Efficiency of Healthcare Financing Management in Community Hospitals Lampang Province Fiscal year 2014 - 2016
Keywords:
Healthcare Financial Management, HospitalAbstract
Background
This study aims to developed and assess the model of healthcare financial management in community hospital in Lampang province toward efficiency of healthcare financial management in hospital.
Method
Mixed method research including of 2 phases of research designed. First phase was Descriptive study including of quantitative and qualitative study purpose to assess the situation and limitation of healthcare financial status and management in community hospital in Lampang province. Healthcare Financial management was developed from situation and limitation of healthcare financial status.
In second phase the Quasi-experimental research was designed for applied those Healthcare Financial management model was in 12 hospitals in Lampang province in fiscal year 2016. In addition, the assessment of Efficiency of Healthcare Financing Management in 12 Community Hospitals in Lampang province was done.
There were 12 purposive sampling of community hospitals in Lampang province and 2 committee of Chief Financial Committee in each hospital were included for model satisfaction assessment as well. The research instrument including of financial report form and Model satisfaction questionnaire which both of them approve by 3 experts and reliability test of questionnaire were more than 0.80 of Cronbach’s alpha coefficient analysis.
Quantitative data analysis was done for liquidity ratio and efficiency financial management ration. In addition Paired t-test was done for model satisfaction compare before and after intervention while content analysis was done for qualitative data from In-depth interviews and Focus group as well.
Results
The assessment of the situation and limitation of healthcare financial status and management in community hospital in Lampang province in fiscal year 2014-2015 was address for developed the model of healthcare financial management and applied in 12 hospitals in Lampang province in fiscal year 2016.
Research results indicated that liquidity ratio is increasing after applied integration model of healthcare financial management while financial crisis score were decreasing from year 2015. The research results illustrated that after applied those model the efficiency of healthcare financial management indicators were increasing from year 2015. In addition, mean score of model satisfaction of Chief Financial committee was higher significantly (p<0.05) after applied this model as well.
Conclusion
This research results recommended that these integration of healthcare financial management can apply for sustainability and efficiency of healthcare management in hospital level.
References
2. Hughes D, Leethongdee S. Universal coverage in the land of smiles: lessons from Thailand’s 30 Baht health reforms. Health Affairs. 2007 Jul 1;26(4):999-1008.
3. Limwattananon S, Tangcharoensathien V, Tisayaticom K, Boonyapaisarncharoen T, Prakongsai P. Why has the Universal Coverage Scheme in Thailand achieved a pro-poor public subsidy for health care? BMC Public Health. 2012 Jun 22;12(1): S6.
4. ศุภสิทธิ์ พรรณารุโณทัย. เศรษฐศาสตร์สาธารณสุขในยุคปฏิรูประบบสุขภาพ. พิษณุโลก: ศูนย์วิจัยและติดตามความเป็นธรรมทางสุขภาพ; 2544.
5. สถาบันวิจัยระบบสาธารณสุข. รายงานการประเมินระบบหลักประกันสุขภาพถ้วนหน้าในช่วงทศวรรษแรก (2544-2553). นนทบุรี: สถาบันวิจัยระบบสาธารณสุข; 2555.
6. สำนักงานหลักประกันสุขภาพแห่งชาติ. กรอบแนวทางการบริการจัดการงบประมาณหลักประกันสุขภาพโดยเครือข่ายบริการสุขภาพระดับเขตของกระทรวงสาธารณสุข. รายงานการบริหารหลักประกันสุขภาพระดับเขต, นนทบุรี: กระทรวงสาธารณสุข; 2554.
7. The world health report. Health systems financing: the path to universal coverage. Geneva, World Health Organization, 2010.www.who.int/whr/2010/en/index.html (accessed 12 January 2016).
8. Towse A, Mills A, Tangcharoensathien V. Learning from Thailand's health reforms. BMJ: British Medical Journal. 2004 Jan 8;328(7431):103.
9. Prakongsai P, Limwattananon S, Tangcharoensathien V. The equity impact of the universal coverage policy: lessons from Thailand. InInnovations in health system finance in developing and transitional economies 2009 Jun 11 (pp. 57-81). Emerald Group Publishing Limited.
10. Yiengprugsawan V, Kelly M, Seubsman SA, Sleigh AC. The first 10 years of the Universal Coverage Scheme in Thailand: review of its impact on health inequalities and lessons learnt for middle-income countries. Australasian epidemiologist/Australasian Epidemiological Association.2010 Dec;17(3):24.
11. Somkotra T, Lagrada LP. Payments for health care and its effect on catastrophe and impoverishment: experience from the transition to Universal Coverage in Thailand. Social Science & Medicine. 2008 Dec 31;67(12):2027-35.
12. Hennicot JC, Schloz W and Sakunphanit T. Thailand health-care expenditure projection: 2006-2020. A research report, Nonthaburi, National Health Security Office; 2012
