Identifying Dimensions of hospital cost management in Iranusing structural equation modeling
Keywords:
Hospital, Cost, management.Abstract
Aim: Hospitals as the most important providers of healthcare services around the world, are facing a wide range of duty and cost of services. This article aimed to identifying the key dimensions affecting in the cost management of Iran hospitals.
Methods: This descriptive study was performed in two qualitative and quantitative stages. First factors influencing hospital cost management were extracted through literature and interview with 20 experts in the field of hospital governance and proposed model was designed. Then a questionnaire was developed and data was collected from 207 experts in the staff-and-line sector of Tehran University of medical sciences. The research model was analyzed using exploratory and confirmatory factor analysis in SPSS22 and Lisrel software.
Results: Five dimensions influencing hospital cost management were identified. Human resource management and consumption resource management with factor of 0.88 and 0.71 had the most and least significant efforts on hospital cost management.
Conclusions:This finding revealed that, for optimal hospital cost management, while considering all five factors, human resource management should be emphasized.
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References
Banker R.D., Bardhan I.R. and Chen T.Y. His role of manufacturing practices in mediating the impact of activity-based costing on plant performance. Accounting, Organizations and society.2008; 33(1): 1-19.
Cooper Z, Craig S, Gaynor M, Van Reenen J. Hospital Prices and the Privately Insured. National Bureau of Economic Research working paper 21815.2015.
Esfahani, p., Mosadeghrad, A.M., Akbari, A.B. the success of strategic planning in health care organizations of Iran. International Journal of Health Care Quality Assurance 2018; 31: 563-574.
Esmalifalak, H., Albin, M.S., Behzadpoor, M., (2015), Health Policy and technology, ELSEVIER.2015; 4: 58-67.
Fenaroli, P., George, M.j., Fenaroli, P.J., (1987), cost management for hospitals, Aspen Publishers1987: 203-208.
Gapenski L.C. and Reiter K.L. Healthcare Finance: An Introduction to Accounting and Financial Management (six Ed.). Chicago: Health Administration Press.2016.
Horngren CT, Foster G, Datar SM, Rajan M, Ittner C, & Baldwin AA (2010). Cost accounting: A managerial emphasis. Issues in Accounting Education.2010; 25(4): 789–790. Ittner C.D., Larcker D.F., and Meyer M.W. Subjectivity and the weighting of performance measures: Evidence from a balanced scorecard. The Accounting Review.2003; 78(3): 725– 758.
Kaplan R.S., and Anderson S.R. Time-driven activity-based costing. Harv Bus Rev, November.2004: 131–138.
Kaplan R.S., and Cooper R. Cost & Effect: Using Integrated Cost Systems to Drive Profitability and Performance: Harvard Business Press.1998.
Kaplan RS, & Porter ME. The big idea: How to solve the cost crisis in health care. Harvard Business Review.2011: 89(9): 46–52.
Khadka, D.k. and Chaulagain, N. Factors Influencing job satisfaction among healthcare professionals at tilganga eye center, International journal of scientific and technology research,2012; 1(11): 32-36.
Lawson R.A. The use of activity based costing in the healthcare industry: 1994 vs. 2004. Research in healthcare financial management.2005; 10(1): 77–95.
Manrai L.A., Manrai A.K., Friedeborn S. Environmental determinates of destination competitiveness, Journal of economics finance and administrative science.2018:425-449.
McGowan A.S. andKlammer T.P. Satisfaction with activity-based cost management implementation. Journal of management accounting research.1997; 9: 217–237.
McGowan A.S. Perceived benefits of ABCM implementation. Accounting horizons, 1998;12(1): 31-38.
McKenzie J. Activity-based costing for beginners. Magazine for Chartered Management Accountants.1999; 77(3): 56–58.
Moisello AM (2012). ABC: Evolution, problems of implementation and organizational variables. American Journal of Industrial and Business Management.2012; 2: 55–63.
Mosadeghrad, A.M., Ferlie,E., Rosenberg, D. Study of relationship between job stress, quality of working life and turnover intention among hospital employees, Health Serv Manage Res 2011; 24(4):170-81.
Namazi M. Performance-focused ABC: A third generation of activity-based costing system. Cost management.2009; 23(5):34–47.
Nouri M.A. and Hasson A.M. performance focused activity based costing (PFABC) and its role in measuring product costs.2020;16(49): 123 – 137.
Ostadi, B., Mokhtarian., R., Sepehri, M.M. (2018), A Comparison modeling of fuzzy logic and time-driven activity-based costing (TDABC) for hospital services costing under uncertainty, Journal of Biomedical information.2018.
Paulus A, Van Raak A, and Keijzer F. Core articles: ABC: The pathway to comparison of the costs of integrated care. Public Money and Management.2002; 22(3): 25–32.
Reid, G.C. and Smith, J.A. (2000), the impact of contingencies on management accounting system development, accounting information systems.2000; 11(4):427-450.
Saffel M.D., Jeffry R., Cochran A. Telemedicine evaluation of acute burns is accurate and cost-effective, the journal of TRUMA injury. 2009; 67(2):358-365.
Sarkolaei M.A., Bahreini, M., Bezenjani F. Fuzzy performance focused activity based costing.2013; 75(3): 346-352.
Shwartz, M. and Young, D.w. the ratio of costs to charges: How good a basis for estimating costs.1995.
Swenson D. The benefits of activity-based cost management to the manufacturing industry. Journal of management accounting research.1995; 7: 167-171.
Turney PB (2010). Activity based costing: An emerging foundation for performance management. Cost management.2010: 24(4): 33–43.
Velmurugan M.S. The success and failure of activity-based costing systems. Journal of Performance Management.2010; 23(2): 1–32.
Watkins, A.L. Hospital financial ratio classification patterns revised, Journal of Accounting and public policy.2000; 19(1): 73-95.
Zimmerman, J.L. Conjectures regrading empirical managerial accounting research. Journal of Accounting and economics.2001. 32(3), P: 411-427.
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