The Relationship between Cost System Functionality, Management Accounting Practices, and Hospital Performance

Kludacz-Alessandri, Magdalena

doi:10.2478/fman-2020-0017

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…Similar to previous studies (Kludacz-Alessandri, 2020;Krupička, 2021), the presence or absence of departmental cost accounting 9 alone does not lead to a significant difference in profitability even at the 10% significance level when the starting year is not considered. However, as far as the medical business profit margin is concerned, it does not seem to be completely ineffective in improving profitability.…”

Section: Discussionsupporting

confidence: 82%

“…However, both studies used the subjective financial performance of the questionnaire respondents as the dependent variable, and the relationship with objective financial performance, such as medical profit margin calculated from actual financial data, is unclear. The only studies that have examined whether management accounting methods affect the objective financial performance of hospitals are those by Jovanović et al (2019), Kludacz-Alessandri (2020), Krupička (2021), Fahlevi et al (2022), Sedevich-Fons (2023 and others.…”

Section: Literature Reviewmentioning

confidence: 99%

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Effectiveness and impact of management accounting in hospitals: Evaluation of the effectiveness of cost accounting and revenue budgeting

Ahmad,

Khan

2024

J. Infras. Policy. Dev.

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The goal of this research is to determine whether hospital financial performance is impacted by particular management accounting techniques, such as departmental revenue budgeting, specific costing, and departmental costing. We analyzed several sets of performance indicators for 146 hospitals whose management accounting adoption status is available. An outlier test was used to determine which data were outliers at the 0.1% significance level, and the results were then eliminated in order to see if any extremely outlier values (hospitals) were present for each indicator. To determine whether there were any noteworthy variations in the average values of the several performance measures, we employed a t-test (two-tailed probability). The results suggest that departmental revenue budgeting and departmental and specific costing improve hospital financial performance.

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Section: Discussionsupporting

confidence: 82%

Section: Literature Reviewmentioning

confidence: 99%

Effectiveness and impact of management accounting in hospitals: Evaluation of the effectiveness of cost accounting and revenue budgeting

Ahmad,

Khan

2024

J. Infras. Policy. Dev.

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“…Careful cost management is essential in order to maintain a balance between patient care and cost‐effective budgeting (Kolakowski, 2016). However, the degree of reliability and accuracy of cost prediction largely depends on costing methodology, which can impact resource allocation (Kludacz‐Alessandri, 2020; Tan et al., 2012). Nursing and financial leaders acknowledge that patients have variable care needs but have been sceptical of subjective measurement and hesitant to adjust staffing or staffing budgets (Garcia, 2017).…”

Section: Introductionmentioning

confidence: 99%

Critical care nursing service costs: Comparison of the top‐down versus bottom‐up micro‐costing approach in Brazil

et al. 2021

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Aim To estimate the nursing service costs using a top‐down micro‐costing approach and to compare it with a bottom‐up micro‐costing approach. Background Accurate data of nursing cost can contribute to reliable resource management. Method We employed a retrospective cohort design in an adult intensive care unit in São Paulo. A total of 286 patient records were included. Micro‐costing analysis was conducted in two stages: a top‐down approach, whereby nursing costs were allocated to patients through apportionment, and a bottom‐up approach, considering actual nursing care hours estimated by the Nursing Activities Score (NAS). Results The total mean cost by the top‐down approach was US$1,640.4 ± 1,484.2/patient. The bottom‐up approach based on a total mean NAS of 833 ± 776 points (equivalent to 200 ± 86 hr of nursing care) yielded a mean cost of US$1,487.2 ± 1,385.7/patient. In the 268 patients for whom the top‐down approach estimated higher costs than the bottom‐up approach, the total cost discrepancy was US$4,427.3, while for those costed higher based on NAS, the total discrepancy was US$436.9. The top‐down methodology overestimated costs for patients requiring lower intensity of care, while it underestimated costs for patients requiring higher intensity of care (NAS >100). Conclusions The top‐down approach may yield higher estimated ICU costs compared with a NAS‐based bottom‐up approach. Implications for nursing management These findings can contribute to an evidence‐based approach to budgeting through reliable costing methods based on actual nursing workload, and to efficient resource allocation and cost management.

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A Study on The Internal Determinants of Financial Sustainability Performance in Private Hospitals

Çavmak

2024

Selçuk Üniversitesi Sosyal Bilimler Meslek Yüksekokulu Dergisi

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Financial sustainability has been a significant goal across all sectors recently. It is also imperative to set financial sustainability as an objective to sustain operations in private hospitals that are pivotal within Türkiye’s health system. Literature highlights that the hospitals deliver services amidst significant financial challenges. The purpose of this study is to explore the internal factors related to financial sustainability performance in private hospitals, analyze the relationships between them, and develop recommendations based on the analysis. A quantitative, cross-sectional approach was employed in the research, utilizing a questionnaire to collect data. Seventy participants working in the administrative and financial departments of private hospitals from different cities were included. The data were analyzed by structural equation modeling. The study identified cost management practices, logistic performance, and marketing efforts as variables potentially related to financial sustainability performance. Correlation analysis indicated a significant, positive relationship between the variables and financial sustainability performance. Path analysis revealed that marketing efforts had the most significant impact on financial sustainability performance followed by cost management. Logistic performance had no significant influence within the model. The number of studies on healthcare sector considering financial sustainability and its’ possible determinants is highly limited. This study provides practical implications by examining this phenomenon with its’ potential internal determinants.

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The Relationship between Cost System Functionality, Management Accounting Practices, and Hospital Performance

Cited by 3 publications

References 31 publications

Effectiveness and impact of management accounting in hospitals: Evaluation of the effectiveness of cost accounting and revenue budgeting

Effectiveness and impact of management accounting in hospitals: Evaluation of the effectiveness of cost accounting and revenue budgeting

Critical care nursing service costs: Comparison of the top‐down versus bottom‐up micro‐costing approach in Brazil

A Study on The Internal Determinants of Financial Sustainability Performance in Private Hospitals

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