/s12913-020-05345-9

    authors: Leung CL,Naert M,Andama B,Dong R,Edelman D,Horowitz C,Kiptoo P,Manyara S,Matelong W,Matini E,Naanyu V,Nyariki S,Pastakia S,Valente T,Fuster V,Bloomfield GS,Kamano J,Vedanthan R

    更新日期:2020-08-12 00:00:00

  • The effect of hospital mergers on long-term sickness absence among hospital employees: a fixed effects multivariate regression analysis using panel data.

    abstract:BACKGROUND:Hospitals are merging to become more cost-effective. Mergers are often complex and difficult processes with variable outcomes. The aim of this study was to analyze the effect of mergers on long-term sickness absence among hospital employees. METHODS:Long-term sickness absence was analyzed among hospital emp...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-50

    authors: Kjekshus LE,Bernstrøm VH,Dahl E,Lorentzen T

    更新日期:2014-02-03 00:00:00

  • Delivery of primary health care to persons who are socio-economically disadvantaged: does the organizational delivery model matter?

    abstract:BACKGROUND:As health systems evolve, it is essential to evaluate their impact on the delivery of health services to socially disadvantaged populations. We evaluated the delivery of primary health services for different socio-economic groups and assessed the performance of different organizational models in terms of equ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-517

    authors: Dahrouge S,Hogg W,Ward N,Tuna M,Devlin RA,Kristjansson E,Tugwell P,Pottie K

    更新日期:2013-12-17 00:00:00

  • "I cannot say no when a pregnant woman needs my support to get to the health centre": involvement of community health workers in Rwanda's maternal health.

    abstract:BACKGROUND:In Rwanda, maternal community health workers (M-CHWs) are involved in the country's overall health system. In maternal health, their role includes the provision of preventive and promotional health services at the community level. They provide services such as health education on maternal health wellbeing, a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05405-0

    authors: Tuyisenge G,Hategeka C,Luginaah I,Cechetto DF,Rulisa S

    更新日期:2020-06-09 00:00:00

  • Barriers and facilitators for transitioning of young people from adolescent clinics to adult ART clinics in Uganda: unintended consequences of successful adolescent ART clinics.

    abstract:BACKGROUND:There is a growing number of adolescents and young adults living with HIV (YPLHIV) who require the transfer of care from pediatric/ adolescent clinics to adult Antiretroviral therapy (ART) clinics. A successful transition is critical for optimum health outcomes, yet facilities may lack infrastructure, human ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05701-9

    authors: Mbalinda SN,Bakeera-Kitaka S,Lusota DA,Magongo EN,Musoke P,Kaye DK

    更新日期:2020-09-05 00:00:00

  • Barriers and enablers to the provision and receipt of preoperative pelvic floor muscle training for men having radical prostatectomy: a qualitative study.

    abstract:BACKGROUND:Strong evidence exists to support preoperative pelvic floor muscle training (PFMT) to reduce the severity and duration of urinary incontinence after radical prostatectomy. Receipt of preoperative PFMT amongst men having radical prostatectomy in Western Sydney, however, is suboptimal. This study was undertake...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-305

    authors: Hirschhorn AD,Kolt GS,Brooks AJ

    更新日期:2013-08-13 00:00:00

  • The evaluation of a healthcare passport to improve quality of care and communication for people living with dementia (EQuIP): a protocol paper for a qualitative, longitudinal study.

    abstract:BACKGROUND:There is an urgent need for the development of simple communication tools that convey the strengths, assets, and healthcare needs of people living with dementia. A Healthcare Passport may improve communication with range of health and social support services, enhancing quality and continuity of care, and to ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1617-x

    authors: Leavey G,Abbott A,Watson M,Todd S,Coates V,McIlfactrick S,McCormack B,Waterhouse-Bradley B,Curran E

    更新日期:2016-08-09 00:00:00

  • Improving Hospital at Home for frail older people: insights from a quality improvement project to achieve change across regional health and social care sectors.

    abstract:BACKGROUND:Against a background of rising numbers of frail older people, there is a need to improve quality and safety of services whilst containing costs. Improving patient outcomes requires change across hospital and community systems. Our objective was to change practice in order to deliver a Hospital at Home progra...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2334-9

    authors: Pearson M,Hemsley A,Blackwell R,Pegg L,Custerson L

    更新日期:2017-06-05 00:00:00

  • Patients' socioeconomic status and their evaluations of primary care in Hong Kong.

    abstract:BACKGROUND:Strengthening primary care is key to Hong Kong's ongoing health system reform. Primary care remains unregulated, private sector dominated and financed mainly out-of-pocket. This study sought to examine the association between patients' socioeconomic status (SES), source of health payments and the quality of ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-487

    authors: Owolabi O,Zhang Z,Wei X,Yang N,Li H,Wong SY,Wong MC,Yip W,Griffiths SM

    更新日期:2013-11-25 00:00:00

  • How are medical groups identified as high-performing? The effect of different approaches to classification of performance.

    abstract:BACKGROUND:Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as "high-performing", but no consistently-applied approach exists to identifying high performers. This paper uses publicly available data to examine how differ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4293-9

    authors: Ahluwalia SC,Damberg CL,Haas A,Shekelle PG

    更新日期:2019-07-18 00:00:00

  • Hospital financing of ischaemic stroke: determinants of funding and usefulness of DRG subcategories based on severity of illness.

