Estimation of cost of services provided by Urban Health Centre of a medical college in North India

Introduction & Objective: Rapid urbanization is an emerging problem in India. Urban poor have adverse health indicators when compared to their rural counterparts. There is a need for understanding the allocation of costs for medical services effectively at primary care level. This study was plan...

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Main Authors: Olivia Marie Jacob, Mahasweta Dubey, Farhad Ahamed, Kapil Yadav
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Community and Family Medicine
Subjects:
Online Access:http://www.ijcfm.org/article.asp?issn=2395-2113;year=2017;volume=3;issue=2;spage=31;epage=36;aulast=Jacob;type=0
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author Olivia Marie Jacob
Mahasweta Dubey
Farhad Ahamed
Kapil Yadav
author_facet Olivia Marie Jacob
Mahasweta Dubey
Farhad Ahamed
Kapil Yadav
author_sort Olivia Marie Jacob
collection DOAJ
description Introduction & Objective: Rapid urbanization is an emerging problem in India. Urban poor have adverse health indicators when compared to their rural counterparts. There is a need for understanding the allocation of costs for medical services effectively at primary care level. This study was planned to estimate the provider costs of an urban health centre (UHC) of a medical college in North India and was compared with the National Urban Health Mission standards. Methods: Cost analysis was done for the year 2015-16 using a six step process prescribed by World Health Organization. The costs were divided as capital and recurrent costs; fixed and variable costs and expressed in INR. Unit cost of services was estimated as the total annual cost per number of beneficiaries. Results: The total annual costs incurred by the urban health centre was Rs. 1,94,23,363.80 for the year 2015-16. Recurrent costs contributed most of the annual costs (57.3%) and capital costs contributed to 42.7% of the total annual costs. Most of the costs incurred by the centre were due to the salaries, land and building costs. Conclusion: It has been seen that most of the total cost incurred by the centre was not primarily related to health care provision directly. It is necessary to identify the gaps and make the services available by effectively allocating the resources.
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spelling doaj.art-97886770950948cbbb95052c101465312023-03-21T08:34:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132017-01-0132313610.4103/2395-2113.251888Estimation of cost of services provided by Urban Health Centre of a medical college in North IndiaOlivia Marie JacobMahasweta DubeyFarhad AhamedKapil YadavIntroduction & Objective: Rapid urbanization is an emerging problem in India. Urban poor have adverse health indicators when compared to their rural counterparts. There is a need for understanding the allocation of costs for medical services effectively at primary care level. This study was planned to estimate the provider costs of an urban health centre (UHC) of a medical college in North India and was compared with the National Urban Health Mission standards. Methods: Cost analysis was done for the year 2015-16 using a six step process prescribed by World Health Organization. The costs were divided as capital and recurrent costs; fixed and variable costs and expressed in INR. Unit cost of services was estimated as the total annual cost per number of beneficiaries. Results: The total annual costs incurred by the urban health centre was Rs. 1,94,23,363.80 for the year 2015-16. Recurrent costs contributed most of the annual costs (57.3%) and capital costs contributed to 42.7% of the total annual costs. Most of the costs incurred by the centre were due to the salaries, land and building costs. Conclusion: It has been seen that most of the total cost incurred by the centre was not primarily related to health care provision directly. It is necessary to identify the gaps and make the services available by effectively allocating the resources.http://www.ijcfm.org/article.asp?issn=2395-2113;year=2017;volume=3;issue=2;spage=31;epage=36;aulast=Jacob;type=0cost-analysisprovider costhealth expenditureurban health centreindian
spellingShingle Olivia Marie Jacob
Mahasweta Dubey
Farhad Ahamed
Kapil Yadav
Estimation of cost of services provided by Urban Health Centre of a medical college in North India
Indian Journal of Community and Family Medicine
cost-analysis
provider cost
health expenditure
urban health centre
indian
title Estimation of cost of services provided by Urban Health Centre of a medical college in North India
title_full Estimation of cost of services provided by Urban Health Centre of a medical college in North India
title_fullStr Estimation of cost of services provided by Urban Health Centre of a medical college in North India
title_full_unstemmed Estimation of cost of services provided by Urban Health Centre of a medical college in North India
title_short Estimation of cost of services provided by Urban Health Centre of a medical college in North India
title_sort estimation of cost of services provided by urban health centre of a medical college in north india
topic cost-analysis
provider cost
health expenditure
urban health centre
indian
url http://www.ijcfm.org/article.asp?issn=2395-2113;year=2017;volume=3;issue=2;spage=31;epage=36;aulast=Jacob;type=0
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AT farhadahamed estimationofcostofservicesprovidedbyurbanhealthcentreofamedicalcollegeinnorthindia
AT kapilyadav estimationofcostofservicesprovidedbyurbanhealthcentreofamedicalcollegeinnorthindia