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Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 10 / No. 2 / Published : 2012-05

TOC : 6, and page :92 - 98

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Original Article :

Economic of scale analysis at specialist clinics

Author :

  1. Rachmad Suhanda*1
  1. Fakultas Kedokteran, Universitas Syiah Kuala, Banda Aceh

Abstract :

ABSTRACT   Specialist clinic  was  one  of product provided by  PHC hospitals Surabaya.  During 2006  to 2011  was  found decreased growth  of the  patient  visit and  revenue. Design  of the  study  was  a cross sectional and  the  study  was  an observational research. The purpose of the research was to analyze  the economic of scale the specialist clinics.  The study  conducted in April-July 2012. The comparison between cost  and quantities of production was used to calculate the average cost.  The Long Run Average  Cost (LRAC) used for determinant. LRAC range between -5% trough 5% will be called as economies. Returns  to scale also calculated. Cardiology, internal medicine, dentist,  surgery and psychiatry were the clinis with diseconomies, decreasing returns, low use  of space and high use  of services, we recomended to add new doctor or additional hours of service. Obstetric  and gynecology, ophthalmology, ENT and pediatric were clinics with diseconomies, decreasing returns, high use  of service and ideal use  of space require the new facilities provision. Dermatology in diseconomies and neurology in economies had increasing returns, need efforts to increase the patient visit. Pulmonology with economies, decreasing returns, low service utilization and low use  of space need to increase the efficiency.   Keywords: specialist clinics,  costs of production, economies of scale

Keyword :

specialist clinics, costs of production, economies of scale,


References :

  1. Armstrong Lloyd M, Barry E. Sharrow, Paul O. Walker, Bobby J. Priest, Gordon H. Rovelstad, (1969). A Study of A Circular Dental Clinic Employing Advanced Practice Methods. Washington DC : Research Progress Report NDRI-PR 69-06, Work Unit M4114.04.3002, Bureau of Medicine and Surgery, Department of the Navy
  2. Eijken Marcel, (2010). Outpatient Scheduling in the in the Outpatient Pediatric Center of GHZ: A Simulation Study to Decrease the Patient Waiting Time and Pediatrician Overtime’. Drienerlolaan, Netherland : , Faculty of Management and Governance, University of Twente
  3. Goss Claudia, Francesca Moretti, Maria Angela Mazzi, Lidia Del Piccolo, Michela Rimondini and C, (2008). Involving patients in decisions during psychiatric consultations. London : The British Journal of Psychiatry
  4. Hollingworth B, Peacock SJ, (1998). Efficiency Measurement in Health and Health Care. New york : Routledge Taylor and Francis Group
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Archive Article

Cover Media Content

Volume : 10 / No. : 2 / Pub. : 2012-05
  1. Increase patient safety program through the method of failure mode and effect analysis
  2. Analysis of factors affecting obedience officer leprosy in the implementation of leprosy sop services district puskesmas sampang
  3. Patient safety development program based on six goal international patient safety standard in surabaya oncology hospital
  4. The effort of community empowerment in tuberculosis disease control program in tambakrejo public health center, surabaya city
  5. Analysis of the use of labor service at maternal and children’s care in st. vincentius a paulo catholic hospital surabaya based on five stage buying decision process theory and the path type model
  6. Economic of scale analysis at specialist clinics
  7. The right arrangement of positioning, differentiation, and brand based on value-driven marketing
  8. Hospital business process reengineering
  9. The relationship between service convenience and behaviour in post-maternity care utilization to improve maternity care utilization
  10. Analysis of improvement efforts polyclinic outpatient visit by brand image and customer value