Wannaporn Sopanna. Prevention and promotion activities-based costing of primary care unit : a case fo Salalumduan, Sakaeo province, Thailand . Master's Degree(Primary Health Care Management). Mahidol University. : Mahidol University, 2004.
Prevention and promotion activities-based costing of primary care unit : a case fo Salalumduan, Sakaeo province, Thailand
Abstract:
The aim of this study was to identify the cost of prevention and promotion (P&P)
activities, total cost and unit cost according the activity-based costing hierarchy in
Salalumduan Primary Care Unit (PCU).
This study was a cross-sectional study and the three principles used in the
Activities-Based Costing (ABC) were activity analysis, activity costing and
performance measurement. An activity dictionary was written at the first stage of the
study to analyze activities that were used for the self-administered questionnaire. Data
collection on information related to the study using this questionnaire was conducted
from the 15th to 29th of December 2003. Moreover, the data collections regarding ABC
were collected from financial records of FY 2003 from the 1st to the 29th of January
2004. The performance measurement was used to calculate the unit cost and categorize
according to the ABC hierarchy.
The results of this study showed that the P&P cost of Salalumduan PCU in the FY
2003 was 1,186,497.59 baht. The government funding of P&P capital cost was
927,740.93 baht and labor cost within the P&P activities was 636,681.59 baht. The
operating cost was 101,055.86 baht and the capital cost was 167,586.81 baht. The
Non- UC budget was 22,416.67 baht and the amount from other organizations funding
support was 258,756.66 baht. This study also described in detail how the P&P budget
(recurrent cost, direct cost, indirect cost and total cost) is distributed over the different
health activities and sub-activities. The accepted facility sustaining level cost was
22.43% according to this study. The conference and meeting activity was the highest
cost among all activities. The lowest unit cost was in the sanitation and environmental
health services sub-activity which accounted for 2.18 baht/household. The total cost
and labor cost in this study were compared to the findings of previous studies and the
Thai national average.
The implications of this study are to standardize the recording system for
effective implementation of ABC among all PCUs in Thailand in the near future and to
use as predictive information for planning and managing ABC at the primary care
level.