IDEAS home Printed from https://ideas.repec.org/a/spr/hecrev/v12y2022i1d10.1186_s13561-022-00356-0.html
   My bibliography  Save this article

Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage

Author

Listed:
  • Eman A. Hammad

    (University of Jordan)

  • Ibrahim Alabbadi

    (University of Jordan)

  • Fardos Taissir

    (Jordan Ministry of Health)

  • Malek Hajjwi

    (University of Jordan)

  • Nathir M. Obeidat

    (University of Jordan)

  • Qais Alefan

    (Jordan University of Science and Technology)

  • Rimal Mousa

    (University of Jordan)

Abstract

Background Public providers in Jordan are facing increasing health demands due to human crises. This study aimed to benchmark the unit costs of hospital services in public providers in Jordan to provide insights into the outlook for public health care costs. Methods The unit costs of hospital services per admission, inpatient days, outpatient visits, emergency visits and surgical operations were estimated using the standard average costing method (top-down) for the fiscal year 2018–2019. The unit costs per inpatient day were estimated for nine specialities and staff in Jordanian dinars (exchange rate JOD 1 = USD 1.41). Results The average unit cost per admission in Jordan was JOD 782.300 (USD 1101.80), the per inpatient day cost was JOD 236.600 (USD 333.20), the per bed day cost was JOD 172.900 (USD 244.90), the per outpatient visit cost was JOD 58.400 (USD 82.30), the per operation cost was JOD 449.600 (USD 633.20) and the per emergency room visit cost was JOD 31.800 (USD 44.80). The specialities of ICU/CCU and OB/GYN presented the highest unit costs per inpatient day across providers: JOD 377.800 (USD 532.90) and JOD 362.600 (USD 510.70), respectively. The average salaried unit cost of staff depended mainly on year of employment. Nonetheless, the unit costs varied depending on the service utilization, type of service and organizational outlet. Conclusions Knowledge of how unit costs vary across public providers in Jordan is essential to outline cost control strategies and inform future research. Institutionalization of the cost information system and high-level governmental support are necessary to generate a routine practice of collecting and sharing cost information.

