26
REPORT ON THE
was also invested. This matter will be dealt with in my remarks on this hospital.
The proportion of Government contri
-bution is shown in the margin. The
Dufferin Victoria Hospital shows a
larger percentage, but this was antic
i-pated, and referred to in my last
year's report. The figures for the
other hospitals do not show any
great variations.
51. In paragraph 52 of my report for last year, I pointed out the system
which was followed in calculating the cost per patient under the different
headings of expenditure in the several hospitals during 1894. The same
system will be adopted in working out the incidence of cost per capita in
1895, that is, 10 out-patients will be regarded as equivalent to 1 in-patient.
I would mention here that in Government letter No. 571 Medical, dated the
13th February 1896, I have been asked, with reference to paragraph 38 of the
note by the Surgeon-General with the Government of India on hospitals and
dispensaries for 1894, to deal in this report with the relative costliness of
Calcutta hospitals. It will be seen, however, that that officer remarked that
the dispensaries in the North-Western Provinces and Oudh, the Punjab and the
Central Provinces are worked much more economically than those in Bengal.
His remarks apparently refer to mufassal dispensaries, as there are no institu
-tions in those Provinces equal in importance to the large Calcutta hospitals.
I will therefore follow the plan of report of last year.
52. Superior Establishment.—The table in the margin shows the cost
under this head in 1895,
worked out in accordance
with the principle of calcu
-lation stated above. Some
explanation seems neces
-sary as to the cost shown
in this Special Statement
against the Medical College,
Presidency General and
Campbell Hospitals. The
Professors of the Medical
College have to do the
College, the hospital, and
the Presidency duties.
The figures for this institu-
tion therefore include one-
third of their pay, which should properly fall on the hospital, plus the
amount shown in Statement V, Part I, in Appendix A, which represents the
pay of the medical officers borne on the hospital establishment. The cost in
the Presidency General Hospital is shown to be Rs. 33,836. This does not
agree with that shown in the statement referred to above. The amount has
been arrived at as follows:—Half of the Superintendent's pay has been taken
as a debit against the hospital, and the other half against his Presidency duties.
Further, as the First and Second Resident Surgeons of this hospital hold
additional charge of the Presidency Jail and the Dullunda and Bhowanipur
Asylums respectively, Rs. 250 of their pay have been taken as a debit against
these institutions, and the remainder as a charge falling on the hospital. The
figures for the Campbell Hospital include half of the pay of the teachers
who have also hospital duties, plus the cost shown in the prescribed return.
My predecessor, Dr. Harvey, observed that a fair and equitable comparison
of cost was not possible under the varying conditions and circumstances of
each hospital. He, however, indicated the above proportions in which the cost
should, for purposes of comparison, be debited against the different charges
held by the medical officers, the object being to bring about a uniformity,
or at least some approach to uniformity, in the incidence of cost per patient
in the different hospitals. The division of cost stated above seems to me to
be fair.
1894. 1895.
Medical College Hospital
83.11
82.72
Presidency General Hospital
49.99 47.69
Campbell Hospital
65.19 66.55
Police Hospital
99.64 99.48
Mayo Institutions
61.95 62.05
Howrah General Hospital
20.10 17.70
Dufferin Victoria Hospital
5.68 12.46
INSTITUTIONS.
Number
daily
treated.
Pay of
superior
establish-
ment.
Rate per
capita.
RS.
RS. A. P.
Medical College Hospital
411
63,220
153 13 1
Presidency General Hospital
200*
33,836
169 2 10
Campbell Hospital
469*
21,254
45 5 1
Police Hospital
99†
6,240
63 0 5
Mayo Institutions
193
24,206
125 6 8
Dufferin Victoria Hospital
38
6,150
161 13 5
Howrah Hospital
77
6,060
78 11 2
*Includes the daily average of patients returned under "no
appreciable diseases."
† Includes the daily average of Burma Military Police Force a n d m a l i n g e r e r s .