Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage
Abstract Background 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. Methods The unit costs of hospit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | Health Economics Review |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13561-022-00356-0 |
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| author | Eman A. Hammad Ibrahim Alabbadi Fardos Taissir Malek Hajjwi Nathir M. Obeidat Qais Alefan Rimal Mousa |
| author_facet | Eman A. Hammad Ibrahim Alabbadi Fardos Taissir Malek Hajjwi Nathir M. Obeidat Qais Alefan Rimal Mousa |
| author_sort | Eman A. Hammad |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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). Results 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. Conclusions 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. |
| first_indexed | 2024-12-10T20:29:09Z |
| format | Article |
| id | doaj.art-ca859ff393e9464a9d736b1fb8f5a003 |
| institution | Directory Open Access Journal |
| issn | 2191-1991 |
| language | English |
| last_indexed | 2024-12-10T20:29:09Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Economics Review |
| spelling | doaj.art-ca859ff393e9464a9d736b1fb8f5a0032022-12-22T01:34:45ZengBMCHealth Economics Review2191-19912022-02-011211910.1186/s13561-022-00356-0Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverageEman A. Hammad0Ibrahim Alabbadi1Fardos Taissir2Malek Hajjwi3Nathir M. Obeidat4Qais Alefan5Rimal Mousa6Department of Biopharmarceutics and Clinical Pharmacy, School of Pharmacy, University of JordanDepartment of Biopharmarceutics and Clinical Pharmacy, School of Pharmacy, University of JordanHealth Economy Directory, Jordan Ministry of HealthDepartment of Biopharmarceutics and Clinical Pharmacy, School of Pharmacy, University of JordanDepartment of Internal Medicine, Faculty of Medicine, University of JordanFaculty of Pharmacy, Jordan University of Science and TechnologyDepartment of Biopharmarceutics and Clinical Pharmacy, School of Pharmacy, University of JordanAbstract Background 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. Methods 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). Results 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. Conclusions 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.https://doi.org/10.1186/s13561-022-00356-0Unit costsJordanHealthcare FinancingLow- and middle-income countriesHospital efficiencyUniversal Health coverage |
| spellingShingle | Eman A. Hammad Ibrahim Alabbadi Fardos Taissir Malek Hajjwi Nathir M. Obeidat Qais Alefan Rimal Mousa Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage Health Economics Review Unit costs Jordan Healthcare Financing Low- and middle-income countries Hospital efficiency Universal Health coverage |
| title | Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage |
| title_full | Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage |
| title_fullStr | Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage |
| title_full_unstemmed | Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage |
| title_short | Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage |
| title_sort | hospital unit costs in jordan insights from a country facing competing health demands and striving for universal health coverage |
| topic | Unit costs Jordan Healthcare Financing Low- and middle-income countries Hospital efficiency Universal Health coverage |
| url | https://doi.org/10.1186/s13561-022-00356-0 |
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