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Development of an alternative method of cost accounting for objectively estimating the indirect cost of each department and practice in hospitals.

Research Project

Project/Area Number 16390147
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionNiigata University

Principal Investigator

AKAZAWA Kohei  Niigata University, Medical and Dental Hospital, Professor, 医歯学総合病院, 教授 (10175771)

Co-Investigator(Kenkyū-buntansha) TOYABE Shin-ichi  Niigata University, Medical and Dental Hospital, Associate Professor, 医歯学総合病院, 助教授 (20227648)
Project Period (FY) 2004 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥7,600,000 (Direct Cost: ¥7,600,000)
Fiscal Year 2005: ¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 2004: ¥5,100,000 (Direct Cost: ¥5,100,000)
KeywordsCost accounting system / data collection / activity-based costing / cost driver reduction / cost accuracy / Hospital administration / Account / Finance
Research Abstract

【Objectives】
Activity Based Costing (ABC) is widely used to precisely allocate indirect costs to medical services in each department of a hospital. In the ABC method, the indirect cost in a department is divided among the medical services in proportion to the volume of "cost drivers", for example, labor hours and the number of hours of surgery. However, the workload of data collection of cost drivers can be time-consuming and a considerable burden if there are many cost drivers. The authors aim to develop a method for objectively reducing the cost drivers used in the ABC method.
【Methods】
In the allocation of the total indirect cost belonging to activities, cost drivers are used to determine the amount of cost invested with medical services (cost objects). A cost driver is assigned for each activity. We assume that activities and cost drivers used in ABC method is the best combination. Our method, that is, cost driver reduction (CDR), can objectively select surrogates of the cost drivers … More for each activity in ABC, from candidate cost drivers. Concretely, the total indirect cost of an activity is temporarily allocated to the cost objects using each candidate of cost drivers. The difference between the costs calculated by each candidate and the proper cost driver used in ABC is calculated to evaluate the similarity by the evaluation function. To illustrate the procedure of the CDR, we performed actual cost accounting of indirect cost allocation for laboratory tests.
【Results】
We estimated the cost of laboratory tests using our method, and revealed that the number of cost drivers could be reduced from seven in the ABC to four. Similarly, the results of cost estimation obtained by our method were as accurate as those calculated using the ABC.
Conclusions : Our method provides two advantages compared to the ABC method : (1)it provides results that are as accurate as those of the ABC method, and (2)it is simpler to perform complicated estimation of hospital costs. Once we reduce the number of cost drivers by applying our method to the data for the ABC method, we can easily perform data collection and cost accounting using fewer cost drivers after the second time of costing. Less

Report

(3 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • Research Products

    (24 results)

All 2006 2005 2004 Other

All Journal Article (21 results) Book (1 results) Patent(Industrial Property Rights) (2 results)

  • [Journal Article] Development of a practical costing method for hospitals.2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      The Tohoku Journal of Experimental Medicine 208・3

      Pages: 213-224

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Profit and Loss Analysis for an Intensive Care Unit (ICU) in Japan : A Tool for Strategic Management.2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      BMC health services research 6・1(online)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A modified method of activity based costing for objectively reducing cost drivers in hospitals. (コスト按分指標の縮約を目的とした病院コスト計算法の開発)2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      Methods of Information in Medicine (in press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 病院情報システムの導入による病院経費の変動2006

    • Author(s)
      阿部寿和
    • Journal Title

      診療録管理 17・3

      Pages: 33-38

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Development of a practical costing method for hospitals.2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      The Tohoku Journal of Experimental Medicine. 208・3

      Pages: 213-224

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Profit and Loss Analysis for an Intensive Care Unit (ICU) in Japan : A Tool for Strategic Management.2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      BMC health services research. 6・1(online)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A modified method of activity based costing for objectively reducing cost drivers in hospitals.2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      Methods of Information in Medicine. (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Variation of hospital cost by introduction of hospital information system.2006

    • Author(s)
      Abe Toshikazu
    • Journal Title

      Medical Record Administration. 17・3

      Pages: 33-38

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Profit and Loss Analysis for an Intensive Care Unit (ICU) in Japan : A Tool for Strategic Management.2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      BMC health services research

    • Related Report
      2005 Annual Research Report
  • [Journal Article] A modified method of activity based costing for objectively reducing cost drivers in hospitals.(コスト按分指標の縮約を目的とした病院コスト計算法の開発)2006

    • Author(s)
      Cao Pengyu
    • Journal Title

      Methods of Information in Medicine (in press)

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Development of a simulation program for hospital income under the prospective payment system.2005

    • Author(s)
      Abe Toshikazu
    • Journal Title

      Computer Methods and Programs in Biomedicine 80

      Pages: 271-276

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Impact of Sociocultural Factors on Hospital Length of Stay in Children with Nephrotic Syndrome in Japan.2005

    • Author(s)
      Toyabe Shin-ichi
    • Journal Title

      Health Policy, Available online 18 July (in press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Actual and estimated costs of disposable materials used during surgical procedures.2005

    • Author(s)
      Toyabe Shin-ichi
    • Journal Title

      Health Policy 73

      Pages: 52-57

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Development of a simulation program for hospital income under the prospective payment system.2005

    • Author(s)
      Abe Toshikazu
    • Journal Title

      Computer Methods and Programs in Biomedicine. 80

      Pages: 271-276

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Actual and estimated costs of disposable materials used during surgical procedures.2005

    • Author(s)
      Toyabe Shin-ichi
    • Journal Title

      Health Policy. 73

      Pages: 52-57

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Development and evaluation of a teleradiology and videoconferencing system2004

    • Author(s)
      Kaidu M et al.
    • Journal Title

      J Telemed Telecare 10(4)

      Pages: 214-8

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Web-based delivery of medical multimedia contents using an MPEG-4 system2004

    • Author(s)
      Yamakawa T, et al.
    • Journal Title

      Computer Methods and Programs in Biomedicine 75(3)

      Pages: 259-264

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 病院の実データに基づくActivity Based Costing(ABC)コスト計算方法の検証2004

    • Author(s)
      曹鵬宇 他
    • Journal Title

      第24回医療情報学連合大会論文集 24巻

    • Related Report
      2004 Annual Research Report
  • [Journal Article] MPEG digital compression and analogue videotape : a comparison of moving images and electroencephalogram data2004

    • Author(s)
      Akazawa K.et al.
    • Journal Title

      Medical Informatics and the Internet Medicine 29(1)

      Pages: 57-63

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Circannual variation in the onset and relapse of steroid-sensitive nephrotic syndrome

    • Author(s)
      Toyabe S. et al.
    • Journal Title

      Pediatric Nephrology (in press)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Actual and estimated costs of disposable materials used during surgical procedures

    • Author(s)
      Toyabe S et al.
    • Journal Title

      Health Policy (in press)

    • Related Report
      2004 Annual Research Report
  • [Book] 医療情報(医療情報システム編)2004

    • Author(s)
      赤澤宏平
    • Publisher
      篠原出版新社
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Patent(Industrial Property Rights)] 間接費按分プログラム2005

    • Inventor(s)
      赤澤宏平
    • Industrial Property Rights Holder
      赤澤宏平
    • Filing Date
      2005-05-23
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Patent(Industrial Property Rights)] 間接費按分プログラム2005

    • Inventor(s)
      赤澤宏平
    • Industrial Property Rights Holder
      赤澤宏平
    • Filing Date
      2005-05-23
    • Related Report
      2005 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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