The Blood Donation Service Costs Study at Queen Savang Vadhana Memorial Hospital

บทคัดย่อ

Abstract:
Objectives: The costs study can identify the productivity of work clearly, benefit for costs control and develop the effectiveness of blood donation service. The survey research aimed to study the total direct costs of in-house and mobile blood donation service at Queen Savang Vadhana Memorial Hospital in 2007. Materials and methods: The researchers conducted the data collection sheet and collected the data of all processes. The costs study was accounting cost identified as 3 types which consisted of labour costs, capital costs and material costs. The costs study also identified the type of blood donation bag as 4 types which consisted of single bag, double bag, triple bag and quadruple bag. Results: The total direct cost of the blood donation service at Queen Savang Vadhana Memorial Hospital in 2008 was 9,931,201.15 baht which consisted of labour costs 2,701,507.78 baht (27.20%), capital costs 913,447.93 baht (9.20%) and material costs 6,316,245.44 baht (63.60%). The average total direct cost of the mobile blood donation service was cheaper than the in-house blood donation service (520.13 vs 678.12 baht/bag). Regarding to the costs study of the types of blood donation bag, the average total direct costs of the in-house with single bag was 648.03 baht/bag if included the cost of single bag it could be 698.03 baht/bag and the mobile blood donation service with single bag was 511.92 baht/bag if included the cost of single bag it could be 561.92 baht/bag. The average total direct cost of the mobile blood donation service with double bag was 555.62 baht/bag if included the cost of double bag it could be 675.46 baht/bag. The average total direct cost of the in-house blood donation service with triple bag was 686.15 baht/bag if included the cost of triple bag it could be 868.05 baht/bag. The average total direct cost of the in-house blood donation service with quadruple bag was 700.12 baht/bag if included the cost of quadruple bag it could be 1,088.53 baht/bag. Discussion: The total direct costs of the blood donation service at Queen Savang Vadhana Memorial Hospital in 2008 had a high rate of material costs (63.60%) due to the high cost of laboratory tests (270 baht/unit). The average total direct costs of the mobile blood donation service was cheaper than the in-house blood donation service because the mobile blood donation service has the higher amount of blood donations due to the more access to the graduated and workings donors while it took the lower time for blood donation service. Summary: The results had used for the costs control guideline and the development of work at blood donation service. The costs control of the in-house blood donation service should be advertise and persuade effectively to increase the amount of donors. The costs control of the mobile blood donation service should be set the standard of the mobile place and have a registration of the donors. According to the development of work, the blood donation service should develop the standard of the blood puncture especially for the donors’ safety to increase the donors’ confidence, set an excellent service behavior, improve the surroundings environment circumstances condition to release the tension of donors and make the donors feel relaxed and comfortable.