THE EFFECT OF SCALE ON COST PROJECTIONS FOR A PRIMARY HEALTH-CARE PROGRAM IN A DEVELOPING-COUNTRY
THE EFFECT OF SCALE ON COST PROJECTIONS FOR A PRIMARY HEALTH-CARE PROGRAM IN A DEVELOPING-COUNTRY
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DOI：
10.1016/0277-9536(86)90134-6
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发表时间：
1986-01-01
影响因子：
5.4
通讯作者：
OVER, M
中科院分区：
文献类型：
--
作者：
OVER, M
准确估计初级保健活动的经常性费用至关重要，因为政府需要评估这些费用是否以及如何能够得到资助。本文认为，扩大初级保健活动将导致规模不经济，而这并不是经常性费用的恒定平均费用预测所能反映的。另一种估计方法，捕捉平均单位成本上升的影响，提出了应用这种方法的数据从尼日尔共和国。分析结果表明，12年后，初级保健活动的“r系数”（投资与经常性费用的比率）可能翻一番，费用可能增加3倍。
Accurate estimation of the recurrent costs of primary health care (PHC) activities is essential in light of the need for governments to assess whether and how these costs can be financed. This paper argues that expansion of the PHC activities will result in diseconomies of scale that are not captured by constant average cost projections of recurrent costs. An alternative estimation method which captures the effect of rising average unit costs is proposed with application of this method to data from the Republic of Niger. Results of the analysis show that the ‘r-coefficient’ (ratio of investment to recurrent costs) for PHC activities can double and costs can be 3 times larger after 12 years.