Document Detail


Analysis of hospital costs as a basis for pricing services in Mali.
MedLine Citation:
PMID:  17624867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a move to achieve a better equity in the funding of access to health care, particularly for the poor, a better efficiency of hospital functioning and a better financial balance, the analysis of hospital costs in Mali brings several key elements to improve the pricing of medical services. The method utilized is the classical step-down process which takes into consideration the entire set of direct and indirect costs borne by the hospital. Although this approach does not allow to estimate the economic cost of consultations, it is a useful contribution to assess the financial activity of the hospital and improve its performance, financially speaking, through a more relevant user fees policy. The study shows that there are possibilities of cross-subsidies within the hospital or within services which improve the recovery of some of the current costs. It also leads to several proposals of pricing care while taking into account the constraints, the level of the hospital its specific conditions and equity.
Authors:
Martine Audibert; Jacky Mathonnat; Delphine Pareil; Raymond Kabamba
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The International journal of health planning and management     Volume:  22     ISSN:  0749-6753     ISO Abbreviation:  Int J Health Plann Manage     Publication Date:    2007 Jul-Sep
Date Detail:
Created Date:  2007-08-13     Completed Date:  2008-01-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605825     Medline TA:  Int J Health Plann Manage     Country:  England    
Other Details:
Languages:  eng     Pagination:  205-24     Citation Subset:  H    
Copyright Information:
Copyright (c) 2007 John Wiley & Sons, Ltd.
Affiliation:
CERDI-CNRS, 65 Boulevard François Mitterand, 63000 Clermont-Ferrand, France. M.Audibert@u-clermont.fr
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MeSH Terms
Descriptor/Qualifier:
Costs and Cost Analysis
Efficiency, Organizational
Fees and Charges*
Health Services Accessibility / economics
Hospital Costs*
Humans
Mali
Organizational Policy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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