Economics of General Practice

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A balanced view for an aspiring General Practitioner to think about the economics of his practice

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Economics of General Practice

  1. 1. ECONOMICS of GENERAL PRACTICE<br />DR.AVINASHBHONDWE<br />
  2. 2. CLINIC SPACE<br />200-300 Sq. Ft<br />Purchase 5000/- to 10,000/- per SqFt<br />Interest at 12% p.a.<br />Rent : Installment : 5000/- to 30,000/- per month<br />Up to Rs. 30/- per Patient in 40 patients a day <br />
  3. 3. STATIONARY<br />Prescription Pads<br />Certificates<br />Bills & Receipts<br />Referral pads<br />Dispensing Packets<br />Files<br />Average Expenses- <br /> Rs. 1000/- per Month<br />Rs. 1/- per Patient<br />
  4. 4. RECORD KEEPING<br />Case Papers<br />Accounts Printing Charges Rs. 1/- per<br />Files page<br />Maintenance of records- Files<br />Computers<br />Printers, UPS, Inverters<br />Software<br />Electricity<br />Average Rs. 2000/- per Month<br />Rs. 2/- per patient<br />
  5. 5. Equipments & Maintenance<br />Stethoscope<br />Weighing Scale<br />BP Apparatus<br />Torches, Cells<br />Glucometer<br />Nebuliser<br />ECG<br />Surgical Instruments<br />If Rs. 1,00,000/- initially<br />Rs. 20000/- per year & 1667/- per Month<br />Rs.1.67 per patient<br />
  6. 6. STAFF SALARIES<br />Minimum Rs.5000/- per staff<br />More the patients more the staff<br />Advertisements<br />Bonus<br />Gifts<br />Min. Rs. 5/- per staff <br /> per every patient seen<br />
  7. 7. MEDICINES PURCHASE<br />Min. purchase Rs. 5000/- <br />per month<br />More the patients <br /> more the expenses<br />Rs. 10/- per patient <br />
  8. 8. INVESTIGATIONS & LAB<br />Collection Charges- Rs. 5 per sample<br />Cleaning<br />Communications<br />
  9. 9. TAXES & DUTIES<br />Society Maintenance- 2000/-<br />Municipal Tax- 4000/-<br />Professional Tax- 2500/-<br />Shop Act- 3000/-<br />Biomedical Waste- 2000/-<br />Income Tax- 40000/-<br />Insurance- Vehicles, Indemnity, Accident, LIC Rs.25000<br />Total 78,500/- per year; Rs. 6500 per month<br />Rs. 6.50 per patient<br />Pay Taxes & Be a Good Citizen<br />
  10. 10. DONATIONS & CONTRIBUTIONS<br />Professional Organizations- IMA,GPA<br />Festivals: Ganpati,Holi, Gokulashtami<br />Mandirs- Renovations<br />Trusts & Social Cause<br />Rs. 10,000/- per year<br /> Rs. 833/- per month<br /> Rs.8.33 per patient<br />
  11. 11. SELF EDUCATION <br />CME<br />Conferences<br />Books<br />Medical Magazines<br />CDs<br />Rs. 15000/- per year<br />Rs.1250/- per month<br />Rs. 1.25 per patient<br />
  12. 12. TRAVEL<br />To & fro Daily<br />Visits<br />Vehicle- interest, <br /> Maintenance, Petrol,<br /> PUC, Insurance<br />Rikshaw, Bus<br />Rs. 5000/per month<br />Rs.5/- per patient<br />
  13. 13. ELECTRICITY & Water<br />Electricity- Rs. 500/- to 1000/- per month<br />Water- Rs. 500/- per month<br />Rs. 1.50 per patient<br />
  14. 14. CLEANING & SANITATION<br />Cleaning of Clinic<br />Sweeper<br />Maintenance- Dustbins,<br /> Bags, Phenyle, Soaps, <br />Brooms,Dusters<br />Plumber<br />Avg Rs. 1200/- per month<br />Rs. 1.20 per patient<br />
  15. 15. ENTERTAINMENT<br />Tea –Coffee <br />Lunch<br />Newspapers, <br />Magazines<br />Avg Rs. 3000/- mth<br />Rs.3/- per patient<br />
  16. 16.
  17. 17. CONSULTATION FEES<br />YOUR FEES SHOULD BE MORE THAN THE EXPENSES INCURRED<br />DON’T GO BY NEAR BY COMPETITORS RATES<br />PROFESSION DOES NOT MEAN SOCIAL SERVICE<br />
  18. 18. ACCOUNTS<br />KEEP BOOKS OF ACCOUNTS FROM DAY 1<br />KEEP ALL PAYMENTS BY CHEQUES<br />KEEP A FILE FOR EXPENSES<br />KEEP A DAILY REGISTER OF PATIENTS SEEN WITH FEES COLLECTED<br />TAKE A REVIEW EVERY MONTH<br />TRY TO ANALYSE THE PROFITABILITY<br />REVISE YOUR CHARGES AS PER INFLATION<br />

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