Volume 17, Issue 4 (2-2019)                   jhosp 2019, 17(4): 81-90 | Back to browse issues page

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pourreza A, Ahmadi B, Sadeghifar J, Mohammadi M, Veysi M. Assessing the Actual Cost of Femoral and Forearm Fracture Surgery Using Activity-Based Costing Approach. jhosp. 2019; 17 (4) :81-90
URL: http://jhosp.tums.ac.ir/article-1-6039-en.html
1- Professor, Department of Health Education and Health promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Associate Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Department of Public Health, Faculty of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, Iran
4- MSc Student of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5- Ph.D Student in Health Economics, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, (*Corresponding author), Email: Mveysi1370@gmail.com
Abstract:   (1909 Views)
Background: Femoral fracture surgery is one of the most common and expensive surgical procedures and forearm fracture surgery is common performed by Ilam Imam Khomeini Therapeutic Center. This study conducted to analyze the difference in actual cost and global surgery tariffs in this hospital.Also, the related factors acutal cost of mentioned surgery were identified.
 
Materials and Methods: This cross-sectional and descriptive study was conducted on factors related to the actual costs of femoral and forearm fractures. The Activity-Based Costing approach identifies the related cost  associated with these surgeries in through six steps. Data analysis was performed using Excel 2016 software.
 
Results: The  avarage actual cost of the femur fracturs , the code 2 forearm and  the code 1 forearm were 953 thousand and 700 tomans, 444 thousand and 400 tomans and 337 thousand and 800 tomans , respectively. The actual cost of surgery for femoral fracture per unit surgery was 406,000 and 400 tomans lower than the Ministry of Health's tariff. But ,the real cost of the code 2 forearm was 33 thousand tomans higher, as well as the code 1 forearm 20 thousand tomans higher than the global tariff.
 
Conclusion: Overall,  there are significant differences between hospital costs and the Ministry of Health's global tariff. That can be corrected by improving the hospital's performance, as well as carefully examining the cost of global surgical procedures for amending the system of tariff regulation and make the actual amount closer to the tariff level.
 
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Type of Study: Original Article | Subject: مدیریت مالی و اقتصاد در بیمارستان
Received: 2018/08/11 | Accepted: 2019/02/24 | Published: 2019/03/7

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