Research Article
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Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods

Year 2024, , 1106 - 1112, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1318606

Abstract

Objective: This study, aims to determine the cost of hemodialysis sessions by using traditional costing and activity-based costing (ABC) methods, to provide a tool for controlling costs and to contribute to the financial planning studies of health managers.
Methods: The research was carried out in the hemodialysis unit of a university hospital in Türkiye. Medical, administrative, financial, and statistical data of the hospital for 2018 were used for the cost data. Hemodialysis cost per session was calculated by analyzing the obtained data both traditional cost analysis and the ABC method.
Results: As a result of the analysis through traditional cost analysis, the unit cost per hemodialysis session was 49.54 dollar, while in the ABC analysis, the cost of hemodialysis sessions was calculated as 41.16 dollar.
Conclusions: As a result of the study detected differences between the hemodialysis costs per session obtained through traditional cost analysis and ABC analysis. The study concludes that the unit cost calculated by the ABC method provides more detailed and more realistic information than the cost calculated with the traditional costing method. Additionally, the cost of a hemodialysis session reached within the scope of the study was determined to be higher than the price of the reimbursement institution. As the cost of a hemodialysis session is higher than the price paid back to the hospital, it is recommended that the hospital develop practices that increase efficiency and that reimbursement prices be increased.

Ethical Statement

This study was approved by Ethics Committee of Ankara University (Date: 12/06/2018 and #56786525-050.04.04/9212)

