25
CALCUTTA MEDICAL INSTITUTIONS.
show an increase of Rs. 1,038-4-6. Contributions from local funds, chiefly
increased payments from the port funds for the treatment of sick sailors,
account for the balance, and make up for excess expenditure under several
heads. Particulars are given in statement V, and will be commented on later
on . Various items are increased owing to the inclusion of the accounts of the
1892.
1893.
Medical College Hospital
...
8 5 . 2 9
82.42
Presidency General Hospital ... 61.13
52.79
Campbell Hospital
... 55.31
59.49
Police Hospital ...
...
9 8 . 9 3
99.12
Mayo Institutions
... 62.37
60.22
Howrah General Hospital
... 17.02
16.17
Dufferin Victoria Hospital for the first
time. The proportion contributed by
Government towards the expenditure of
the different institutions is given in the
margin, and shows a satisfactory reduc-
tion in most cases. The increase at
Sealdah is due to a larger number of sick
having been treated. As the municipal grant is a fixed sum, all additional
expenditure has to be borne by Government.
53. Before passing on to the accounts of individual institutions it will be
convenient for purposes of comparison to glance briefly at the different items of
expenditure separately, with the cost per capita.
54. Superior establishment.— Salaries of Medical Officers, Medical Warrant
INSTITUTIONS.
Daily
average
number
treated.
Pay of superior
establish-
ment.
Rate per
Capita.
In.
Out.
Rs. A. P.
Rs. A. P.
Medical College
Hospital.
395
389
31,212 12 0
39 12 11
Presidency Gene-
ral Hospital.
168
...
47,142 1 9
280 9 8
Campbell
...
497
189
10,812 11 5
16 12 2
Police
...
100
. . .
6,514 7 10
65 2 3
Mayo Institu-
t i o n s .
101 1,002
24,156 0 0
21 14 4
Dufferin Victoria
Hospital.
10
65
4,550 0 0
60 10 8
Howrah
...
73
91
5,390 0 0
32 13 10
Officers, Assistant Surgeons,
etc. The table in the margin,
in which the expenditure
under this head is divided by
the number of patients, gives
results which at first sight
are somewhat startling, the
figures running from under
Rs. 16 at the Campbell to
over Rs. 280 at the Presiden-
cy General Hospital. In all
comparisons, however, it is
essential that the conditions
to be compared should be as
nearly as possible identi-
cal: here they are widely di-
vergent, not only in respect
that some institutions treat
out-patients while others do
not, but in the mode in which the cost of establishment is calculated. The Presi-
dency General Hospital has three commissioned Medical Officers, two of whom
are Surgeon-Captains. The Medical College Hospital has nine commissioned
officers and a Dental Surgeon, five of the former being Surgeon-Lieutenant-
Colonels and one a Surgeon-Major, yet the cost of salaries is nearly Rs. 16,000
higher at the Presidency General Hospital than at the Medical College Hospital.
The latter, too, treats a large number of out-patients, the former none, so that
the larger total has the smaller divisor, with the result that each patient costs
seven times as much at the one as at the other, and the great cost at the Presi-
dency General Hospital has more than once been the subject of unfavourable
comment. The explanation is, however, sufficiently simple. At the Presidency
General Hospital the whole of the pay of the Medical Officers is debited to
the hospital. At the Medical College Hospital, on the other hand, the pay of the
Resident Surgeons is alone debited to the hospital, that of the rest of the staff
being charged against the Medical College.
55. Comparison is further vitiated by the fact that the Resident Surgeons
at the Presidency General Hospital have charge of the lunatic asylums
at Dullanda and Bhawanipur, and of the Presidency Jail, in addition to their
hospital duties; but no portion of their pay, which is considerably higher than
that of the Resident Officers at the Medical College Hospital, is debited to these
institutions. As pointed out in my asylum report, this vitiates comparisons
between different asylums inter se. If Rs. 250 of the pay of each resident
were debited to asylums and jails, it would reduce the cost per patient at the
Presidency General Hospital, under the head of Medical Officers, by nearly
Rs. 36. An out-patient department is about to be opened and will still
E