Capacity utilization and the cost of primary care visits: Implications for the costs of scaling up health interventions
2008

Impact of Patient Load on Primary Care Visit Costs

Sample size: 984 publication Evidence: high

Author Information

Author(s): Adam Taghreed, Ebener Steeve, Johns Benjamin, Evans David B

Primary Institution: World Health Organization

Hypothesis

How does patient load affect the cost per visit at primary health care facilities?

Conclusion

The cost of an outpatient visit decreases significantly as the number of patients seen by providers increases.

Supporting Evidence

  • Each 1% increase in patient through-put results in a 27% reduction in the cost per visit.
  • Costs can differ by up to $30 for outpatient visits depending on patient load.
  • Current estimates of costs for scaling up health interventions may be incorrect if they do not consider capacity utilization.

Takeaway

If more patients are seen in a day, it costs less for each visit. It's like sharing a pizza with more friends; everyone pays less!

Methodology

Multivariate regression analysis was used to explore the determinants of variability in unit costs using data for 44 countries.

Potential Biases

Potential bias due to reliance on a limited number of health facilities for cost data.

Limitations

The analysis may not account for all factors affecting costs, such as quality of care and salary differentials.

Participant Demographics

Data from 44 countries with a total of 984 observations.

Statistical Information

P-Value

<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1478-7547-6-22

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