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Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach
BACKGROUND: Present trends in hospital management are facilitating the utilization of more accurate costing methods, which potentially results in superior cost-related information and improved managerial decision-making. However, the Activity-Based Costing method (ABC), which was designed for cost a...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Center of Science and Education
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954901/ https://www.ncbi.nlm.nih.gov/pubmed/26755477 http://dx.doi.org/10.5539/gjhs.v8n6p234 |
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author | Papadaki, Šárka Popesko, Boris |
author_facet | Papadaki, Šárka Popesko, Boris |
author_sort | Papadaki, Šárka |
collection | PubMed |
description | BACKGROUND: Present trends in hospital management are facilitating the utilization of more accurate costing methods, which potentially results in superior cost-related information and improved managerial decision-making. However, the Activity-Based Costing method (ABC), which was designed for cost allocation purposes in the 1980s, is not widely used by healthcare organizations. This study analyzes costs related to selected categories of patients, those suffering from psoriasis, varicose ulcers, eczema and other conditions, within a dermatology department at a Czech regional hospital. METHODS: The study was conducted in a hospital department where both inpatient and outpatient care are offered. Firstly, the diseases treated at the department were identified. Further costs were determined for each activity using ABC. The study utilized data from managerial and financial accounting, as well as data obtained through interviews with departmental staff. Using a defined cost-allocation procedure makes it possible to determine the cost of an individual patient with a given disease more accurately than via traditional costing procedures. RESULTS: The cost analysis focused on the differences between the costs related to individual patients within the selected diagnoses, variations between inpatient and outpatient treatments and the costs of activities performed by the dermatology department. Furthermore, comparing the costs identified through this approach and the revenue stemming from the health insurance system is an option. CONCLUSIONS: Activity-Based Costing is more accurate and relevant than the traditional costing method. The outputs of ABC provide an abundance of additional information for managers. The benefits of this research lie in its practically-tested outputs, resulting from calculating the costs of hospitalization, which could prove invaluable to persons involved in hospital management and decision-making. The study also defines the managerial implications of the performed cost analysis for the hospital management. Based on the analysis results, it is possible to standardize activities and performance appraisal (Benchmarking), and provide all necessary information for hospital budgeting practices, especially Activity-Based Budgeting (ABB). |
format | Online Article Text |
id | pubmed-4954901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Canadian Center of Science and Education |
record_format | MEDLINE/PubMed |
spelling | pubmed-49549012016-07-21 Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach Papadaki, Šárka Popesko, Boris Glob J Health Sci Article BACKGROUND: Present trends in hospital management are facilitating the utilization of more accurate costing methods, which potentially results in superior cost-related information and improved managerial decision-making. However, the Activity-Based Costing method (ABC), which was designed for cost allocation purposes in the 1980s, is not widely used by healthcare organizations. This study analyzes costs related to selected categories of patients, those suffering from psoriasis, varicose ulcers, eczema and other conditions, within a dermatology department at a Czech regional hospital. METHODS: The study was conducted in a hospital department where both inpatient and outpatient care are offered. Firstly, the diseases treated at the department were identified. Further costs were determined for each activity using ABC. The study utilized data from managerial and financial accounting, as well as data obtained through interviews with departmental staff. Using a defined cost-allocation procedure makes it possible to determine the cost of an individual patient with a given disease more accurately than via traditional costing procedures. RESULTS: The cost analysis focused on the differences between the costs related to individual patients within the selected diagnoses, variations between inpatient and outpatient treatments and the costs of activities performed by the dermatology department. Furthermore, comparing the costs identified through this approach and the revenue stemming from the health insurance system is an option. CONCLUSIONS: Activity-Based Costing is more accurate and relevant than the traditional costing method. The outputs of ABC provide an abundance of additional information for managers. The benefits of this research lie in its practically-tested outputs, resulting from calculating the costs of hospitalization, which could prove invaluable to persons involved in hospital management and decision-making. The study also defines the managerial implications of the performed cost analysis for the hospital management. Based on the analysis results, it is possible to standardize activities and performance appraisal (Benchmarking), and provide all necessary information for hospital budgeting practices, especially Activity-Based Budgeting (ABB). Canadian Center of Science and Education 2016-06 2015-11-17 /pmc/articles/PMC4954901/ /pubmed/26755477 http://dx.doi.org/10.5539/gjhs.v8n6p234 Text en Copyright: © Canadian Center of Science and Education http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/). |
spellingShingle | Article Papadaki, Šárka Popesko, Boris Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach |
title | Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach |
title_full | Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach |
title_fullStr | Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach |
title_full_unstemmed | Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach |
title_short | Cost Analysis of Selected Patient Categories within a Dermatology Department Using an ABC Approach |
title_sort | cost analysis of selected patient categories within a dermatology department using an abc approach |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954901/ https://www.ncbi.nlm.nih.gov/pubmed/26755477 http://dx.doi.org/10.5539/gjhs.v8n6p234 |
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