Hammad Eman A, Alabbadi Ibrahim, Taissir Fardos, Hajjwi Malek, Obeidat Nathir M, Alefan Qais, Mousa Rimal
Department of Biopharmarceutics and Clinical Pharmacy, School of Pharmacy, University of Jordan, Amman, 11942, Jordan.
Health Economy Directory, Jordan Ministry of Health, Amman, Jordan.
Health Econ Rev. 2022 Feb 5;12(1):11. doi: 10.1186/s13561-022-00356-0.
Public providers in Jordan are facing increasing health demands due to human crises. This study aimed to benchmark the unit costs of hospital services in public providers in Jordan to provide insights into the outlook for public health care costs.
The unit costs of hospital services per admission, inpatient days, outpatient visits, emergency visits and surgical operations were estimated using the standard average costing method (top-down) for the fiscal year 2018-2019. The unit costs per inpatient day were estimated for nine specialities and staff in Jordanian dinars (exchange rate JOD 1 = USD 1.41).
The average unit cost per admission in Jordan was JOD 782.300 (USD 1101.80), the per inpatient day cost was JOD 236.600 (USD 333.20), the per bed day cost was JOD 172.900 (USD 244.90), the per outpatient visit cost was JOD 58.400 (USD 82.30), the per operation cost was JOD 449.600 (USD 633.20) and the per emergency room visit cost was JOD 31.800 (USD 44.80). The specialities of ICU/CCU and OB/GYN presented the highest unit costs per inpatient day across providers: JOD 377.800 (USD 532.90) and JOD 362.600 (USD 510.70), respectively. The average salaried unit cost of staff depended mainly on year of employment. Nonetheless, the unit costs varied depending on the service utilization, type of service and organizational outlet.
Knowledge of how unit costs vary across public providers in Jordan is essential to outline cost control strategies and inform future research. Institutionalization of the cost information system and high-level governmental support are necessary to generate a routine practice of collecting and sharing cost information.
由于人道主义危机，约旦的公立医疗服务提供者面临着日益增长的医疗需求。本研究旨在对约旦公立医疗服务提供者的医院服务单位成本进行基准分析，以深入了解公共医疗保健成本的前景。
采用标准平均成本法（自上而下）估算了2018 - 2019财政年度每次住院、住院天数、门诊就诊、急诊就诊和外科手术的医院服务单位成本。以约旦第纳尔估算了九个专科和工作人员的每日住院单位成本（汇率为1约旦第纳尔 = 1.41美元）。
约旦每次住院的平均单位成本为782.300约旦第纳尔（1101.80美元），每日住院成本为236.600约旦第纳尔（333.20美元），每日床位成本为172.900约旦第纳尔（244.90美元），每次门诊就诊成本为58.400约旦第纳尔（82.30美元），每次手术成本为449.600约旦第纳尔（633.20美元），每次急诊室就诊成本为31.800约旦第纳尔（44.80美元）。重症监护室/冠心病监护病房和妇产科专科在各医疗服务提供者中呈现出最高的每日住院单位成本：分别为377.800约旦第纳尔（532.90美元）和362.600约旦第纳尔（510.70美元）。工作人员的平均薪资单位成本主要取决于工作年限。尽管如此，单位成本因服务利用率、服务类型和组织机构而异。
了解约旦各公立医疗服务提供者之间单位成本的差异对于制定成本控制策略和为未来研究提供信息至关重要。成本信息系统的制度化和政府高层的支持对于形成收集和共享成本信息的常规做法是必要的。
