Heydari, Ahmad, Delavari, Sajad, Emadi, Mehrnoosh, Hadipour, Alireza, Jamali, Hamidreza, Bayati, Mohsen. (1401). Cost and expenditure of high-cost consumables in hospital: A study in a large hospital in Shiraz during 2017-2018. سامانه مدیریت نشریات علمی, 10(1), 34-39. doi: 10.30476/jhmi.2023.99621.1182
Ahmad Heydari; Sajad Delavari; Mehrnoosh Emadi; Alireza Hadipour; Hamidreza Jamali; Mohsen Bayati. "Cost and expenditure of high-cost consumables in hospital: A study in a large hospital in Shiraz during 2017-2018". سامانه مدیریت نشریات علمی, 10, 1, 1401, 34-39. doi: 10.30476/jhmi.2023.99621.1182
Heydari, Ahmad, Delavari, Sajad, Emadi, Mehrnoosh, Hadipour, Alireza, Jamali, Hamidreza, Bayati, Mohsen. (1401). 'Cost and expenditure of high-cost consumables in hospital: A study in a large hospital in Shiraz during 2017-2018', سامانه مدیریت نشریات علمی, 10(1), pp. 34-39. doi: 10.30476/jhmi.2023.99621.1182
Heydari, Ahmad, Delavari, Sajad, Emadi, Mehrnoosh, Hadipour, Alireza, Jamali, Hamidreza, Bayati, Mohsen. Cost and expenditure of high-cost consumables in hospital: A study in a large hospital in Shiraz during 2017-2018. سامانه مدیریت نشریات علمی, 1401; 10(1): 34-39. doi: 10.30476/jhmi.2023.99621.1182
Cost and expenditure of high-cost consumables in hospital: A study in a large hospital in Shiraz during 2017-2018
1Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
2School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran, Islamic Republic of
3Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
4Medical Physics Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
5Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Introduction: The present research aimed at investigating the optimum use of resources in hospitals by estimating and comparing the utilization and cost of consumables in a large hospital in Iran during 2017-2018. Methods: The data were collected from the accrual accounting system, store invoices and executive management department. Descriptive statistics were performed. Excel was used for data analysis. Results: Syringe and surgical gas had the highest and lowest cost items, respectively, among the hospital consumables. Surgical gas had also the greatest growth of consumables cost from 2017 to 2018 (114%). Emergency department and ICU had the highest consumption among hospital departments. Moreover, greatest increases in consumable costs were observed in laboratory (258%), and osteology (72%) and digestion (72%) departments. The findings also showed that although utilization of most of consumables had a decreasing trend, their cost increased (overall 45%) Conclusion: The high rate of general inflation, lack of utilization plan for consumables, and lack of supervision and monitoring system on resource consumption are among the reasons for the increasing trend of resource cost. Two last issues can be addressed by hospital administrators in order to control consumables cost.
Report of Challenges for Developing Country in Health Sector. Ministry of health. Tehran: Research Center of Parliament: 2008. Persian.
Davari Economic challenges of health system in Iran. Health Inf Manage. 2012;8(7):915-7. Persian.
Sedaghiani Hospital Management and Organization. Tehran: Amin: 1998. Persian.
Jacobs P. The economics of health and medical care. 1th , New York: Aspen; 1991. Persian.
Organization for Economic Cooperation and Development Report, health policy studies. New direction in health care 1983;1:82-8. Persian.
Gressani D, Saba J, Fetini H, Rutkowski M, Maeda A, Langenbrunner J. Islamic Republic of Iran health sector review, volume I: main report. The World Bank Human Development Sector, Middle East and North Africa. 2007;1:1575-81.
Rechel B. Investing in hospitals of the future. Genova: WHO Regional Office Europe; 2009.
Health Economics Unit Reports. Tehran: Ministry of Health and Education Medicine: 2003. Persian.
Bahadori Mk. Performance indicators in the medicine and medical equipment. Journal of Medical Engineering and Laboratory Equipment. 2007;7(74):4-6.
Sadaghiani Organization and management of hospital. 2th ed. Tehran: Jahhan rayaneh publication. 2006.
Asefzadeh Management and Research Hospital. 1th ed. Qazvin: Research deputy. 2005. Persian.
Karimi I. Health Economic. Rasht: Gap; 2003.
Nanakar R. Reviews on the role of economic management accounting system in Kashan University of Medical Sciences. Journal of Homaye Salamat. 2007;5:30-5.
Vatankhah A survey on managers attitude oh Social Security organization towards some of the problems of health insurance [Thesis in Persian]. Tehran: Iran University of Medical Sciences, Faculty of Management and Information Communication. 1995.
Tirgar A, Aghalari Z, Rabiei S. The importance Medical Education Journal. 2015;3(1):39-45.
Moosazadeh H, Barimani P, Mohammad SD, Eslami A. Developing strategies to improve knowledge-based resistive economy using SWOT International Journal of Resistive Economics. 2016;4(4):96-108.
Sheperd D, Hajiken D, Antoni U. Analysis of hospital costs: guidelines for managers. Translated by Pourreza Abolghasem Tehran: Research Center of Social Security Organization. 2003:24-6.
Todaro M. Development planning: models and methods. Tehran: Publication of Planning and Budgeting Organization; 1984. Persian.
Hatam Cost-Efficiency of Teaching Hospitals of Shiraz. Tehran: High research Association of Social security. 2001:276. Persian.
Tabibi J, Maleki M, Nourozi T. Computation Cost Price of clinical laboratories services in valiasr hospitals in Tehran in 1387 by using of ABC Journal of Hospital. 2010;8(3):5-17.
Jackson T. Using computerised patient-level costing data for setting DRG weights: the Victorian (Australia) cost weight studies. Health Policy. 2001;56(2):149-63. doi: 10.1016/s0168- 8510(00)00148-2.
Manjunath U, Kumar CS, Kailashnath M. Comparison of cost structure, package rates and financial feasibility for selected surgeries covered undersocialhealthinsuranceschemes:acasestudy. Journal of Health Management. 2016;18(1):134-