Unit cost of Thai Traditional Medicine Service of Treatment Activities in Health care provider under Ministry of Public Health

Main Article Content

Noppcha Singweratham
Kittiporn Nawsuwan
Aumpol Bunpean
Ekapol Maonpolsri

Abstract

            This survey research aimed to calculate the unit cost of Thai tradition medicine (TTM) treatment activities in health care provider under Ministry of Public Health. The cost data were calculated based on activity-based costing (ABC) in fiscal year 2018 and presented under provider perspective. The TTM service prototype hospital in eight provinces were selected by purposive sampling from four regions. In total, 24 hospitals were included consisting of one community hospital and two health promoting hospitals in each province. The secondary data were collected by empirical costing approach and normative costing approach. The data were presented with descriptive statistic.


            The result showed that there were nine TTM treatment services run by health care providers under Ministry of Public Health. The median cost of labor cost, material cost, and capital cost were 231,200.89, 75,465.10 and 35,950.19 Baht, respectively. The median total cost was 529,061.09 Baht. Moreover, the median direct cost and indirect cost were 352,851.63 and 160,845.90 Baht, respectively. The median cost of TTM treatment services were as followed; 1) history taking and physical examination 42.47 Baht 2) medication 45.44 Baht 3) specific remedy herbal 146.93 Baht 4) massage 85.75 Baht 5) massage with herrbal hot compress 141.21 Baht 6) Thai herbal stream treatment 116.85 Baht 7) Thai herbal hot compress 83.70 8) footbath 57.82 Baht and 9) cataract treatment 29.73 Baht. The unit cost data will support the management of resources in TTM treatment services for maximum benefit. Moreover, it could be used in the policy recommendation for the benefit package relating to TTM treatment services.

Downloads

Download data is not yet available.

Article Details

How to Cite
Singweratham, N., Nawsuwan, K., Bunpean, A., & Maonpolsri, E. (2021). Unit cost of Thai Traditional Medicine Service of Treatment Activities in Health care provider under Ministry of Public Health . Kuakarun Journal of Nursing, 28(2), 118–132. Retrieved from https://he01.tci-thaijo.org/index.php/kcn/article/view/251078
Section
Research Articles
Author Biography

Kittiporn Nawsuwan, Boromarajonani College of Nursing, Songkhla Praboromarajchanok Institute

Thailand Citation Index Centre

References

Department of Thai Traditional and Alternative Medicine. Strategic plan, Department of Thai Traditional Medicine and Alternative Medicine, 5 years (2017-2021) under the 20 year national strategy on public health the first revision (2019). Nonthaburi: Ministry of Public Health; 2017. (in Thai)

Department of Thai Traditional and Alternative Medicine.Thailand health profile on Thai traditional and alternative medicine 2014 - 2016. Nonthaburi: The Agricultural Co-Opertive Federation of Thailand Press; 2016. (in Thai)

Department of Thai Traditional and Alternative Medicine. Strategic plan, Department of Thai Traditional Medicine and Alternative Medicine, 5 years (2017-2021) under the 20 years national strategy on public health the first revision. Nonthaburi: Ministry of Public Health; 2019. (in Thai)

Chanjaruporn F, Riewpaiboon A, Singweratham N, Bunpean A, Sawatwipachai B, Khunboonchan T. A unit cost analysis for Thai traditional medicine services and activities of health promotion and disease prevention. The Southern College Network Journal of Nursing and Public Health 2021;8(1):11-26. (in Thai)

Enact from the national health security board, regarding type and coverage of health service Act B.E. 2559. Government gazette No. 134, Special part 139 Ng (24 May B.E. 2560). (in Thai)

National Health Security Office. Guideline for fund management of national health security in fiscal year 2019. Bangkok: National Health Security Office; 2019. (in Thai)

Chantraket R, Petrakard P, Limpananont J. Service situation and workforce of Thai traditional medicine providers in public health care facilities. Nonthaburi: Health Systems Research Institute (HSRI); 2008. (in Thai)

Department of Thai Traditional and Alternative Medicine. HDC TTM service [Internet]. 2021 [cited 2021 Jul 10]. Available from: http://hs.dtam.moph.go.th (in Thai)

Shiengthong A. Quality and accessibility of Thai traditional medicine hopsital [Dissertation]. Pathum Thani: Thammasat University; 2016. (in Thai)

Reich RM, Joseph H, Lkegami N, Maeda A, Cashin C, Araujo CE, et al. Moving towards universal health coverage: lesson from 11 country studies. The Lancet 2016;387(10020):811-6.

Kroneman M, Jong DJ. The basic benefit package: composition and exceptions to the rules. A case study. Health Policy 2015;119(3):245-51.

Cleland VS. The economics of nursing. Norwalk: Appleton & Lange; 1990.