Supporting Institution

The authors received no financial support for the research

Thanks

Thank you for supporting the participants in this study

References

  • Smith D. Chronic kidney disease: A global crisis. Published [9 March 2018]. Accessed [5 June 2022]. https://www.corporate.siemens-healthineers.com/perspectives/chronic-kidney-disease.html.
  • Süleymanlar G, Serdengeçti K, Erek E. Türkiye'de son dönem böbrek yetmezliğinin epidemiyolojisi. Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi 2005; 1(21):1-8. (Turkish)
  • Turkish Society of Nephrology (TSN). Türkiye 2022 Yılı Ulusal Nefroloji, Diyaliz ve Transplantasyon Kayıt Sistemi Raporu. T.C. Sağlık Bakanlığı ve Türk Nefroloji Derneği Ortak Raporu. Ed.: Süleymanlar G, Ateş K, Seyahi N, Miki Matbaacılık San. ve Tic. Ltd. Şt. Ankara. 2023. (Turkish)
  • Kirby L, Vale L. Dialysis for end-stage renal disease: Determining a cost-effective approach. International Journal of Technology Assessment in Health Care 2001; 17(2):181-189. DOI:10.1017/s0266462300105045
  • Liu KD, Chertow GM. Dialysis in the treatment of renal failure. Kasper DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J, editors. In Harrison’s Principles of Internal Medicine. 19th ed. McGraw-Hill Education; 2015. p.1822-1825.
  • Furgeson S, Teitelbaum I. The patient receiving chronic renal replacement with dialysis. Schrier RW, editor. In: Manual of Nephrology. 8th ed. Wolters Kluwer Health; 2015. p.253-262.
  • United States Renal Data System-USRDS (2023). Annual Data Report. Accessed [15 May 2024]. https://usrds-adr.niddk.nih.gov/2023/end-stage-renal-disease/11-international-comparisons
  • T.C. Sağlık Bakanlığı. Türkiye Böbrek Hastalıkları Önleme ve Kontrol Programı Eylem Planı (2018-2023). Yayın No:1117. Ankara: Artı6 Medya Tanıtım Matbaa Ltd. Şti; 2018. (Turkish)
  • Gupta M, Galloway K. Activity-based costing/management and its implications for operations management. Technovation 2003; 23(2): 131-138. DOI:10.1016/S0166-4972(01)00093-1
  • Granof MH, Platt DE, Vaysman I. Using Activity-Based Costing to Manage More Effectively. Department of Accounting College of Business Administration University of Texas at Austin. Published [January 2000]. Accessed [20 May 2023]. chrome-extension://oemmndcbldboiebfnladdacbdfmadadm/https://businessofgovernment.org/sites/default/files/ABC.pdf
  • Hansen DR, Mowen MM. Cost Management: Accounting and Control. 5th ed. USA: Thomson South-Western; 2006.
  • Kumar N, Mahto D. Current trends of application of activity based costing (ABC): A review. Global Journal of Management and Business Research Accounting and Auditing 2013; 13(3): 10-24.
  • Büyükmirza K. Maliyet ve Yönetim Muhasebesi. Tek Düzene Uygun Bir Sistem Yaklaşımı. 23.baskı. Ankara:Gazi Kitabevi; 2019. (Turkish)
  • Ben-Arieh D, Qian L. Activity-based cost management for design and development stage. International Journal of Production Economics 2003; 83(2): 169-183. DOI:10.1016/S0925-5273(02)00323-7
  • Skousen CJ, Walther LM. Process and Activity-Based Costing: Managerial and Cost Accounting.1st ed. 2010.
  • Huang Q. Traditional cost system vs. activity-based cost system–A managerial accounting case study. Applied Finance and Accounting 2018; 4(2): 55-66. DOI:10.11114/afa.v4i2.34
  • Turgut M, Bülüç F, Ağırbaş İ. Sağlık kurumlarında maliyet analizi ve finansal analiz. Ağırbaş İ, editör. Sağlık Ekonomisi ve Sağlık Kurumları Yönetiminde Temel Konular. Ankara: Siyasal Kitabevi; 2019. p.135-169. (Turkish)
  • Adomakoh SA, Adı CN, Fraser HS, Nicholson GD. Dialysis in Barbados: The cost of hemodialysis provision at the Queen Elizabeth Hospital. Revista Panamericana de Salud Pública /Pan Am J Public Health 2004; 16(5): 350-355. DOI: 10.1590/s1020-49892004001100009
