Analysis of Cost Containment, Cost Recovery and Sustainability of Hospital Waste Management System Case Study of Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
Hemchandra et al.
What the paper says
IntroductionA Hospital Administrator is primarily a manager of scarce resources which are many and varied. This is especially so in a country like India. The success of a hospital administrator depends on how well he or she organizes and utilizes the available resources. A hospital administrator may be compared to a conductor of an orchestra; making optimum use of each resource.' Equally imperative is the development of new innovative ideas on the part of hospital administrators to generate wealth and revenue as money is invariably a scarce entity in most cases.It is ironic that the health care facilities, which restore the health of the diseased, pose a huge health risk and environmental degradation due to improper hospital waste management. Safe and sustainable health care waste management is not possible without a favourable attitude among health care providers.2 One of the most important matters in planning a hospital is to consider the disposal routes of all waste and infected material. In every part of the hospital where patients are treated, there will be infected material to be disposed of. Dirty materials should, in general, go into a bin, bag or other disposal container at its point of origin and remain in that container until it reaches a point at which it is sterilized or incinerated1. It is noteworthy that Government of India enacted an Act in July 1996, followed by laying down Biomedical Waste (Handling and Management) Rules in 1998 to ensure proper handling and disposal of hospital wastes4.Though wealth might not be considered as significant as health, it is a universal truth that wealth and funds are salient inputs for any system. Thus it is a refreshingly confounding fact that wealth can actually be generated by utilizing the solid / medical wastes in hospitals after adequate treatment5.PreludeIn India, the average production of hospital waste is 1.5 kg./bed/day (range: 1-2.50 kg/bed/day)5, out of which 20 per cent is biomedical (hazardous) in nature. However, waste produced has been quoted up to 5.24 kg/bed/day in developed countries.6 These higher figures in developed countries are due to greater use of disposables in those countries. On an average, 1.8 million wastes are generated per day from about 1.2 million beds of about 11000 hospitals in India. Cost benefit measures of hospital wastes, especially the biomedical wastes, are not practiced; therefore emphasis is given in this study on cost containment/ cost effectiveness. Thus the domestic waste such as cardboard, paper, container, glass bottles and a part of biomedical waste such as plastic materials (IV bottle, tube syringes, gloves, canula, bags etc.) and other rubber materials can be utilized by recycling after disinfection/ sterilization to recover some revenue out of it or to bring down the cost of treatment like in the case of recycling of high cost disposables such as catheterization tube, dialyzers, etc. The benefit can be shared with low socio-economic patients by providing them quality state of the art health care at an affordable (low) cost. Law does not mention whether re use the waste or not, but All India Audit Report on Management of Waste emphasizes on 3 Rs. i.e., Reduce, Recycle and Reuse7. Developed countries have also adopted the practice of reuse after recycle.Methodology UsedThe Sanjay Gandhi Post Graduate Institute of Medical Sciences (S.G.P.G.I.M.S.), Lucknow, Uttar Pradesh, State of India which is a tertiary care super specialty (868-bedded) is a pioneer in using modern management (innovative) techniques vis-a-vis cost-containment, cost-effectiveness and savings methods in waste utilization and recycling*. The present study was done with an intention to analyze the outcome of measures adopted for hospital solid waste utilization/ recycling, in terms of wealth/ revenue generation and medical 'treatment cost' reduction.A retrospective study was carried out in the month of April 2014 at S. …
Evidence weight
Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40
| F · citation impact | 0.00 × 0.4 = 0.00 |
| M · momentum | 0.20 × 0.15 = 0.03 |
| V · venue signal | 0.50 × 0.05 = 0.03 |
| R · text relevance † | 0.50 × 0.4 = 0.20 |
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