Drummond MF, Sculpher MJ, Torrance GW, O'Brien BJ, Stoddart GL. Methods for theeconomic evaluation of health care programmes. 3rd ed. New York: Oxford University Press; 2005.

Noradechanunt C, Pannavalee W, Permsuwan U, Ruengorn C. Cost, revenue and cost recovery of Thai traditional medicine services at Thai traditional health promotion center, Phrae province. Journal of Thai Traditional & Alternative Medicine 2005;3(1):3-16. (in Thai)

Mookkhan J. Unit cost analysis and cost recovery ratio of Thai traditional medicine services in Kudchum hospital [Dissertation]. Ubon Ratchathani: Ubonrajathanee Universtiy; 2006. (in Thai)

Haenghon T. Direct cost of Thai traditional medicine service Khao Yoi hospital. Phetchaburi province [Dissertation]. Nakhon Pathom: Silpakorn University; 2015. (in Thai)

Tuntapidok Y, Tuntapidok R. Basic principle Thai traditional medicine series 1. Department Thai traditional and alternative medicine. Nonthaburi: Pimdee; 2018. (in Thai)

Kaewsonthi S, Kanolratanakul P. Health economics: an analysis and evaluation on health care services. Bangkok: Chulalongkorn University Press; 1993. (in Thai)

Riewpaiboon A, editor. Cost analysis in health systems. Costing and economic evaluation for work productivity and policy improvement; 2016 Nov 22-25; Department of Disease Control and Grand Richmond Stylish Convention Hotel. Nonthaburi: Institute of Research, Knowledge Management and Standards for Disease Control (IReM); 2018. (in Thai)

The Comptroller General’s Department. Manual on government account in land capital and material. Bangkok: Ministry of Finance; 2019. (in Thai)

Office of the Permanent Secretary Ministry of Public Health. Health care services cost study guide line, Ministry of Public Healt. Nonthaburi: Office of the Permanent Secretary Ministry of Public Health; 2011. (in Thai)

Department of Health Insurance. A handbook on unit cost analysis of health care service. Bangkok: The Office of Permanent Secretary, Ministry of Public Health; 2013. (in Thai)

Ozaltin A, Cashin C. Costing of health services for provider payment: a practical manual based on country costing challenges, trade-offs, and solutions. Arlington: Joint Learning Network for Universal Health Coverage; 2014.

Health & Education Advice and Resource Team. Costing for UHC: OPM seminar series on health financing for UHC. New York: Oxford Policy Management; 2016.

Drummond MF, Stoddart GL, Torrance GW. Methods for the economic evaluation of health care programmes. New York: Oxford University Press; 1987.

Techakehakij W, Singweratham N, Wongphan T. Unit costs and budget impact of public compulsory programs for health promotion and disease prevention in Thailand. Bangkok: Aksorn Graphic and Design; 2018. (in Thai)

Department of Thai Traditional and Alternative Medicine. ICD-10-TM international statistical cassification and related health problems Thai modificaiton, standard coding guideline on disease sypmtom and procedure Thai traditional medicine. Nonthaburi: War Veterans Organization of Thailand Press; 2015. (in Thai)

Shepard DS, Hodgkin D, Anthony YE. Analysis of hospital costs: a manual for managers. Geneva: World Health Organization; 2000.

Kirkwood RB, Sterne CAJ. Essential medical statistics. 2nd ed. Massachusetts: Blackwell Science; 2003.

Singweratham N. Cost of health promotion service in state hospital under the universal health coverage's core package [Dissertation]. Bangkok: Chulalongkorn University; 2002. (in Thai)

Riewpaiboon A, Kheawcharoen O, Batsungnoen P, Wongphan T, Techakehakij W, Singweratham N, et al. Cost analysis of health promotion and disease prevention services. Bangkok: Faculty of Pharmacy, Mahidol University; 2018. (in Thai)

Techakehakij W, Singweratham N, Wongyai D, Nawsuwan K. Unit costs of primary care units: a case study in Kamphaeng Phet, fiscal year 2018. Journal of Safety and Health 2020;13(2):192-204. (in Thai)

Singweratham N, Bunpean A, Vasana P, Lekdee T. Development of benefit package for health promotion and disease prevention in Thai traditional medicine under universal health coverage. Journal of Thai Traditional and Alternative Medicine 2020;18(2):420-31. (in Thai)

Petchsiri C. A survey of the use of traditional herbal remedies by the ethnic chong people of Khaokitchakut district, Chanthaburi province [Dissertation]. Chanthaburi: Rambhai Barni Rajabhat University; 2018. (in Thai)

Poomsanguan K. Health and health promotion: nurses’ important role. Journal of The Royal Thai Army Nurses 2014;15(2):10-4. (in Thai)

Suansomchirt K. How good are you at takig care of yourself?. Bangkok: 179 Publicher; 2001. (in Thai)