  • Al Saran K, Sabry A. The cost of hemodialysis in a large hemodialysis center. Saudi Journal of Kidney Diseases and Transplantation 2012; 23(1): 78-82.
  • Arefzadeh A, Lessanpezeshki M, Seifi, S. The cost of hemodialysis in Iran. Saudi Journal of Kidney Diseases and Transplantation 2009; 20(2): 307-311.
  • Ranasinghe P, Perera YS, Makarım MF, Wijesinghe A, Wanigasuriya K. The costs in provision of haemodialysis in a developing country: A multi-centered study. BMC Nephrology. 2011; 12(42): 1-7. DOI:10.1186/1471-2369-12-42
  • Vanholder R, Davenport A, Hannedouche T, Kooman J, Krıbben A, Lameire N, Lonnemann G, Magner P, Mendelssohn D, Saggi SJ, Shaffer RN, Moe SM, Biesen WV, Van Der Sande F, Mehrotra R. Reimbursement of dialysis: A comparison of seven countries. Journal of the American Society of Nephrology 2012; 23(8): 1291-1298. DOI:10.1681/ASN.2011111094
  • Bener S, Balbay Y, Delibalta İ, Kaygusuz T, Güngör F, Kaya İ, Gül A, Sağlam N, Polat S, Eyüboğlu A, Kodalak F, Hekim S, Şahin B, Çetin U. Hemodiyaliz Maliyet Analizi. Türkiye Kamu Hastaneleri Kurumu Maliyet Analizi Daire Başkanlığı, Ankara, 2013. (Turkish)
  • Birlik H, Akbulut Y. Sağlık kurumlarında maliyet analizi: Diyaliz merkezinde bir uygulama. Legal Mali Hukuk Dergisi 2017; 13(147): 475-492. (Turkish)
  • Kaur G, Prınja S, Ramachandran R, Malhotra P, Gupta KL, Jha V. Cost of hemodialysis in a public sector tertiary hospital of India. Clinical Kidney Journal 2018; 11(5): 726-733. DOI:10.1093/ckj/sfx152
  • Rosmila GB, Yaya R, Probadi F. The comparison of the unit cost of hemodialysis with INA CBG rates in Muhammadiyah Siti Aminah Hospital. Archives of Business Research 2020; 8(5): 80-95. DOI:10.14738/abr.85.8210.
  • Mohammadi Y, Baghestani E, Bahrami MA, Entezarian AS, Ahmadi TG. Calculating the cost price of dialysis in Shahid Sadoughi hospital using activity based costing. Journal of Health Accounting 2012; 1(1): 73-84. DOI:10.30476/jha.2012.16588
  • Bengu H, Arslan S. Hastane işletmesinde faaliyet tabanlı maliyetleme uygulaması. Afyon Kocatepe Üniversitesi İ.İ.B.F. Dergisi 2009; 11(2): 55-78. (Turkish)
  • Öker F. Faaliyet Tabanlı Maliyetleme: Üretim ve Hizmet İşletmelerinde Uygulamalar. 1. baskı. İstanbul:Literatür Yayınları; 2003. (Turkish)
  • Yereli AN. Activity-based costing and its application in a Turkish university hospital. AORN Journal 2009; 89(3): 573-591. DOI:10.1016/j.aorn.2008.09.002
  • Hooi LS, Lim TO, Goh A, Wong HS, Tan CC, Ahmad G, Morad Z. Economic evaluation of centre haemodialysis and continuous ambulatory peritoneal dialysis in Ministry of Health hospitals Malaysia. Nephrology 2005; 10(1): 25-32. DOI: 10.1111/j.1440-1797.2005.00360.x
  • DİADER. Türkiye’de Hemodiyaliz Hizmetlerinde Özel Diyaliz Merkezlerinin Rolü, Kalite Maliyet İlişkisi, Diyaliz Maliyet ve Geri Ödemeleri, Kamu Maliyetinin Düşürülmesi. Published [1 October 2009]. Accessed [25 December 2022]. http://www.diader.org.tr/dosya/DiyalizRaporEkim2009.pdf (Turkish)
  • Şaşmaz N. Hastanelerde Fiili ve Standart Maliyet Yöntemine Dayalı Hemodiyaliz Seans Maliyet Analizi. Doktora Tezi, Süleyman Demirel Üniversitesi Sosyal Bilimler Enstitüsü, Isparta, 2018. (Turkish)
  • Can M, Durukan Köse S, Karagöz Can N. Bir eğitim ve araştırma hastanesinde üremeye yardımcı tedavi (ÜYTE) uygulamalarının faaliyet tabanlı maliyetleme yöntemi ile analizi. Akademik Sosyal Araştırmalar Dergisi 2017; 5(56): 241-266. DOI:10.16992/Asos.12845 (Turkish)
  • Erkol Ü, Ağırbaş İ. Hastanelerde maliyet analizi ve faaliyet tabanlı maliyetleme yöntemine dayalı bir uygulama. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2011; 64(2): 87-95. DOI: 10.1501/Tıpfak_000000790. (Turkish)
Year 2024, , 1106 - 1112, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1318606

