An Analysis of Cost and Profit of a Nursing Unit using Performance-Based Costing: Case of a General Surgical Ward in a General Hospital

시행기준 원가계산을 적용한 간호단위 원가 및 수익 인식에 관한 연구: 1개 종합병원 일반외과병동 사례를 중심으로

  • Published : 2008.02.29

Abstract

Purpose: The aim of this study was to analysize net income of a surgical nursing ward in a general hospital. Method: Data collection and analysis was conducted using a performance-based costing and activity-based costing method. Result: Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at \119,913,334.5. The cost volume of the allocated medical department was \91,588,200.3, and the ward consumed cost was \28,325,134.2. The revenue of the surgical nursing ward was \33,269,925.0. The expense of a surgical nursing ward was \28,325,134.2. Therefore, the net income of a surgical nursing ward was \4,944,790.8. Conclusion: We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.

Keywords

References

  1. AAA (American Accounting Association) (1956). Tentative statement of cost concepts underlying reports for management purposes. Accounting Rev, 31, 183
  2. Baker, J. J., & Boyd, G. F. (1997). Activity-based costing in the operating room at valley view hospital. J Health Care Finance, 24(1), 1-9
  3. Choi, J. H. (2000). Hospital accounting. Seoul: Daemyoung
  4. Choi, J. H., & Son, Y. H. (2003). Hospital management accounting. Seoul: Daemyoung
  5. Kang, K. H. (1999). Analysis of nursing activities and cost of nursing service based on the ABC system. JKANA, 5, 389-400
  6. Kim, H. R. (2003). The study on the cost analysis based on ABC system in the department of laboratory medicine. Unpublished master's thesis, Yonsei University, Seoul
  7. Kim, M. J. (2000). Cost analysis of community-based home health care versus hospital-based home health care. Unpublished master's thesis, Yonsei University, Seoul
  8. Lee, S. B. (2001). A case study on the cost allocation standard among clinic centers in general hospitals-Y hospital's case. Unpublished master's thesis, Jeonju University, Jeonju
  9. Lee, S. J. (2003). Cost analysis of home health care with activity-based costing (ABC). Unpublished doctoral dissertation, Yonsei University, Seoul
  10. Lee, S. J., Lee, S. H., & Seo, J. H. (2001). Hospital cost accounting. Seoul: Imagination
  11. Lim, J. M. (2000). A study on the refining a cost system in hospital-performance evaluation of clinic departments. Unpublished master's thesis, Chonnam National University, Gwangju
  12. Lim, J. Y. (2007). The trend analysis of nursing cost and case analysis. Unpublished master's thesis, Korea University, Seoul
  13. Park J. H., Song, M. S., Sung, Y. H., Cho, J. S., & Sim, W. H. (1998). Estimation of nursing costs for hospitalized patients using the resourcebased relative value scale. Seoul: KNA
  14. Park J. H., Sung, Y. H., Song, M. S., Cho, J. S., & Sim, W. H. (2000). The classification of standard nursing activities in Korea. J Korean Acad Nurs, 30, 1411-1426 https://doi.org/10.4040/jkan.2000.30.6.1411
  15. Park, D. Y., Brandt, M. T., Levine, S. P., & Paik, N. W. (1996). Activity- based costing and management applied to occupational and environmental health. Korean Ind Hyg Assoc J, 6(1), 144-155
  16. So, S. K. (2003). A case study on activity-based costing of hospital. Unpublishedmaster's thesis, Inje University, Busan
  17. Storfjell, J. L., & Jessup, S. (1996). Bridging the gap between finance and clinical operations with activity-based cost management. J Nurs Adm, 26, 12-17 https://doi.org/10.1097/00005110-199612000-00006
  18. Udpa, S. (1996). Activity-based costing for hospitals. Health Care Manag Rev, 21, 83-96 https://doi.org/10.1097/00004010-199622000-00009
  19. Yashikawa, T., Inners, J., Mitchell, F., & Tanaka, M. (1993). Contemporary cost management. London: Chapman & Hall