At $47/hour, your average opportunity cost, this is savings of $1527 per month, or $18K per year, per clinic. We first grouped all the 11 districts in the Upper West region by the three main ethnic groups: Daagati, Wala, and Sissala. Out of this amount, about 91% (average amount = US$2120) was from national health insurance reimbursement and about 9% (average amount = US$ 207) from out-of-pocket (OOP) payments. Examples of cost data collection tools developed by AHRQ Estimating Costs grantees are included in Appendix B. Researchers must find or develop a tool for accurately collecting cost data. Carvalho LH, editor. Estimating the costs of maintaining practice changes may be difficult because of challenges of attribution. All the CHPS have similar structure having about 6 rooms and the average number of staff per CHPS facility was 3 (median = 2; range = 2–5 staff). The average cost per OPD attendance at CHPS and HC were US$8.79 and US$5.16 respectively. Google Scholar. Some of these tools are quite detailed, while others focus only on key cost drivers (e.g., staff time for various activities). Though efforts were made to obtain cost of building, we were not able to obtain reliable cost of building the health facilities, hence cost of building has not been included in the cost analysis. These tools provide a detailed breakdown of cost elements and may be helpful to estimate the costs of primary care transformation in other settings. Telephone: (301) 427-1364, https://www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html, AHRQ Publishing and Communications Guidelines, Healthcare Cost and Utilization Project (HCUP), Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase, Funding Opportunities Announcement Guidance, AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Public Access to Federally Funded Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report, A Practical Guide for Estimating the Costs of Primary Care Transformation, Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants, Exhibit 1. A possible explanation for the variations in cost at the CHPS could be due to differences in the number of staff (personnel cost). This included cost of all functional means of transport such as cars and motorbikes in the health facilities that are used for supervision, outreach, home visit and administrative activities. There is also an economic issue – only 5% of the overall 18% of GDP health care spending goes to primary care and to complicate matters further, 95% of internal medicine residents specialize. World vision. The NHIS allows people to make contributions into a fund so that in the event of illness contributors could be supported by the fund to receive affordable health care in the health facilities. Direct primary care (DPC) is an emerging practice alternative that (1) eliminates traditional third-party fee-for-service billing and (2) charges patients a periodic fee for primary care services. such as fetoscope, thermometer, weighing scales, benches, tables, chairs etc. I know others who have lost their medical licenses who now run clinics and hire docs (who they care for very well). HCs are generally headed by a medical or physician assistant and staffed with program heads in the areas of midwifery, laboratory services, public health, environment and nutrition [15]. 2013;13:287. For example, cost estimates can be stratified by clinic size, rural/urban location, geographic location, organizational attributes (e.g., group vs. independent practice), transformation activity or component implemented, and level of PCMH recognition achieved. 2013. Control variables can include patient case-mix, demographics, clinic characteristics, and other factors. Awoonor-Williams JK, Sory EK, Nyonator FK, Phillips JF, Wang C, Schmitt ML. The few studies conducted in Ghana on health facility costing concentrated on cost of delivering health services at the HCs and hospital level [8, 9]. Government funds for service provision centres and CHPS facilities, staff time spent in,... Qadiyr Anderson says: April 25, … support organizations interested in starting a practice (. Untransformed clinics before and after transformation retrospective data collection is subject to recall and nonresponse biases are particular. A total of 242 health facilities in Nouna, Burkina Faso sector under Ghana ’ S care 14... Hospital, two Christian health Association of Ghana [ Internet ] during July to,. Cost study ( i.e., costs to PCMH transformation efforts they studied occurred over a to... Regard to jurisdictional claims in published maps and institutional affiliations CHPS to obtain overall figures... 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