Analysis of Cost and Efficiency of a Medical Nursing Unit Using Time-Driven Activity-Based Costing
Journal of Korean Academy of Nursing
; : 500-509, 2011.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-180903
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Time-driven activity-based costing was applied to analyze the nursing activity cost and efficiency of a medical unit.METHODS:
Data were collected at a medical unit of a general hospital. Nursing activities were measured using a nursing activities inventory and classified as 6 domains using Easley-Storfjell Instrument. Descriptive statistics were used to identify general characteristics of the unit, nursing activities and activity time, and stochastic frontier model was adopted to estimate true activity time.RESULTS:
The average efficiency of the medical unit using theoretical resource capacity was 77%, however the efficiency using practical resource capacity was 96%. According to these results, the portion of non-added value time was estimated 23% and 4% each. The sums of total nursing activity costs were estimated 109,860,977 won in traditional activity-based costing and 84,427,126 won in time-driven activity-based costing. The difference in the two cost calculating methods was 25,433,851 won.CONCLUSION:
These results indicate that the time-driven activity-based costing provides useful and more realistic information about the efficiency of unit operation compared to traditional activity-based costing. So time-driven activity-based costing is recommended as a performance evaluation framework for nursing departments based on cost management.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 4: Health financing
Database:
WPRIM (Western Pacific)
Main subject:
Task Performance and Analysis
/
Time Factors
/
Costs and Cost Analysis
/
Hospitals, General
/
Internal Medicine
/
Nursing Service, Hospital
Type of study:
Health economic evaluation
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Academy of Nursing
Year:
2011
Document type:
Article