    abstract:BACKGROUND:Several Western and Arab countries, as well as over 30 States in the US are using the "All-Patient Refined Diagnosis-Related Groups" (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for hospital funding. The aim of this study is to verify whether this is an adequate model for funding s...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3134-6

    authors: Dewilde S,Annemans L,Pincé H,Thijs V

    更新日期:2018-05-11 00:00:00

  • The effect of a monetary incentive on return of a postal health and development questionnaire: a randomised trial [ISRCTN53994660].

    abstract:BACKGROUND:Postal questionnaires are widely used to collect data in healthcare research but a poor response rate may reduce the validity and reliability of results. There was a lack of evidence available relating to use of a monetary incentive to improve the response rate in the healthcare setting. METHODS:The MRC ORA...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-5-55

    authors: Kenyon S,Pike K,Jones D,Taylor D,Salt A,Marlow N,Brocklehurst P

    更新日期:2005-08-18 00:00:00

  • Enhancing provision of written medicine information in Australia: pharmacist, general practitioner and consumer perceptions of the barriers and facilitators.

    abstract:BACKGROUND:Written medicine information can play an important role in educating consumers about their medicines. In Australia, standardised, comprehensive written information known as Consumer Medicine Information (CMI) is available for all prescription medicines. CMI is reportedly under-utilised by general practitione...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-183

    authors: Hamrosi KK,Raynor DK,Aslani P

    更新日期:2014-04-23 00:00:00

  • Impact of family physician integrated care program on decreasing utilization of emergency department visit and hospital admission: a population-based retrospective cohort study.

    abstract:BACKGROUND:Hospital admission and emergency department(ED) visits are a massive burden in medical expenditures. In 2003, the Taiwanese government developed Family Physician Integrated Care Program (FPIC) to increase the quality of primary care and decrease medical expenditures. This study's goals were to determine whet...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05347-7

    authors: Huang PT,Kung PT,Kuo WY,Tsai WC

    更新日期:2020-05-26 00:00:00

  • Geographical variations in patient-reported outcomes after total hip arthroplasty between 2008 - 2012.

    abstract:BACKGROUND:Health care on equal terms is a cornerstone of the Swedish health care system. Total hip arthroplasty (THA) is considered a success story in Sweden with low frequency of reoperations and restored health-related quality of life (HRQoL). Administratively, health care in Sweden is locally self-governed by 21 co...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4171-5

    authors: Oldsberg L,Garellick G,Osika Friberg I,Samulowitz A,Rolfson O,Nemes S

    更新日期:2019-05-30 00:00:00

  • Factors influencing the use of the "not for generic substitution" mention for prescriptions in primary care: a survey with general practitioners.

    abstract:BACKGROUND:Generic drug substitution is a public health policy challenge with high economic potential. Generic drugs are generally cheaper than brand-name drugs. Drugs are a significant part of the total health expenditure, especially in ambulatory care. We conducted a cross-sectional study with general practitioners i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3652-2

    authors: Beauvais V,Marque A,Ferté G,Chrusciel J,Souille J,Nazeyrollas P,Sanchez S

    更新日期:2018-11-12 00:00:00

  • Validation of key behaviourally based mental health diagnoses in administrative data: suicide attempt, alcohol abuse, illicit drug abuse and tobacco use.

    abstract:BACKGROUND:Observational research frequently uses administrative codes for mental health or substance use diagnoses and for important behaviours such as suicide attempts. We sought to validate codes (International Classification of Diseases, 9th edition, clinical modification diagnostic and E-codes) entered in Veterans...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-18

    authors: Kim HM,Smith EG,Stano CM,Ganoczy D,Zivin K,Walters H,Valenstein M

    更新日期:2012-01-23 00:00:00

  • Impacts of working environment and benefits packages on the health professionals' job satisfaction in selected public health facilities in eastern Ethiopia: using principal component analysis.

    abstract:BACKGROUND:World Health Organization (WHO) predicted that there will be a shortfall of skilled healthcare by 2035 with the greatest shortfall in Africa and Southeast Asia due to satisfaction with payment and incentives. Low job satisfaction of health workers can result in increased staff turnover and absenteeism, which...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4317-5

    authors: Merga H,Fufa T

    更新日期:2019-07-16 00:00:00

  • Understanding the dispensary workflow at the Birmingham Free Clinic: a proposed framework for an informatics intervention.

    abstract:BACKGROUND:The Birmingham Free Clinic (BFC) in Pittsburgh, Pennsylvania, USA is a free, walk-in clinic that serves medically uninsured populations through the use of volunteer health care providers and an on-site medication dispensary. The introduction of an electronic medical record (EMR) has improved several aspects ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1308-7

    authors: Fisher AM,Herbert MI,Douglas GP

    更新日期:2016-02-19 00:00:00

  • Quality of care and health status in Ukraine.

    abstract:BACKGROUND:We conducted a national level assessment of the quality of clinical care practice in the Ukrainian healthcare system for two important causes of death and chronic disease conditions. We tested two hypotheses: a) quality of care is predicted by physician and facility characteristics and b) health status is pr...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-446

    authors: Peabody JW,Luck J,DeMaria L,Menon R

    更新日期:2014-09-30 00:00:00

  • Medical complexity and time to lung cancer treatment - a three-year retrospective chart review.

    abstract:BACKGROUND:The time from a referral for suspected lung cancer is received at a hospital until treatment start has been defined as a quality indicator. Current Norwegian recommendation is that ≥70% should start surgery or radiotherapy within 42 calendar days and systemic therapy within 35 days. However, delays can occur...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1952-y

    authors: Stokstad T,Sørhaug S,Amundsen T,Grønberg BH

    更新日期:2017-01-17 00:00:00