scholarly journals Treatment Cost of COVID-19 in Hospitals affiliated to Kashan University of Medical Sciences: Time-Driven Activity-Based Costing

2021 ◽  
Author(s):  
Meghdad Rahati ◽  
Esmaeil Fakharian ◽  
Ali Yousefianarani ◽  
Aydine Omidvar ◽  
Zahra Nazemi-bidgoli
Keyword(s):  
Field Method ◽  
Activity Based Costing ◽  
Medical Sciences ◽  
Cost Of Treatment ◽  
Cross Sectional ◽  
Statistical Population ◽  
Top Managers ◽  
The Difference ◽  
The Cost ◽  
The University

Background: Due to limited resources, efficiency is very important to maximize resources for hospitals. Time-Driven Activity-Based Costing estimates costs and provides valuable information to increase efficiency. Therefore, the cost of COVID-19 in the hospitals affiliated with Kashan University of Medical Sciences was investigated using this method. Method: In this cross-sectional and retrospective study, the statistical population included all patients (n = 3129) with COVID-19 hospitalized in the Seyed Al-Shohada hospital (88 beds) and Shagid Beheshti hospital (700 beds) selected via census method during March and April 2020. Data collection was conducted through review of litreture (library method field); and review of accounting documents, direct observation of activities related to the treatment of patients, interviews with top managers for timing of receiving services by patients (field method). The descriptive statistics including means and frequency tables was reported and time-driven activity-based costing was conducted. Data analyses were performed using Excel software. Results: Findings showed that the cost of one bed night for COVID19 patients was 22,866,669 Rials in Shahid Beheshti hospital and 30,554,405 Rials in Seyed Al-Shohada hospital and was 23,672,447 Rials for both hospitals in total. The cost of treatment of COVID19 by time-driving costing method was higher than the tariff approved by the Supreme Insurance Council. Conclusion: Due to the difference between the cost of treatment of COVID-19 and the tariffs, it is necessary to calculate the bed night of these patients based on the tariffs of special wards. Moreover, due to the high cost of these patients, it is necessary to make appropriate policies for allocating beds in the hospitals affiliated to the University of Medical Sciences.

scholarly journals Identifying Factors Affecting of Cooperation Management between Charities and the Teaching Hospitals of Shahid Beheshti University of Medical Sciences

2021 ◽  
Vol 16 (3) ◽  
pp. 249-259
Author(s):  
Seyed Mahmud Nayeri ◽  
Somayeh Hessam ◽  
Amir Ashkan Nasiripour ◽  
Katayoun Jahangiri
Keyword(s):  
Public Hospitals ◽  
Teaching Hospitals ◽  
Path Coefficient ◽  
Medical Sciences ◽  
University Hospitals ◽  
Treatment Area ◽  
Cross Sectional ◽  
Statistical Population ◽  
Factors Affecting ◽  
The University

Objectives: One of the most important issues in the provision of health services in every country is providing the necessary resources for presenting these services. Cooperation between charity organizations and public hospitals is especially important as it can increase charity participation, facilitate public participation in the treatment area and develop hospital units. This study aimed was to identify factors affecting cooperation Management and designing a model of cooperation management between charities and the university hospitals of Shahid Beheshti University of Medical Sciences. Methods: This descriptive-analytical, cross-sectional and applied study was conducted in hospitals of Shahid Beheshti University of Medical Sciences in 2019. The statistical population consisted of 411 people including managers, chiefs and deputies, contracting hospital experts and social workers, managers and lawyers of the university, trustees and managers and charity experts. The research sample consisted of 330 people who were selected through the stratified random sampling method. Data was collected using a researcher-made questionnaire. The SPSS 18 and AMOS software were used to analyze the data. Results: The most effective contract pattern determinant had a path coefficient of 1.177, while the least effective current consumption expenditure determinant had a path coefficient of 0.530. Conclusion: The following steps are ways in which costs related to an inpatient department are guaranteed to be covered by a charity during the term of the contract: defining the criteria for selecting a charity to operate in a hospital, choosing a cooperative method and a contract template, determining the share of capital and current costs, and selecting the department type in the contract.  

scholarly journals Evaluation of knowledge and health behavior of university of medical sciences students about the prevention of COVID-19

