Volume 18, Issue 2 (8-2019)
jhosp 2019, 18(2): 75-90 |
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Shaarbafchi zade N, jabbari A, hashemian M. Comparing the costs of radiology and CT-scan services in two hospitals affiliated to Isfahan University of Medical Sciences with approved tariffs and studying resource capacity using Time- Driven Activity Based Costing (TDABC) Method. jhosp 2019; 18 (2) :75-90
URL: http://jhosp.tums.ac.ir/article-1-6119-en.html
URL: http://jhosp.tums.ac.ir/article-1-6119-en.html
1- Assistant Professor, Health Care Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Iran
2- MSc, Health Care Management, School of Management and Medical Information, Isfahan University of Medical Silences, Iran. (*Corresponding Author( Email: Mehr.hashemian@ yahoo.com
2- MSc, Health Care Management, School of Management and Medical Information, Isfahan University of Medical Silences, Iran. (*Corresponding Author( Email: Mehr.hashemian@ yahoo.com
Abstract: (24687 Views)
Background: Calculating the cost of services enables the existing resources to be used in the most efficient and effective way possible. Time- Driven Activity Based Costing is a method that, in addition to costing, also calculates the efficiency and unused capacity of resources. The purpose of this study was to use this method to calculate the costs of radiology and CT scans services in two hospitals.
Materials & Methods: The present cross-sectional and retrospective research was done in a descriptive-analytic manner in two hospitals affiliated to Isfahan University of Medical Sciences in 2018. Data were collected in designed Excel forms, and costs of services were calculated using Time- Driven Activity-Based Costing (TDABC) method.
Results: The cost of most radiology services and total CT scan services in the government sector was more than that of the private sector. The unused capacity of resources in the public sector was more than private sector. The time spent for providing the services in the two hospitals was the same except for the technician's career. The average cost of radiology services was 223324 in hospital (A), and 194094 Rials in hospital (B). The average cost of the CT scan services was 600522 in hospital (A), and 485230 Rials in hospital (B).
Conclusion: According to the findings of the study, the need for human resources management to reduce unused capacity and increase efficiency, as well as improving service delivery processes in order to reduce the time required to provide services seems necessary. Replacing low-cost resources is another solution that is effective in reducing costs. The standards of the most efficient centers of health services are often worth the benchmarking.
Materials & Methods: The present cross-sectional and retrospective research was done in a descriptive-analytic manner in two hospitals affiliated to Isfahan University of Medical Sciences in 2018. Data were collected in designed Excel forms, and costs of services were calculated using Time- Driven Activity-Based Costing (TDABC) method.
Results: The cost of most radiology services and total CT scan services in the government sector was more than that of the private sector. The unused capacity of resources in the public sector was more than private sector. The time spent for providing the services in the two hospitals was the same except for the technician's career. The average cost of radiology services was 223324 in hospital (A), and 194094 Rials in hospital (B). The average cost of the CT scan services was 600522 in hospital (A), and 485230 Rials in hospital (B).
Conclusion: According to the findings of the study, the need for human resources management to reduce unused capacity and increase efficiency, as well as improving service delivery processes in order to reduce the time required to provide services seems necessary. Replacing low-cost resources is another solution that is effective in reducing costs. The standards of the most efficient centers of health services are often worth the benchmarking.
Keywords: Cost Measure, Time- Driven Activity Based Costing (TDABC), Radiology department, Computed Tomography Scan Department
Type of Study: Original Article |
Subject:
مدیریت مالی و اقتصاد در بیمارستان
Received: 2019/02/5 | Accepted: 2019/07/11 | Published: 2019/09/7
Received: 2019/02/5 | Accepted: 2019/07/11 | Published: 2019/09/7
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