Abstract

References

  • Smith D. Chronic kidney disease: A global crisis. Published [9 March 2018]. Accessed [5 June 2022]. https://www.corporate.siemens-healthineers.com/perspectives/chronic-kidney-disease.html.
  • Süleymanlar G, Serdengeçti K, Erek E. Türkiye'de son dönem böbrek yetmezliğinin epidemiyolojisi. Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi 2005; 1(21):1-8. (Turkish)
  • Turkish Society of Nephrology (TSN). Türkiye 2022 Yılı Ulusal Nefroloji, Diyaliz ve Transplantasyon Kayıt Sistemi Raporu. T.C. Sağlık Bakanlığı ve Türk Nefroloji Derneği Ortak Raporu. Ed.: Süleymanlar G, Ateş K, Seyahi N, Miki Matbaacılık San. ve Tic. Ltd. Şt. Ankara. 2023. (Turkish)
  • Kirby L, Vale L. Dialysis for end-stage renal disease: Determining a cost-effective approach. International Journal of Technology Assessment in Health Care 2001; 17(2):181-189. DOI:10.1017/s0266462300105045
  • Liu KD, Chertow GM. Dialysis in the treatment of renal failure. Kasper DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J, editors. In Harrison’s Principles of Internal Medicine. 19th ed. McGraw-Hill Education; 2015. p.1822-1825.
  • Furgeson S, Teitelbaum I. The patient receiving chronic renal replacement with dialysis. Schrier RW, editor. In: Manual of Nephrology. 8th ed. Wolters Kluwer Health; 2015. p.253-262.
  • United States Renal Data System-USRDS (2023). Annual Data Report. Accessed [15 May 2024]. https://usrds-adr.niddk.nih.gov/2023/end-stage-renal-disease/11-international-comparisons
  • T.C. Sağlık Bakanlığı. Türkiye Böbrek Hastalıkları Önleme ve Kontrol Programı Eylem Planı (2018-2023). Yayın No:1117. Ankara: Artı6 Medya Tanıtım Matbaa Ltd. Şti; 2018. (Turkish)
  • Gupta M, Galloway K. Activity-based costing/management and its implications for operations management. Technovation 2003; 23(2): 131-138. DOI:10.1016/S0166-4972(01)00093-1
  • Granof MH, Platt DE, Vaysman I. Using Activity-Based Costing to Manage More Effectively. Department of Accounting College of Business Administration University of Texas at Austin. Published [January 2000]. Accessed [20 May 2023]. chrome-extension://oemmndcbldboiebfnladdacbdfmadadm/https://businessofgovernment.org/sites/default/files/ABC.pdf
  • Hansen DR, Mowen MM. Cost Management: Accounting and Control. 5th ed. USA: Thomson South-Western; 2006.
  • Kumar N, Mahto D. Current trends of application of activity based costing (ABC): A review. Global Journal of Management and Business Research Accounting and Auditing 2013; 13(3): 10-24.
  • Büyükmirza K. Maliyet ve Yönetim Muhasebesi. Tek Düzene Uygun Bir Sistem Yaklaşımı. 23.baskı. Ankara:Gazi Kitabevi; 2019. (Turkish)
  • Ben-Arieh D, Qian L. Activity-based cost management for design and development stage. International Journal of Production Economics 2003; 83(2): 169-183. DOI:10.1016/S0925-5273(02)00323-7
  • Skousen CJ, Walther LM. Process and Activity-Based Costing: Managerial and Cost Accounting.1st ed. 2010.
  • Huang Q. Traditional cost system vs. activity-based cost system–A managerial accounting case study. Applied Finance and Accounting 2018; 4(2): 55-66. DOI:10.11114/afa.v4i2.34
  • Turgut M, Bülüç F, Ağırbaş İ. Sağlık kurumlarında maliyet analizi ve finansal analiz. Ağırbaş İ, editör. Sağlık Ekonomisi ve Sağlık Kurumları Yönetiminde Temel Konular. Ankara: Siyasal Kitabevi; 2019. p.135-169. (Turkish)
  • Adomakoh SA, Adı CN, Fraser HS, Nicholson GD. Dialysis in Barbados: The cost of hemodialysis provision at the Queen Elizabeth Hospital. Revista Panamericana de Salud Pública /Pan Am J Public Health 2004; 16(5): 350-355. DOI: 10.1590/s1020-49892004001100009
  • Al Saran K, Sabry A. The cost of hemodialysis in a large hemodialysis center. Saudi Journal of Kidney Diseases and Transplantation 2012; 23(1): 78-82.
  • Arefzadeh A, Lessanpezeshki M, Seifi, S. The cost of hemodialysis in Iran. Saudi Journal of Kidney Diseases and Transplantation 2009; 20(2): 307-311.
  • Ranasinghe P, Perera YS, Makarım MF, Wijesinghe A, Wanigasuriya K. The costs in provision of haemodialysis in a developing country: A multi-centered study. BMC Nephrology. 2011; 12(42): 1-7. DOI:10.1186/1471-2369-12-42
  • Vanholder R, Davenport A, Hannedouche T, Kooman J, Krıbben A, Lameire N, Lonnemann G, Magner P, Mendelssohn D, Saggi SJ, Shaffer RN, Moe SM, Biesen WV, Van Der Sande F, Mehrotra R. Reimbursement of dialysis: A comparison of seven countries. Journal of the American Society of Nephrology 2012; 23(8): 1291-1298. DOI:10.1681/ASN.2011111094
  • Bener S, Balbay Y, Delibalta İ, Kaygusuz T, Güngör F, Kaya İ, Gül A, Sağlam N, Polat S, Eyüboğlu A, Kodalak F, Hekim S, Şahin B, Çetin U. Hemodiyaliz Maliyet Analizi. Türkiye Kamu Hastaneleri Kurumu Maliyet Analizi Daire Başkanlığı, Ankara, 2013. (Turkish)
  • Birlik H, Akbulut Y. Sağlık kurumlarında maliyet analizi: Diyaliz merkezinde bir uygulama. Legal Mali Hukuk Dergisi 2017; 13(147): 475-492. (Turkish)
  • Kaur G, Prınja S, Ramachandran R, Malhotra P, Gupta KL, Jha V. Cost of hemodialysis in a public sector tertiary hospital of India. Clinical Kidney Journal 2018; 11(5): 726-733. DOI:10.1093/ckj/sfx152
  • Rosmila GB, Yaya R, Probadi F. The comparison of the unit cost of hemodialysis with INA CBG rates in Muhammadiyah Siti Aminah Hospital. Archives of Business Research 2020; 8(5): 80-95. DOI:10.14738/abr.85.8210.
  • Mohammadi Y, Baghestani E, Bahrami MA, Entezarian AS, Ahmadi TG. Calculating the cost price of dialysis in Shahid Sadoughi hospital using activity based costing. Journal of Health Accounting 2012; 1(1): 73-84. DOI:10.30476/jha.2012.16588
  • Bengu H, Arslan S. Hastane işletmesinde faaliyet tabanlı maliyetleme uygulaması. Afyon Kocatepe Üniversitesi İ.İ.B.F. Dergisi 2009; 11(2): 55-78. (Turkish)
  • Öker F. Faaliyet Tabanlı Maliyetleme: Üretim ve Hizmet İşletmelerinde Uygulamalar. 1. baskı. İstanbul:Literatür Yayınları; 2003. (Turkish)
  • Yereli AN. Activity-based costing and its application in a Turkish university hospital. AORN Journal 2009; 89(3): 573-591. DOI:10.1016/j.aorn.2008.09.002
  • Hooi LS, Lim TO, Goh A, Wong HS, Tan CC, Ahmad G, Morad Z. Economic evaluation of centre haemodialysis and continuous ambulatory peritoneal dialysis in Ministry of Health hospitals Malaysia. Nephrology 2005; 10(1): 25-32. DOI: 10.1111/j.1440-1797.2005.00360.x
  • DİADER. Türkiye’de Hemodiyaliz Hizmetlerinde Özel Diyaliz Merkezlerinin Rolü, Kalite Maliyet İlişkisi, Diyaliz Maliyet ve Geri Ödemeleri, Kamu Maliyetinin Düşürülmesi. Published [1 October 2009]. Accessed [25 December 2022]. http://www.diader.org.tr/dosya/DiyalizRaporEkim2009.pdf (Turkish)
  • Şaşmaz N. Hastanelerde Fiili ve Standart Maliyet Yöntemine Dayalı Hemodiyaliz Seans Maliyet Analizi. Doktora Tezi, Süleyman Demirel Üniversitesi Sosyal Bilimler Enstitüsü, Isparta, 2018. (Turkish)
  • Can M, Durukan Köse S, Karagöz Can N. Bir eğitim ve araştırma hastanesinde üremeye yardımcı tedavi (ÜYTE) uygulamalarının faaliyet tabanlı maliyetleme yöntemi ile analizi. Akademik Sosyal Araştırmalar Dergisi 2017; 5(56): 241-266. DOI:10.16992/Asos.12845 (Turkish)
  • Erkol Ü, Ağırbaş İ. Hastanelerde maliyet analizi ve faaliyet tabanlı maliyetleme yöntemine dayalı bir uygulama. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2011; 64(2): 87-95. DOI: 10.1501/Tıpfak_000000790. (Turkish)
There are 35 citations in total.

