Zhao Yuejen, Malyon Rosalyn
Health Gains Planning Branch, Department of Health and Families, 4th Floor, 81 Smith Street, Darwin, NT 0800, Australia.
Aust Health Rev. 2010 Mar;34(1):101-5. doi: 10.1071/AH09685.
This report examines the impact of remoteness and population size on the costs of providing primary health care services in remote Northern Territory Indigenous communities. For remote health clinics servicing a population of similar size, total expenditure increased as remoteness increased. Total expenditure in remote clinics increased with population size, but average per capita expenditure was highest in clinics servicing populations of less than 200 people and lowest for populations of between 600 and 999. Staffing costs comprised over 70% of expenses. The largest non-staffing cost was property management. The higher costs of clinics that are in more remote locations or servicing smaller populations need to be recognised in funding distribution methodologies.
本报告探讨了偏远程度和人口规模对北领地偏远地区原住民社区提供初级卫生保健服务成本的影响。对于服务规模相似人口的偏远健康诊所，随着偏远程度增加，总支出也增加。偏远诊所的总支出随人口规模增加，但人均支出在服务人口少于200人的诊所中最高，在服务人口为600至999人的诊所中最低。人员配置成本占支出的70%以上。最大的非人员配置成本是物业管理。在资金分配方法中，需要认识到位于更偏远地区或服务人口较少的诊所成本更高。
