Determine of cost drivers in Activity Based Costing method of hospital services

Authors

  • Alipour, Vahid Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran
  • Farabi, Hero Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran
  • Hakimi, Narges Head of Affairs, Endocrine Research Center, Iran University of Medical Sciences, Tehran, Iran
  • Meshkani, Zahra Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran
  • Rezapour, Aziz Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
Abstract:

Determination of Cost Drivers through Activity Based Costing Method in Determination of Hospital Services Costs  Meshkani Zahra1, Reza Pour Aziz2, Alipour Vahid3, Farabi Hero1*, Mazdaki Alireza4, Hakimi Narges5 1. Ph.D. Student in Health Economics, Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran 2. Associate Professor, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran 3. Assistant Professor, Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran 4. Ph.D. Student of Policy and Policy Management, Director of Finance, Iran University of Medical Sciences, Tehran, Iran 5. Ph.D. Student of Financial Management, Head of Affairs, Endocrine Research Center, Iran University of Medical Sciences, Tehran, Iran *Correspondence: Health Management and Economics Research Center, Iran University of Medical Sciences, No. 6, Rashid Yasemi St. Vali –e Asr Ave, Tehran, Iran Tel: 009821 88671614                                              Email: [email protected] Abstract: Background & Objectives: Recently, Activity-based Costing method has been used instead of traditional method of cost calculation, especially in the health sector. In spite of its advantages, this method has some limitations such as cost driver selection, which, in the case of being selected incorrectly, it leads to errors in results. The purpose of this study was to select the most appropriate cost drivers in hospitals. Methods: This descriptive and qualitative study was done in one of the Educational hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. The allocated costs of IT, nutrition and cleaning units to the delivery, surgery, burn, dialysis, cardiovascular and eye wards were calculated based on the hospital financial data of 2016. Based on the searched data, cost drivers were identified and eventually, a panel of experts determined the most appropriate cost drivers. Results: The cost allocated by hospital the support units to the different wards varied based on different cost drivers. The appropriate cost drivers of nutrition, housing, and information technology units were the number of food portions, the square area and the number of active computers, respectively. Conclusion: Due to the impact of cost drivers on the correct estimation of the cost of services in the healthcare sector, selection of appropriate cost drivers for each sector should be made on the agenda of Health policymakers.   Key­words: Activity-based Costing, Cost drivers, Teaching Hospital, Costing   ­Citation: Meshkani Z, Reza Pour A, Farabi H, Alipour V, Mazdaki A, Hakimi N. Determination of Cost Drivers through Activity Based Costing Method in Determination of Hospital Services Costs. Journal of Health Based Research 2019; 5(1): 1-12. [In Persian]

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

applying activity based costing (abc) method to calculate cost price in hospital and remedy services

background: activity based costing (abc) is one of the new methods began appearing as a costing methodol­ogy in the 1990's. it calculates cost price by determining the usage of resources. in this study, abc method was used for calculating cost price of remedial services in hospitals. methods: to apply abc method, shahid faghihi hospital was selected. first, hospital units were divided into thre...

full text

Applying Activity Based Costing (ABC) Method to Calculate Cost Price in Hospital and Remedy Services

BACKGROUND Activity Based Costing (ABC) is one of the new methods began appearing as a costing methodology in the 1990's. It calculates cost price by determining the usage of resources. In this study, ABC method was used for calculating cost price of remedial services in hospitals. METHODS To apply ABC method, Shahid Faghihi Hospital was selected. First, hospital units were divided into three...

full text

Estimating of Cost Price of Services at Neonatal Intensive Care Unit by Activity-based Costing

Introduction: One of the objectives of each system is cost of management and costing to help the organizations to provide high quality goods and services at a competitive environment. The present study was done to computing of cost price of hospital services at the NICU section of according to activity-based costing (ABC) method. Methods: This is a cross-sectional study. The costing of hospital...

full text

Analysis of the current costing process based on activity-based costing in Lamerd Valiyeasr Hospital

Introduction: Activity-based costing system is one of the new systems of costing price of products and services for providing the required information for managers. It helps the users with correct and appropriate deciesions. The present study aims at determining the costing price of the services based on activity costing method in Lamerd Valiyeasr Hospital. Methods: The present study is a cr...

full text

cost analysis of mri services in iran: an application of activity based costing technique

background considerable development of mri technology in diagnostic imaging, high cost of mri technology and controversial issues concerning official charges (tariffs) have been the main motivations to define and implement this study. objectives the present study aimed to calculate the unit-cost of mri services using activity-based costing (abc) as a modern cost accounting system and to fairly ...

full text

Improving activity-based costing heuristics by higher-level cost drivers

Activity-based costing (ABC) tries to allocate overhead costs to cost objects more accurately than traditional cost systems. However, since ABC proportionalizes overhead costs it is a heuristic. The paper uses simulations and mixedinteger programming to analyze the extent of the sub-optimality incurred by ABC-heuristics. While previous research has focused on ABC systems with a simple set of co...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 5  issue 1

pages  1- 12

publication date 2019-05

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

No Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023