Study of Treatment Expense of Patients with Congenital Malformations of Craniofacial in Srinagarind Hospital between 2010 and 2014
Orathai Lekbunyasin MBS*, Rumpan Pattaranit MSc*, Vasana Chantachum BSc*, Suteera Pradubwong MSN**, Bowornsilp Chowchuen MD, MBA***
Affiliation : * Medical Records and Statistics Department. Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand ** Department Surgery and Orthopedics, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand *** Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objectives: To report the treatment expenses of the congenital malformations of craniofacial of in-patients of Srinagarind
Hospital between 2010 and 2014
Material and Method: The expenses of congenital malformations of craniofacial in-patients of Srinagarind Hospital were
studied by analyzing the actual amount charged and the reimbursement of treatment expenses.
Results : One thousand eight hundred forty five in-patients were treated 2,144 times. The average treatment was about once
or twice per person. Male patients were 54.1% and female were 45.9%. About 84% of the patients were under the universal
coverage, with an average Relative Weight (RW) between 2010 and 2014 of 1.6988, 1.7059, 1.4847, 1.4165, and 1.5096,
respectively. The average of the RW and the treatment expenses differentiated by the patients’ eligible medical expenses for
self-paid, Government or State Enterprise Officer (OFC), Social Security Scheme (SSS), and universal coverage (UC) were
1.0398, 1.1596, 1.2759, 1.3477, respectively. The average RW calculated under diagnosis-related group (DRG) for each
patient was 1.3148. The estimated RW of OFC at 13,378 and UC at 9,600 baht per RW were 18,081, 14,535, 14,259, and
17,118 baht, for an average of 16,842 baht. The average of the treatment expenses charged by the hospital to the OFC was
14,535 baht and to the UC was 17,118 baht for each treatment. The treatment expense under DRG was lower than the cost
under the hospital charge by 2,051,072 baht.
Conclusion : The present study analyzed the treatment expense by patients’ eligible medical expenses between 2010 and 2014.
The universal coverage and government or state enterprise officer’s charges were reimbursed to the hospital under DRG
system for 32,257,000 baht while the hospitals actual charges were 34,308,072 baht. This indicated that Srinagarind Hospital
must set up the fund to support congenital malformations of craniofacial patients for a minimum sum of 410,214 baht per year.
This is likely to increase in the future.
Keywords : DRG, Relative weight, Congenital malformations of craniofacial, Treatment expense, Actual charge, Eligible medical expenses
