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CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India
INTRODUCTION: Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (AB PM-JAY) has enabled the Government of India to become a strategic purchaser of health care services from private providers. To generate base cost evidence for evidence-based policymaking the Costing of Health Services in India (CHSI...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744278/ https://www.ncbi.nlm.nih.gov/pubmed/36508431 http://dx.doi.org/10.1371/journal.pone.0276399 |
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author | Singh, Maninder Pal Popli, Riya Brar, Sehr Rajsekar, Kavitha Sachin, Oshima Naik, Jyotsna Kumar, Sanjay Sinha, Setu Singh, Varsha Patel, Prakash Verma, Ramesh Hazra, Avijit Misra, Raghunath Mehrotra, Divya Biswal, Sashi Bhusan Panigrahy, Ankita Gaur, Kusum Lata Pankaj, Jai Prakash Sharma, Dharmesh Kumar Madhavi, Kondeti Madhusudana, Pulaganti Narayanasamy, K. Chitra, A. Velhal, Gajanan D. Bhondve, Amit S. Bahl, Rakesh Kaur, Sharminder Prinja, Shankar |
author_facet | Singh, Maninder Pal Popli, Riya Brar, Sehr Rajsekar, Kavitha Sachin, Oshima Naik, Jyotsna Kumar, Sanjay Sinha, Setu Singh, Varsha Patel, Prakash Verma, Ramesh Hazra, Avijit Misra, Raghunath Mehrotra, Divya Biswal, Sashi Bhusan Panigrahy, Ankita Gaur, Kusum Lata Pankaj, Jai Prakash Sharma, Dharmesh Kumar Madhavi, Kondeti Madhusudana, Pulaganti Narayanasamy, K. Chitra, A. Velhal, Gajanan D. Bhondve, Amit S. Bahl, Rakesh Kaur, Sharminder Prinja, Shankar |
author_sort | Singh, Maninder Pal |
collection | PubMed |
description | INTRODUCTION: Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (AB PM-JAY) has enabled the Government of India to become a strategic purchaser of health care services from private providers. To generate base cost evidence for evidence-based policymaking the Costing of Health Services in India (CHSI) study was commissioned in 2018 for the price setting of health benefit packages. This paper reports the findings of a process evaluation of the cost data collection in the private hospitals. METHODS: The process evaluation of health system costing in private hospitals was an exploratory survey with mixed methods (quantitative and qualitative). We used three approaches–an online survey using a semi-structured questionnaire, in-depth interviews, and a review of monitoring data. The process of data collection was assessed in terms of time taken for different aspects, resources used, level and nature of difficulty encountered, challenges and solutions. RESULTS: The mean time taken for data collection in a private hospital was 9.31 (± 1.0) person months including time for obtaining permissions, actual data collection and entry, and addressing queries for data completeness and quality. The longest time was taken to collect data on human resources (30%), while it took the least time for collecting information on building and space (5%). On a scale of 1 (lowest) to 10 (highest) difficulty levels, the data on human resources was the most difficult to collect. This included data on salaries (8), time allocation (5.5) and leaves (5). DISCUSSION: Cost data from private hospitals is crucial for mixed health systems. Developing formal mechanisms of cost accounting data and data sharing as pre-requisites for empanelment under a national insurance scheme can significantly ease the process of cost data collection. |
format | Online Article Text |
id | pubmed-9744278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-97442782022-12-13 CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India Singh, Maninder Pal Popli, Riya Brar, Sehr Rajsekar, Kavitha Sachin, Oshima Naik, Jyotsna Kumar, Sanjay Sinha, Setu Singh, Varsha Patel, Prakash Verma, Ramesh Hazra, Avijit Misra, Raghunath Mehrotra, Divya Biswal, Sashi Bhusan Panigrahy, Ankita Gaur, Kusum Lata Pankaj, Jai Prakash Sharma, Dharmesh Kumar Madhavi, Kondeti Madhusudana, Pulaganti Narayanasamy, K. Chitra, A. Velhal, Gajanan D. Bhondve, Amit S. Bahl, Rakesh Kaur, Sharminder Prinja, Shankar PLoS One Research Article INTRODUCTION: Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (AB PM-JAY) has enabled the Government of India to become a strategic purchaser of health care services from private providers. To generate base cost evidence for evidence-based policymaking the Costing of Health Services in India (CHSI) study was commissioned in 2018 for the price setting of health benefit packages. This paper reports the findings of a process evaluation of the cost data collection in the private hospitals. METHODS: The process evaluation of health system costing in private hospitals was an exploratory survey with mixed methods (quantitative and qualitative). We used three approaches–an online survey using a semi-structured questionnaire, in-depth interviews, and a review of monitoring data. The process of data collection was assessed in terms of time taken for different aspects, resources used, level and nature of difficulty encountered, challenges and solutions. RESULTS: The mean time taken for data collection in a private hospital was 9.31 (± 1.0) person months including time for obtaining permissions, actual data collection and entry, and addressing queries for data completeness and quality. The longest time was taken to collect data on human resources (30%), while it took the least time for collecting information on building and space (5%). On a scale of 1 (lowest) to 10 (highest) difficulty levels, the data on human resources was the most difficult to collect. This included data on salaries (8), time allocation (5.5) and leaves (5). DISCUSSION: Cost data from private hospitals is crucial for mixed health systems. Developing formal mechanisms of cost accounting data and data sharing as pre-requisites for empanelment under a national insurance scheme can significantly ease the process of cost data collection. Public Library of Science 2022-12-12 /pmc/articles/PMC9744278/ /pubmed/36508431 http://dx.doi.org/10.1371/journal.pone.0276399 Text en © 2022 Singh et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Singh, Maninder Pal Popli, Riya Brar, Sehr Rajsekar, Kavitha Sachin, Oshima Naik, Jyotsna Kumar, Sanjay Sinha, Setu Singh, Varsha Patel, Prakash Verma, Ramesh Hazra, Avijit Misra, Raghunath Mehrotra, Divya Biswal, Sashi Bhusan Panigrahy, Ankita Gaur, Kusum Lata Pankaj, Jai Prakash Sharma, Dharmesh Kumar Madhavi, Kondeti Madhusudana, Pulaganti Narayanasamy, K. Chitra, A. Velhal, Gajanan D. Bhondve, Amit S. Bahl, Rakesh Kaur, Sharminder Prinja, Shankar CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India |
title | CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India |
title_full | CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India |
title_fullStr | CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India |
title_full_unstemmed | CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India |
title_short | CHSI costing study–Challenges and solutions for cost data collection in private hospitals in India |
title_sort | chsi costing study–challenges and solutions for cost data collection in private hospitals in india |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744278/ https://www.ncbi.nlm.nih.gov/pubmed/36508431 http://dx.doi.org/10.1371/journal.pone.0276399 |
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