Linking Cost Control to Cost Management in Healthcare Services

Abstract

The issue of healthcare costs has become increasingly problematic over the years. This chapter summarizes the problems faced by hospitals when measuring the costs of healthcare treatments, explaining how an Activity-Based Costing (ABC) framework can be successfully adopted in healthcare settings. After describing the theoretical foundations of cost control and cost management, the chapter continues with the analysis of three real-life applications of ABC in a hospital, drawn from the process analysis and activity-based costing experience developed at the Azienda Ospedaliero-Universitaria “Ospedali Riuniti” (Joint Hospitals) of Trieste, Italy. In particular, the cases are about cost measurement in cardiology, odontostomatology, and radiology, and describe the technical solutions applied for computing the costs of selected therapeutic and diagnostic treatments. A particular emphasis is placed on how these measures have been subsequently used by hospital managers and medical personnel in order to gain insights and to improve the efficiency of the processes developed within the organization.

Cutaneous melanoma: cost of illness under Brazilian health system perspectives

“…Since outputs, not inputs, should measure the health value chain, patients’ health outcomes are what matter, not the volume of services delivered. Comparatively, outcomes and costs are not independent in the healthcare system [ 50 , 51 ], and the available health resources are limited.…”