Volume 24, Issue 3 (10-2021)                   jha 2021, 24(3): 22-31 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Houman K, Nabilou B, Yusefzadeh H. Determining the cost of MRI using the step-down method: A case study. jha 2021; 24 (3) :22-31
URL: http://jha.iums.ac.ir/article-1-3733-en.html
1- MSc, School of Health, Urmia University of Medical Sciences, Urmia, Iran.
2- Associate Professor, School of Health, Urmia University of Medical Sciences, Urmia, Iran.
3- Associate Professor, School of Health, Urmia University of Medical Sciences, Urmia, Iran. , hyusefzade2010@gmail.com
Abstract:   (2087 Views)
Introduction: The MRI is one of the most expensive departments in hospitals due to high number of referrals and use of advanced equipment and diagnostic devices. The purpose of this study was to calculate the cost of services of this unit at Imam Reza Hospital and compare it with the tariffs for their  correct pricing.
Methods: In this descriptive and applied study, the cost price of selected MRI services was calculated using the step-down costing method for the radiology department of Imam Reza Hospital in Urmia in 2018. Data collection tools were standard forms related to the cost list of MRI services and related activity centers. Also, to estimate the share of costs of other departments in MRI services of the radiology department, appropriate sharing bases were determined and, then, using these bases and Excel software, the costs were calculated.
Results: According to the research findings, the cost of selected services of this unit including MRI of the brain without injection was  calculated to be 1449224 Rials, brain with injection was 1793634 Rials, brain simultaneous with and without injection was 3121783 Rials, lumbar spine without injection was 1994881 Rials, and lumbar spine with and without injection was 3449832 Rials.
Conclusion: Based on the results, there was a difference between the actual price of MRI services and tariffs, and personnel costs had the highest share of MRI costs. Therefore, accurate calculation of the cost of MRI services can help reduce costs and increase efficiency by identifying and modifying, merging, or eliminating costly centers.
Full-Text [PDF 913 kb]   (848 Downloads)    
Type of Study: Research | Subject: Health Economics
Received: 2021/06/27 | Accepted: 2021/09/20 | Published: 2021/11/9

References
1. Nunes C, Pereira AM, Morais-Almeida M. Asthma costs and social impact. Asthma Res Pract. 2017;3(1):1. [DOI:10.1186/s40733-016-0029-3]
2. Ehteshami-Afshar S, FitzGerald JM, Doyle-Waters MM, Sadatsafavi M. The global economic burden of asthma and chronic obstructive pulmonary disease. Int J Tuberc Lung Dis. 2016 ;20(1):11-23. [DOI:10.5588/ijtld.15.0472]
3. Lanhede B, Bath M, Kheddache S, Sund P, Bjorneld L, Widell M, et al. The influence of different technique factors on image quality of chest radiographs as evaluated by modified CEC image quality criteria. Br J Radiol. 2002 Jan; 75(889):38-49. [DOI:10.1259/bjr.75.889.750038]
4. Martin CJ, Sutton DG. Practical radiation protection in healthcare. 2nd ed. UK: Oxford University Press; 2015. [DOI:10.1093/med/9780199655212.001.0001]
5. Moayeri A, Mahmoudi G, Dabaghi F. Factors affecting patients' preference in choosing a hospital based on marketing mix (7p) in Iran. Scientific journal of Ilam University of medical sciences. 2018; 26(1):62-72. [In Persian] [DOI:10.29252/sjimu.26.1.62]
6. Kalhor R, Amini S, Emami M, Kakasoltani K, Rhamani N, Kalhor L. Comparison of the ministry of health's tariffs with the cost of radiology services using the activity-based costing method. Electron Physician. 2016 Feb; 8(2):2018-24. [DOI:10.19082/2018]
7. Afshari A, Khatib Semnani MA, Rahim Nia R, Anvari Savojbolaghi S, Yusefi B. Cost of services in medical imaging center of Imam Khomeini hospital. Payavard Salamat. 2013; 7(2):101-110. [In Persian]
8. Mohammadi Y, Baghestani E, Bahrami MA, Entezarian Ardekani S, Ahmadi Tehrani Gh. Calculating the cost price of dialysis in Shahid Sadoughi hospital using activity based costing: Yazd, 2011. Journal of Health Accounting. 2012; 1(1):73-84. [In Persian]
9. Ansari M, Mohammad-Moradi F, Khaledian M, Shekofteh M, valinejadi A. Assessment of health literacy level in 18-30 year-old adults, an Iranian experience. Libr Philos Pract. 2018:1-15.
10. Ziari A, Binaei F, Ansari M, Valinejadi A. The gap between the service quality and patients' expectations in Amir-Al-Momenin hospital of Semnan university of medical sciences in 2016, Semnan, Iran. Koomesh. 2018;20(2):221-7. [In Persian]
11. Oseifuah EK. Activity based costing (ABC) in the public sector: benefits and challenges. Probl Perspect Manag. 2014 Jan; 12(4):581-8.
