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1 . A costing study of a publicly run primary care clinic reported the following cost numbers. Although the clinic is autonomous, it is directly
A costing study of a publicly run primary care clinic reported the following cost numbers. Although the clinic is autonomous, it is directly under the supervision of the regional department of health RDOH Patients get their services from the clinic by paying $ per visit see VII You can figure out the number of visits. and of the total value of drugs received copy and paste the following table into an excel sheet
I. Personnel costs for the clinic Year
I Salary and benefits of doctors and nurses working in the clinic $
I Value of time of voluntary service provided by doctors and nurses: $
I Salary and benefits of the administrative staff of the clinic $
I Salary and benefits of other personnel in the clinic $
II Drugs and supplies Year
II Total value of drugs dispensed from the clinic $
II Drugs donated by a Foundation dispensed in clinic $
II Other supplies purchased by and used in the clinic $
III. Transportation costs, excluding capital costs Year
III Transport of drugs and supplies paid by the health clinic $
III Transport of drugs and supplies paid by the foundation $
III Transport costs incurred by patients and patients families $
IV Utilities water gas, electricity $
V Capital costs at the clinic annual interest rate for years $
VI Cost at the RDOH level
VI Capital costs at the RDOH annual interest rate for years $
VI Salary and benefits of personnel at RDOH $
VI Transportation cost at the RDOH level for supervision $
VII. Other costs
VII Money paid by patients to get drugs from the clinic $
VII Amount paid by patients for services at clinic $
VII Value of time of patients used for seeking care $
VII Food expenses incurred by patients for seeking care $
a We want to estimate the cost for the clinic in terms of prices. The inflation rates in the country were: In prices increased by over prices were higher than prices were higher than and prices were higher than Convert all the cost items in the table above into prices.
b A survey found that of RDOH costs mentioned in the table are used for supervision of primary healthcare clinics in the area. The RDOH supervises clinics in the area and the total cost of RDOH supervision can be subdivided among the clinics equally. Calculate the following unit costs:
i Cost per visit from the perspective of the primary care health clinic.
ii Cost per visit from the perspective of patientshouseholds
iii Cost per visit at the clinic from the societal perspective
For each of the above calculations, indicate the items you are including and explain the reasons for inclusion and exclusion.
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