Details

Primary Language English
Subjects Nefroloji, Health Care Administration, Health Management
Journal Section Articles
Authors

Meryem Turgut 0000-0001-9320-3250

İsmail Ağırbaş 0000-0002-1664-5159

Gökhan Nergizoğlu 0000-0001-7101-5814

Publication Date December 29, 2024
Submission Date July 11, 2023
Published in Issue Year 2024

Cite

APA Turgut, M., Ağırbaş, İ., & Nergizoğlu, G. (2024). Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods. Clinical and Experimental Health Sciences, 14(4), 1106-1112. https://doi.org/10.33808/clinexphealthsci.1318606
AMA Turgut M, Ağırbaş İ, Nergizoğlu G. Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods. Clinical and Experimental Health Sciences. December 2024;14(4):1106-1112. doi:10.33808/clinexphealthsci.1318606
Chicago Turgut, Meryem, İsmail Ağırbaş, and Gökhan Nergizoğlu. “Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods”. Clinical and Experimental Health Sciences 14, no. 4 (December 2024): 1106-12. https://doi.org/10.33808/clinexphealthsci.1318606.
EndNote Turgut M, Ağırbaş İ, Nergizoğlu G (December 1, 2024) Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods. Clinical and Experimental Health Sciences 14 4 1106–1112.
IEEE M. Turgut, İ. Ağırbaş, and G. Nergizoğlu, “Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods”, Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 1106–1112, 2024, doi: 10.33808/clinexphealthsci.1318606.
ISNAD Turgut, Meryem et al. “Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods”. Clinical and Experimental Health Sciences 14/4 (December 2024), 1106-1112. https://doi.org/10.33808/clinexphealthsci.1318606.
JAMA Turgut M, Ağırbaş İ, Nergizoğlu G. Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods. Clinical and Experimental Health Sciences. 2024;14:1106–1112.
MLA Turgut, Meryem et al. “Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods”. Clinical and Experimental Health Sciences, vol. 14, no. 4, 2024, pp. 1106-12, doi:10.33808/clinexphealthsci.1318606.
Vancouver Turgut M, Ağırbaş İ, Nergizoğlu G. Cost Analysis of Hemodialysis Session: A Comparison Between Activity-Based Costing and Traditional Costing Methods. Clinical and Experimental Health Sciences. 2024;14(4):1106-12.

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