Work ◽  
2021 ◽  
pp. 1-7
Author(s):  
Hamed Zandian ◽  
Mehdi Sarailoo ◽  
Shahriar Dargahi ◽  
Helia Gholizadeh ◽  
Mehdi Vosoughi ◽  
...  
Keyword(s):  
Health Behavior ◽  
Large Family ◽  
Nonparametric Test ◽  
Medical Sciences ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Promoting Behaviors ◽  
Statistical Population ◽  
The University

Background: Coronaviruses are a large family of viruses that have symptoms ranging from the common cold to severe respiratory syndromes. Objective: The purpose of this study is to provide appropriate strategies to raise knowledge and health behavior of students of the University of Medical Sciences to prevent COVID-19. Methods: This study was conducted as a cross-sectional and descriptive study, and the online questionnaire was used by random sampling. Our sample size was 360 subjects and the statistical population was the students of the University of Medical Sciences. We used the nonparametric test (Kruskal Wallis, Mann-Whitney U) and (Chi-Square & t-test) for statistical analysis. Results: The test results were statistically significant for students’ health behavior (p <  0.01, df –99). The knowledge of women was higher than men (F = 5.32, p <  0.02). Conclusion: The results show that the Ministry of Health has acted well in promoting students’ knowledge and health-promoting behaviors. Therefore, it is recommended that such research be conducted in the public statistical population.

scholarly journals Cost-Effectiveness of Colorectal Cancer Genetic Testing

2021 ◽  
Vol 18 (16) ◽  
pp. 8330
Author(s):  
Abdul Rahman Ramdzan ◽  
Mohd Rizal Abdul Manaf ◽  
Azimatun Noor Aizuddin ◽  
Zarina A. Latiff ◽  
Keng Wee Teik ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Genetic Testing ◽  
Cost Effectiveness ◽  
Cancer Survival ◽  
Screening Method ◽  
Targeted Prevention ◽  
Activity Based Costing ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Cost

Colorectal cancer (CRC) remains the second leading cause of cancer-related deaths worldwide. Approximately 3–5% of CRCs are associated with hereditary cancer syndromes. Individuals who harbor germline mutations are at an increased risk of developing early onset CRC, as well as extracolonic tumors. Genetic testing can identify genes that cause these syndromes. Early detection could facilitate the initiation of targeted prevention strategies and surveillance for CRC patients and their families. The aim of this study was to determine the cost-effectiveness of CRC genetic testing. We utilized a cross-sectional design to determine the cost-effectiveness of CRC genetic testing as compared to the usual screening method (iFOBT) from the provider’s perspective. Data on costs and health-related quality of life (HRQoL) of 200 CRC patients from three specialist general hospitals were collected. A mixed-methods approach of activity-based costing, top-down costing, and extracted information from a clinical pathway was used to estimate provider costs. Patients and family members’ HRQoL were measured using the EQ-5D-5L questionnaire. Data from the Malaysian Study on Cancer Survival (MySCan) were used to calculate patient survival. Cost-effectiveness was measured as cost per life-year (LY) and cost per quality-adjusted life-year (QALY). The provider cost for CRC genetic testing was high as compared to that for the current screening method. The current practice for screening is cost-saving as compared to genetic testing. Using a 10-year survival analysis, the estimated number of LYs gained for CRC patients through genetic testing was 0.92 years, and the number of QALYs gained was 1.53 years. The cost per LY gained and cost per QALY gained were calculated. The incremental cost-effectiveness ratio (ICER) showed that genetic testing dominates iFOBT testing. CRC genetic testing is cost-effective and could be considered as routine CRC screening for clinical practice.

scholarly journals Why Do Some Firms Spend So Much on Medical Care? Accounting for Variation

2000 ◽  
Vol 3 (1) ◽  
Author(s):  
Matthew Eichner ◽  
Mark McClellan ◽  
David A. Wise
Keyword(s):  
Health Care ◽  
Health Care Cost ◽  
Health Care Expenditures ◽  
Cost Of Treatment ◽  
Consistent Method ◽  
The Difference ◽  
The Cost ◽  
Cost Differences ◽  
Average Expenditure

