Effectiveness of the weight adjustment for inpatient payment in the Health region 1 for community hospital under Phayao Provincial Health Office

Abstract

This research aims to study the results of the weight adjustment for inpatient payment on health region 1 and to obtain the problems and the troubles in continuous care from general hospitals to community hospitals. For this reason, the data were analyzed by using two different methods. Data collecting method has been used for quantitative data, while the sampling group interview method has been used for qualitative data. Research results showed that:

1. During April - September of fiscal year 2017-2018, the noticeably increases of the inpatient in both number and relative weight for all hospitals except Phayao hospital. However, it can be deduced that there are significant different. The noticeably increase refer back patient in both number and relative weight have been observed for all hospitals except Chun Hospital. Overall, there are not significant different.


2. Patients and their relatives satisfy for the continue treatment at the community hospital due to the cost savings and the ease of travel. On other side, although the executives and staff found that they are able to take care of patients, but they need to improve the working system corresponding to their workload in order to increase the ability of the patient services. The suggestion was to separate the salary from the health insurance system or support the budget for adjust the similar proportion of salary, Including making clear policy to increase the number of refer back patients for continued treatment in community hospitals.

          These results imply that the weight adjustment for inpatient payment on health region 1 would cause to increase the income and solve the financial crisis in fiscal year 2018. This weight adjustment has its merit and thus can play a useful role in solving the financial problem on health region 1. Therefore, the health Region 1 should have a policy to provide financial assistance to hospitals that are experiencing financial crisis. With clear policies and service units can be practice together