26
REPORT ON THE
highest, but the explanation is an easy one. The total cost was Rs. 4,598, and
this was divided by a small daily average of 25, which gave Rs. 183-14-8 as the
cost per patient. The principle of calculation followed in this report cannot
pretend to be the correct or the fairest one, and, if so, the resultant figures
are not the surest basis of comparison. Each hospital has its own staff of
medical officers according to its requirements, and any fixed rule is liable to leave
a margin for some differences such as are noticeable in the figures given above.
For instance, at Howrah the total cost was Rs. 5,810. The daily average
number of patients treated was 58.53 in and 86.44 out. Reducing the out-
patients to in-patients the total daily average comes to 67. The Police Hospital
treated 88 in and no out patients. The total cost was Rs. 6,469, or Rs. 659
more than at Howrah, but the cost per capita at the former was less by a little
over Rs. 13 than at the latter, and yet it would be unreasonable to say that the
Police Hospital is more economically managed than the other. Uniformity
of cost can hardly be expected, but any abnormal variations in the cost of
the different hospitals certainly point to the absence of economy where they
occur.
54. Compounders and dressers. —The prescribed heading in statement V is
“Compounders, dressers, &c.” Diversity of practice, therefore, obtains in
showing the expenditure under this head. This was pointed out last year, and
the medical officers were asked to
furnish the cost exclusively incurred
for compounders and dressers. The
figures in the margin show the cost of
each institution. The cost varies
from Re. 1-15 at the Campbell
Hospital to Rs. 14-6-11 at the Mayo
Institutions, rising to the highest figure
of Rs. 16-13-4 at Howrah. At the
Dufferin Hospital it was Rs. 9-9-7, at the Medical College Hospital Rs. 5-1-8,
and at the Presidency General Hospital Rs. 2-9-2. The variations noticeable
in these figures may, to a certain extent, be attributed to the system of cal-
culation adopted, but the rates at the Mayo Institutions and Howrah Hospital
show that there is perhaps room for economy, and the attention of the Super-
intendents will be drawn to these figures.
55. Menial Servants. —The expenditure incurred solely for the menial
establishment has been taken into
account, and is shown in the margin.
At the Medical College and Howrah
Hospitals the cost varied within few
rupees. The figures for the Camp-
bell, Police, and Mayo Institutions
present little variations. The cost at
the Dufferin Hospital has a small
divisor, and the rate per head has
reached Rs. 33-3-10. The cost per head at the Presidency General Hospital was
the highest. In last year's report the
exceptional figures at this institution
were treated and accounted for, and I
have nothing more to add to the remarks
of my predecessor. As desired by
Government, the cost at the Medical
College, Eden, Eye, and Ezra Hospi-
tals is separately shown in the margin.
The figures for the Mayo Hospital
and its dependent institutions are also
-
-
given. Taking the Mayo Hospital itself the rate shows an increase as compared
with that of the Campbell Hospital, where it was Rs. 25-4-4. Of the Mayo branch
institutions, Sukea's Street Dispensary appears to be the most costly, and the
Superintendent will be asked to look into the subject and see if any reduction
is possible. The Ezra Hospital figures stand highest, but the explanation is
found in the fact that the cost is divided by a daily average of 15, which gives
Total cost. Rate pe r
Total cost. Rate per
capita.
Rs.
Rs A. P.
Medical College Hospital
... 2,064
5 1 8
Presidency General Hospital ....
489
2 9 2
Campbell Hospital
...
973
1 15 0
Police Hospital
...
360
4 1 5
Mayo Institutions
... 2,844
14 6 11
Dufferin Victoria Hospital
...
240
9 9 7
Howrah General Hospital
... 1,128
16 13 4
Total cost. Rate per
capita.
Rs.
Rs A. P.
Medical College Hospital
... 14,452
35 12 4
Presidency General Hospital ...
9,610
50 3 4
Campbell Hospital
... 12,686
2 5 4 4
Police Hospital
...
1,919
21 12 10
Mayo Institutions
...
4,608
23 6 3
Dufferin Victoria Hospital
...
831
33 3 10
Howrah General Hospital
...
2,676
39 15 0
T o t a l c o s t . R a t e
p e r c a p i t a .
Rs.
Rs. A. P.
Medical College Hospital
11,260
41 3 11
Eden Hospital
...
2,460
39 10 10
Eye Hospital
...
782
13 8 10
Ezra Hospital
...
876
68 6 4
Mayo Hospital
...
3,22S
31 6 5
Chandney Hospital
...
672 16 0 0
Park Street Dispensary
...
2 1 6 10 12 9
Chitpore Dispensary
...
204
12 12 0
Sukea's Street Dispensary
288
18 0 0