We are engaged in a long-term project to analyze the determinants of health care cost differences across firms. An important first step is to summarize the nature of expenditure differences across plans. The goal of this article is to develop methods for identifying and quantifying those factors that account for the wide differences in health care expenditures observed across plans.We consider eight plans that vary in average expenditure for individuals filing claims, from a low of $1,645 to a high of $2,484. We present a statistically consistent method for decomposing the cost differences across plans into component parts based on demographic characteristics of plan participants, the mix of diagnoses for which participants are treated, and the cost of treatment for particular diagnoses. The goal is to quantify the contribution of each of these components to the difference between average cost and the cost in a given firm. The demographic mix of plan enrollees accounts for wide differnces in cost ($649). Perhaps the most noticeable feature of the results is that, after adjusting for demographic mix, the difference in expenditures accounted for by the treatment costs given diagnosis ($807) is almost as wide as the unadjusted range in expenditures ($838). Differences in cost due to the different illnesses that are treated, after adjusting for demographic mix, also accounts for large differences in cost ($626). These components of cost do not move together; for example, demographic mix may decrease expenditure under a particular plan while the diagnosis mix may increase costs.Our hope is that understanding the reasons for cost differences across plans will direct more focused attention to controlling costs. Indeed, this work is intended as an important first step toward that goal.

scholarly journals Analisis zat gizi dan biaya sisa makanan pada pasien dengan makanan biasa

2005 ◽  
Vol 1 (3) ◽  
pp. 108
Author(s):  
Mihir Djamaluddin ◽  
Endy Paryanto Prawirohartono ◽  
Ira Paramastri
Keyword(s):  
Length Of Stay ◽  
Food Waste ◽  
Economic Value ◽  
Food Service ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Regular Diet ◽  
The Difference ◽  
The Cost

Background: The quality of food service in a hospital can be assessed from the inpatients’ nutritional status. Food waste is an indicator of food service among inpatients. Besides its therapeutic value, food has a significant economic value. The wasting cost in term of food waste affects the total availability of food costs.Objective: This study analyzes the nutrient quantity and the cost of food waste among inpatients with regular diet at Dr. Sardjito Hospital, Yogyakarta.Method: This was a cross sectional study. The subjects were inpatients aged 17 to 60 years old who got regular diet with length of stay was at least three days, and were willing to take part in this study (n=100). The amount of food waste was measured using the Comstock visual estimation. The cost of food waste was calculated as the proportion of food waste from cost per serving. The quantity of nutrients in food waste was calculated using the Food Processor 2 software. The data were analyzed using Chi-square test.Results: There was a difference of food waste according to gender. Rice waste was found more frequent among female (p<0,005). There was a difference of food waste according to ward class. There were more waste of meat and vegetables among inpatients in class II and the difference was significant (p<0,05). There were more waste of meat and vegetables among patients with length stay of 7 – 14 days and > 15 days (p<0,05). The vegetables and rice waste were more frequent among surgery and cancer inpatients (p<0,05). In average the nutritional value of food waste was 19,85% - 9,33% of a patient’s RDA, while the wasting cost per day was Rp 1265,08 or 10,79% of all food cost per day. The annual wasting cost of food waste was Rp 45.543.120 or 4,4% of the available budget of Rp 1.038.605.333,00.Conclusion: There were differences of food waste according to gender, ward class, length of stay, and kind of disease, especially rice, meat, and vegetables.

scholarly journals Analgesic Effect of Apotel Versus Pethidine After Hemilaminectomy

2019 ◽  
Vol 5 (4) ◽  
pp. 185-189
Author(s):  
Mohammadreza Emamhadi ◽  
◽  
Hamid Behzadnia ◽  
Seifollah Jafari ◽  
Mohammadreza Zamanidoust ◽  
...  
Keyword(s):  
Recovery Process ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Vas Score ◽  
Relieve Pain ◽  
Present Cross Sectional Study ◽  
Significant Difference ◽  
Vas Scores ◽  
The Difference