Suggested Citation

  • Eman A. Hammad & Ibrahim Alabbadi & Fardos Taissir & Malek Hajjwi & Nathir M. Obeidat & Qais Alefan & Rimal Mousa, 2022. "Hospital unit costs in Jordan: insights from a country facing competing health demands and striving for universal health coverage," Health Economics Review, Springer, vol. 12(1), pages 1-9, December.
    • Handle: RePEc:spr:hecrev:v:12:y:2022:i:1:d:10.1186_s13561-022-00356-0
    DOI: 10.1186/s13561-022-00356-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1186/s13561-022-00356-0
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1186/s13561-022-00356-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. John C. Langenbrunner & Cheryl Cashin & Sheila O’Dougherty, 2009. "Designing and Implementing Health Care Provider Payment Systems : How-To Manuals," World Bank Publications - Books, The World Bank Group, number 13806.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chen, Chun & Dong, Weizhen & Shen, Jay J. & Cochran, Christopher & Wang, Ying & Hao, Mo, 2014. "Is the prescribing behavior of Chinese physicians driven by financial incentives?," Social Science & Medicine, Elsevier, vol. 120(C), pages 40-48.
    2. Camilleri, Carl & Jofre-Bonet, Mireia & Serra-Sastre, Victoria, 2018. "The suitability of a DRG casemix system in the Maltese hospital setting," Health Policy, Elsevier, vol. 122(11), pages 1183-1189.
    3. Ali Mofleh Alshahrani & Mona Y. Alsheikh, 2021. "Community Pharmacists’ Perceptions, Barriers, and Willingness for Offering Sexual and Reproductive Health Services," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    4. Ulep, Valerie Gilbert T. & Aldeon, Melanie P. & dela Cruz, Nina Ashley O., 2013. "Multisector Strategy in Addressing Noncommunicable Diseases in the Philippines," Discussion Papers DP 2013-40, Philippine Institute for Development Studies.
    5. Omelyanovsky, Vitaly (Омельяновский, Виталий) & Avxentieva, Maria (Авксентьева, Мария) & Zheleznyakova, Inna (Железнякова, Инна) & Ignatyeva, Victoria (Игнатьева, Виктория) & Tyurina, Irina (Тюрина, И, 2018. "Improving of the Systems of Organization and Payment of Ambulatory Medical Care [Совершенствование Систем Организации И Оплаты Амбулаторной Медицинской Помощи]," Working Papers 031807, Russian Presidential Academy of National Economy and Public Administration.
    6. Jayendra Sharma, 2016. "An assessment of fiscal space for health in Bhutan," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 296-308, July.
    7. Melvin Obadha & Edwine Barasa & Jacob Kazungu & Gilbert Abotisem Abiiro & Jane Chuma, 2019. "Attribute development and level selection for a discrete choice experiment to elicit the preferences of health care providers for capitation payment mechanism in Kenya," Health Economics Review, Springer, vol. 9(1), pages 1-19, December.
    8. Víctor Giménez & Jorge R. Keith & Diego Prior, 2019. "Do healthcare financing systems influence hospital efficiency? A metafrontier approach for the case of Mexico," Health Care Management Science, Springer, vol. 22(3), pages 549-559, September.
    9. Joint Learning Network & Mongolia Ministry of Health & World Bank & World Health Organization, 2015. "Assessment of Systems for Paying Health Care Providers in Mongolia," World Bank Publications - Reports 22812, The World Bank Group.
    10. Patrick Opiyo Owili & Miriam Adoyo Muga & Ya-Ting Yang & Yi-Hsin Elsa Hsu, 2019. "Perceived Impact of Taiwan’s National Health Insurance Allocation Strategy: Health Professionals’ Perspective," IJERPH, MDPI, vol. 16(3), pages 1-12, February.
    11. Melvin Obadha & Jane Chuma & Jacob Kazungu & Edwine Barasa, 2019. "Health care purchasing in Kenya: Experiences of health care providers with capitation and fee‐for‐service provider payment mechanisms," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 917-933, January.
    12. Helene Barroy & Eva Jarawan & Sarah Bales, 2014. "Vietnam: Learning from Smart Reforms on the Road to Universal Health Coverage," Health, Nutrition and Population (HNP) Discussion Paper Series 91327, The World Bank.
    13. Stefan Meyer, 2015. "Payment schemes and cost efficiency: evidence from Swiss public hospitals," International Journal of Health Economics and Management, Springer, vol. 15(1), pages 73-97, March.
    14. Cavalieri, M. & Guccio, C. & Lisi, D. & Pignataro, G., 2015. "Does the Extent of Per-Case Payment System Affect Hospital Efficiency? Evidence from the Italian NHS," Health, Econometrics and Data Group (HEDG) Working Papers 15/29, HEDG, c/o Department of Economics, University of York.
    15. Zakieh Ostad-Ahmadi & Miriam Nkangu & Mahmood Nekoei-Moghadam & Mohammad Heidarzadeh & Reza Goudarzi & Vahid Yazdi-Feyzabadi, 2024. "Fragmentation of payment systems: an in-depth qualitative study of stakeholders’ experiences with the neonatal intensive care payment system in Iran," Health Economics Review, Springer, vol. 14(1), pages 1-14, December.
    16. World Bank, 2010. "Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector," World Bank Publications - Reports 2838, The World Bank Group.
    17. World Bank, 2015. "Understanding and Monitoring Service Delivery in a Decentralizing Environment in Mongolia," World Bank Publications - Reports 24055, The World Bank Group.
    18. Hensher, Martin & Tisdell, John & Zimitat, Craig, 2017. "“Too much medicine”: Insights and explanations from economic theory and research," Social Science & Medicine, Elsevier, vol. 176(C), pages 77-84.
    19. Fourie, Carina & Biller-Andorno, Nikola & Wild, Verina, 2014. "Systematically evaluating the impact of diagnosis-related groups (DRGs) on health care delivery: A matrix of ethical implications," Health Policy, Elsevier, vol. 115(2), pages 157-164.
    20. Shirin Nosratnejad & Reza Esmaeili & Jafar Sadegh Tabrizi & Alireza Mahboub‐Ahari, 2019. "Development of age‐sex adjusted capitation payment: The experience of Iranian public health complexes," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 183-193, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:hecrev:v:12:y:2022:i:1:d:10.1186_s13561-022-00356-0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com/economics/journal/13561 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.