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A Study on the design of hospital budget variance analysis model reflecting efficiency and an attainable target cost

효율성과 목표원가를 반영한 병원예산 원가차이 분석 모형 설계

  • O, Dongil (Department of Finance and Insurance, SangMyung University)
  • 오동일 (상명대학교 경영대학 금융보험학부)
  • Received : 2013.01.22
  • Accepted : 2013.02.06
  • Published : 2013.02.28

Abstract

This study aims to develop DEA model which can look into budget cost variance analysis tool based on standard cost using 68 hospital's input and output data. For accomplishing this purpose, by introducing new DEA model which can get an attainable target cost, we can decompose an actual cost difference into several meaningful sub variances. Also based on the 2008 general hospital data, this model can make variance analysis between actual cost and target cost. Total variance can be divided into technical inefficiency variance, price inefficiency variance, allocation inefficiency variance. This study introduces that by using target budget cost concept, traditional actual cost variance can be divided into a technical variance, price variance, budget variance. Finally, we can get result which confirms there does not exist favorable size effects on efficiency and cost management in running a general hospital.

본 연구는 DEA모형에 바탕을 둔 표준원가에 기초한 원가차이 분석의 개념을 구현할 수 있는 모형을 설계하고 69개 종합병원의 투입 산출물을 이용해 효율성 분석과 원가관리 방안을 살펴보았다. 이를 위해 DEA모형을 통해 달성가능한 목표원가를 구하고 이를 실제원가와 비교하여 차이분석모형의 틀을 구축하였다. 또한 이 모형을 바탕으로 의사 간호사 인건비 정보를 구해 2008년도 결산기준 69개 종합병원의 표준원가차이를 구하고 이를 기술적 비효율성으로 인한 원가차이, 가격 비효율성에 기인한 원가차이, 표준예산원가 원가차이로 분리하여 원가관리의 새로운 방식을 제시할 수 있었다. 또한 실증분석을 통해 69개 종합병원은 병상수와 같은 규모를 늘리는 것이 효율성 개선에 기여하지 않으며 오히려 예산목표원가 관리 측면에서는 비효율적인 것으로 나타나 규모 확장 일변도의 전략을 수정할 필요가 있는 것으로 나타났다.

Keywords

References

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