ต้นทุนการตรวจคัดกรองและการรักษาโรคมะเร็ง ณ ศูนย์ป้องกันและควบคุมโรคมะเร็ง จังหวัดอุบลราชธานี / แจ่มจันทร์ ศรีรัตน์ = Cost of cancer screening and cancer treatment at Ubolratchathani Regional Cancer Center / Jamjun Srirat
To analyse the unit cost of cancer screening and cancer treatment at Ubolratchathani Regional Cancer Center from the persective of providers. This data were collected by using retrospective surveys in the fiscal year of 2000. All department of cancer center were classified into three categories : non revenue producing cost center, revenue producing cost center and patient service. Indirect cost will be allocated to patient service by Simulation equation method. Total cost was calculated from labor cost, material cost and capital cost. Cost of drug, medical supply, laboratory, x-ray and radiotherapy were calculated separately using Cost-Charge ratio. The results of this study found that the total cost of cancer screening and cancer treatment at Ubolratchathani regional cancer center was 74,972,602.11 bath, which comprised of cost from cancer screening service 19,401,750.99 bath (25.88%), and cancer treatment 55,570,817.12 bath (74.12%). Unit cost of cancer screening was 2,224.46 bath and 116,178.15 bath percase detected. Considering component part of unit cost, routine service cost of cancer creening was 1,402.27 bath per visit and 73,236.98 bath per detected. The medical care cost were 822.19 bath per visit and 42,941.17 bath per detected. Unit cost of cancer treatment at out-patient department and in-patient department were 1,134.72 bath per visit and 1,367.98 bath per patient-day. Considering component part of unit cost, routine service cost of cancer treatment at out-patient department and at in-patient department were 589.65 bath per visit and 764.58 bath per patient-day. The medical care cost were 545.07 bath per visit and 603.40 bath per patient-day. The proportion of material cost : labor cost : capital cost of cancer screening, cancer treatment at out-patient department and in-patient department were 1:2.76:4.18, 1:3.42:6.15 and 1:1.87:1.17 respectively. The results of this study are used as a guideline for managerial decision making and service and may be benefiticial for planing to in crease the efficiency.
