Riewpaiboon Arthorn
J Med Assoc Thai. 2014 May;97 Suppl 5:S127-34.
This analysis was undertaken to generate a set of standard costs for medical services and those incurred by patient receiving treatment, for use in health economic evaluations. Medical service unit cost data were derived from a survey of 3,091 hospital medical services in five hospitals, disaggregated by type of hospital (district or provincial/regional) and analyzed using the relative value unit method. Patient-borne ambulatory cost values were derived from data gathered through 905 patient interviews that took place in six health centers, three district hospitals, and three provincial/regional hospitals. The survey gathered data on costs a rising from the distance travelled to access the medical service, the time spent in the healthcare facility, as well as travel and meal costs. The analysis generated a set of standard cost data for Thailand that will make conducting economic evaluations more accurate, faster and more convenient, as well as allowing better comparability between studies. This is the first standard cost menu that has been developed specifically for Thailand, and as such should be revised and refined in the future. Some areas that would benefit from revision are suggested.
开展此项分析是为了生成一套医疗服务标准成本以及接受治疗患者所产生的成本,用于卫生经济评估。医疗服务单位成本数据源自对五家医院3091项医院医疗服务的调查,按医院类型(区级或省级/地区级)进行分类,并使用相对价值单位法进行分析。患者自付的门诊成本值源自通过在六个健康中心、三家区级医院和三家省级/地区级医院进行的905次患者访谈收集的数据。该调查收集了因前往就医的距离、在医疗机构花费的时间以及交通和餐饮成本而产生的成本数据。该分析生成了一套泰国标准成本数据,这将使经济评估更准确、更快速、更便捷,同时也能使各项研究之间具有更好的可比性。这是专门为泰国制定的首个标准成本清单,因此未来应进行修订和完善。文中还提出了一些受益于修订的领域。