一项关于哈里亚纳邦贾杰尔地区外展医疗设施的经济评价研究：增加医疗服务可及性的服务提供模式。

A study on economic evaluation of an outreach health-care facility in Jhajjar District of Haryana: Service delivery model for increasing access to health care.

机构信息

Assistant Professor, Department of Hospital Administration, AIIMS, Bilaspur, Himachal Pradesh, India.

Associate Professor, Department of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Public Health. 2021 Jan-Mar;65(1):45-50. doi: 10.4103/ijph.IJPH_431_20.

DOI:10.4103/ijph.IJPH_431_20

PMID:33753689

Abstract

BACKGROUND

An outreach (OR) health-care facility providing broad specialty outpatient services was started by All India Institute of Medical Sciences (AIIMS), New Delhi, in rural area of district Jhajjar, Haryana.

OBJECTIVES

This study aimed to ascertain the resource requirement for establishing an OR health-care facility and patient satisfaction with regard to the services being provided.

METHODS

A cross-sectional study was conducted in 2017 at an OR Outpatient Department (OPD) of AIIMS, New Delhi, at Jhajjar. Service delivery model adopted for health-care delivery was hub and spoke. Traditional method of costing was used for economic evaluation. Feedback pro forma of 400 patients who attended OPD services was analyzed to measure health service accessibility.

RESULTS

Capital expenditure to set up the facility was calculated to be approximately INR 17,57,49,074/- ($ 2,703,832) and operational cost per year was approximately INR 8,73,86,370/- ($ 1,344,406). Approximate per-patient cost for single OPD consultation was calculated to be INR 874 ($13.45) which included medicines and investigations. High scores for all domains of accessibility of health care were observed.

CONCLUSION

The study provides a preliminary evidence that OR health-care facilities can be instrumental in increasing access to health-care delivery with lesser capital outlays, however, large-scale multicentric studies are needed to arrive at any conclusion. The services have been very well accepted by the local community members being quality medical care with highly subsidized health-care services.

摘要

背景

全印度医学科学研究所（AIIMS）在哈里亚纳邦 Jhajjar 区的农村地区开设了一家提供广泛专科门诊服务的外展（OR）医疗设施。

目的

本研究旨在确定建立 OR 医疗设施的资源需求以及患者对所提供服务的满意度。

方法

2017 年在 AIIMS 的 OR 门诊部门（OPD）进行了一项横断面研究，地点位于新德里的 Jhajjar。用于医疗保健的服务提供模式采用了中心辐射模式。采用传统的成本核算方法进行经济评估。分析了 400 名接受 OPD 服务的患者的反馈表，以衡量卫生服务的可及性。

结果

建立该设施的资本支出估计约为 175749074 印度卢比（2703832 美元），每年的运营成本约为 87386370 印度卢比（1344406 美元）。单次 OPD 咨询的每名患者的估计费用为 874 印度卢比（13.45 美元），其中包括药品和检查费用。观察到医疗保健可及性所有领域的得分都很高。