SRINAGARIND MEDICAL JOURNAL

Volume 35, No. 06, Month NOVEMBER, Year 2020, Pages 707 - 712

Estimated charge cost for cleft lip and cleft palate treatment a study of in-patients in dental hospital, faculty of dentistry, khon kean university

Chuleeporn Supunya, Neunghathai Aphiphatkan, Pattaramon Rattanapan

Abstract Download PDF

Background and Objective: The study was to determine treatment fee of cleft lip and cleft palate (CLP) patient admitted in the in-patient of Dental Hospital. The results will be the fundamental information for establishing the department’s policies and to be used as the basis for allocating budgets and improving patient care services. Methods: The retrospective descriptive study was performed during the 3 years period (2016 – 2018). Data was collected from medical records of CLP patients. Deformities of patient were identified by their ICD -10 code, the operations were identified by their ICD-9, the payment information was obtained from the financial unit, using Microsoft excel to collect and analyze data which included percentage, average and standard deviation. Results: According to 131 CLP patients, 73 were females (55.73%) and 55 (41.98%) were aged 11 - 15 years old. Most of them 121 persons (92.37%) have the national health insurance were. Surgery on alveolar bone grafting (ABG), Iliac crest bone graft (ICBG) were 125 persons (95.42%). The code of ICD-9 was 77.79; Excision of bone for graft were 125 persons (95.42%). The average medical fee of ONFC and ABG, ICBG surgery are 24,122.5 and 25,532.120 baht, However , the average reimbursement of the outer district patient paid by the National Health Security Insurance was 10,515.84 and 19,386.24 baht, correspondingly. Conclusion: According to 131 CLP patients, mostly were 73 females , aged between 11 - 15 years who have the Nation Health Security Insurance coverage , the surgical treatment of ONFC and ABG, ICBG, the code of ICD-9 was 77.79. it was found that most of the medical charged from outer district was lower than actual .This study reported the imbalance of medical expenses that the hospital has actually treated and the reimbursed treatment fees from the National Health Security office.

Keywords

Cleft lip and Cleft palate Charge cost for Cleft Lip and Cleft Palate treatment Alveolar bone grafting.

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