12. Mohammadi A, Valinejadi A, Sakipour S, Hemmat M, Zarei J, Majdabadi HA. Improving the distribution of rural health houses using elicitation and GIS in Khuzestan province (the southwest of Iran). Int J Health Policy Manag. 2018 Apr; 7(4):336-44. [DOI:10.15171/ijhpm.2017.101]
13. Askari-Majdabadi H, Valinejadi A, Mohammadpour A, Bouraghi H, Abbasy Z, Alaei S. Use of health information technology in patients care management: A mixed methods study in Iran. Acta Inform Med. 2019 Dec; 27(5):311-7. [DOI:10.5455/aim.2019.27.311-317]
14. Fazaeli AA, Fazaeli AA, Hamidi Y, Moeini B, Valinejadi A. Analysis of iranian household financial participation in the health system: decomposition of the concentration index approach. Koomesh. 2018; 20(2):358-65. [In Persian]
15. Shabaninejad H, Yusefzadeh H, Mehralian Gh, Rahimi B. The structure of the world pharmaceutical market: Prioritizing Iran's target export markets. Iranian Journal of Pharmaceutical Research (IJPR). 2019; 18(1):546-55.
16. Yusefzadeh H, Rezapour A, Lotfi F, Ebadifard Azar F, Nabilo B, Gorji HA, et al. A Study of comparative advantage and intra-industry trade in the pharmaceutical industry of Iran. Glob J Health Sci. 2015 Apr; 7(6):295-307. [DOI:10.5539/gjhs.v7n6p295]
17. Etemadi H, Dianati Dilami Z, Bazaz MS, Parameswaran R. Culture, management accounting and managerial performance: Focus Iran. Adv Account. 2009 Dec; 25(2):216-25. [DOI:10.1016/j.adiac.2009.08.005]
18. Ghiyasvand H, Zandiyan H, Zahirian Moghadam T, Naghdi S. Cost of radiology services using the activity based costing (ABC) method. Payesh. 2013; 12(6):595-605. [In Persian]
19. Beyranvand R, Ebadifard Azar F, Emamgholipour S, Arab M. Unit-cost calculation of delivered services based on activity based costing (ABC) method compared with approved tariffs in physiotherapy department of Sina hospital affiliated to Tehran University of medical sciences in 2013-2014. Journal of Hospital. 2016; 15(2):49-58. [In Persian]
20. Bayati M, Mahboub Ahari A, Badakhshan A, Gholipour M, Joulaei H. Cost analysis of MRI services in Iran: An application of activity based costing technique. Iran J Radiol. 2015 Oct; 12(4):1-7. [DOI:10.5812/iranjradiol.18372v2]
21. Ibrahim R, Nur AM, Zafirah SA, Aljunid SM. The cost of radiology procedures using activity based costing (ABC) for development of cost weights in implementation of casemix system in Malaysia. Jurnal Sains Kesihatan Malaysia. 2018 Jan; 16(1):155-62. [DOI:10.17576/jskm-2018-1601-19]
22. Young DW. Management accounting in health care organizations. San Francisco: Jossey-Bass; 2003.
23. Conteh L, Walker D. Cost and unit cost calculations using step-down accounting. Health Policy Plan. 2004 Mar;19(2):127-35. [DOI:10.1093/heapol/czh015]
24. Tan SS, Serdén L, Geissler A, Van Ineveld M, Redekop K, Heurgren M, et al. DRGs and cost accounting: Which is driving which? In: Busse R, Geissler A, Quentin W, Wiley M, editors. Diagnosis-related groups in europe: Moving towards transparency, efficiency and quality in hospitals. Maidenhead: Open University Press and WHO Regional Office for Europe; 2011. p. 59-74.
25. Newbrander W, Lewis E. Hospital costing model manual. USAID Health Reform and Financing: Management Sciences for Health; 1999 Mar. 15 p. Report No.: 623-0264-C-00-7005-00.
26. Flessa S, Moeller M, Ensor T, Hornetz K. Basing care reforms on evidence: The Kenya health sector costing model. BMC Health Serv Res. 2011 May; 11(128):1-15. [DOI:10.1186/1472-6963-11-128]
27. Nikpajouh A, Shariati B, Soheili S. The costs of the radiology ward by step-down method in Amir Alam hospital, Tehran, Iran. Payesh. 2009; 8(3):235-44. [In Persian]
28. Arab M, Ghiasvand H, Darroudi RA, Akbari Sari A, Hamidi M, Moghri J. Determination of radiology services cost in selected hospitals affiliated with Tehran university of medical sciences in 2010-2011, using the activity based costing method. Hospital Journal. 2012;11(3):27-36. [In Persian]
29. Laurila J, Suramo I, Brommels M, Tolppanen EM, Koivukangas P, Lanning P, et al. Activity-based costing in radiology: Application in a pediatric radiological unit. Acta Radiol. 2000 Mar; 41(2):189-95. [DOI:10.1080/028418500127345037]
30. Niasti F, Fazaeli AA, Hamidi Y, Viaynchi A. Applying ABC system for calculating cost price of hospital services case study: Beheshti hospital of Hamadan. Clin Epidemiol Glob Health. 2019 Sep; 7(3):496-9. [DOI:10.1016/j.cegh.2019.06.001]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Health Administration

Designed & Developed by : Yektaweb