Background: Postoperative pain is a common phenomenon, and its management affects considerably on the recovery process, and patients’ satisfaction. Apotel and pethidine are two conventional medicines used to relieve pain after operation. Objectives: The present study aimed to compare the effect of intravenous injection of Apotel and intramuscular injection of pethidine in relieving pain after hemilaminectomy. Materials & Methods: In the present cross-sectional study, 150 patients who underwent hemilaminectomy were recruited between May 2015 and November 2015. They were taking either Apotel (n=75) or pethidine (n=75) after the operation, which was done at Poursina Hospital affiliated to Guilan University of Medical Sciences, Rasht City, Iran. The patients’ pain levels were measured using visual analog scale (VAS), and the results were compared between the 2 groups. Results: There was no significant difference in the total VAS score between the Apotel and pethidine groups (P=0.189). However, there was a significant reduction in VAS score hours 2 (P=0.03) and 4 (P=0.004) hours after the injection of Apotel in this group, compared with those scores in the pethidine group. Also, VAS scores at other times (8, 12, 20, 28 hours after the injection) were lower than those in the pethidine group, but the difference was not significant. Conclusion: Apotel was better pain-killer in the early hours after the first injection compared to pethidine. But its effect was similar to pethidine at the late hours after the first injection. Therefore it seems that Apotel is better painkiller after laminectomy, especially in the early hours after the operation.

scholarly journals Depression and Anxiety among University Students: a Comparison Between COVID-19 Pandemic Panic Period and Post-Panic Period in Bangladesh

2021 ◽  
Author(s):  
Gowranga Kumar Paul ◽  
Meshbahur Rahman ◽  
Shayla Naznin ◽  
Mashfiqul Haq Chowdhury ◽  
Md Jamal Uddin
Keyword(s):  
University Students ◽  
Anxiety Symptoms ◽  
Health Concern ◽  
Depression Symptoms ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Time Period ◽  
The Difference ◽  
The University

Abstract Background: The current COVID-19 pandemic is the biggest public health concern. It harmed everyone, both physically and mentally. Because of panic situations in COVID-19 pandemic, students all over the world, including those in Bangladesh, are suffering from depression and anxiety. Considering this, we aimed to assess psycho-emotional changes of the university students through investigating their level of depression and anxiety effects during panic and post-panic period of COVID-19 pandemic in Bangladesh.Methods: Cross-sectional online surveys were conducted among university students in Bangladesh from April to July 2020 (panic period, n=170) and then from August to November 2020 (post-panic period, n=170). The PHQ-9 and GAD-7 questionnaires were used to assess respondents' depression and anxiety levels, respectively. We used continuous scores to assess the severity of depression and anxiety symptoms. We also computed binary depression and anxiety scores. Multivariable logistic regression models were used to analyze the data. Results: The proportion of depression symptoms was 49.4% during the panic period and 52.4% after the panic period. Anxiety symptoms were experienced by 38.2% of students during the panic period, and this percentage was nearly identical in the post-panic interval. Depression levels increased in the post-panic period and urban students have significantly (P< 0.05) higher levels of depression and anxiety than their counterparts. Female students also exhibited significantly more anxious symptoms (p=0.002) than male. Depression symptoms significantly vary by family types, students place of residence whereas students age, gender, education, family head's occupation, time period and family economic condition found no significant association with the depression.Conclusions: Students during the post-panic period have a higher prevalence of depression and anxiety symptoms than during the panic period. Although the difference was small, it was still concerning for university students in Bangladesh because it interfered with their academic life.

Applying activity-based costing to the nuclear medicine unit

2005 ◽  
Vol 18 (3) ◽  
pp. 141-150 ◽  
Author(s):  
Sakesun Suthummanon ◽  
Vincent K Omachonu ◽  
Mehmet Akcin
Keyword(s):  
Nuclear Medicine ◽  
Health Care Organizations ◽  
Activity Based Costing ◽  
Hospital Environments ◽  
Positron Emission ◽  
The Difference ◽  
Abc Analysis ◽  
Cost Of Drugs ◽  
The Cost ◽  
Operational Time

Previous studies have shown the feasibility of using activity-based costing (ABC) in hospital environments. However, many of these studies discuss the general applications of ABC in health-care organizations. This research explores the potential application of ABC to the nuclear medicine unit (NMU) at a teaching hospital. The finding indicates that the current cost averages US&dollar;236.11 for all procedures, which is quite different from the costs computed by using ABC. The difference is most significant with positron emission tomography scan, US&dollar;463 (an increase of 96%), as well as bone scan and thyroid scan, US&dollar;114 (a decrease of 52%). The result of ABC analysis demonstrates that the operational time (machine time and direct labour time) and the cost of drugs have the most influence on cost per procedure. Clearly, to reduce the cost per procedure for the NMU, the reduction in operational time and cost of drugs should be analysed. The result also indicates that ABC can be used to improve resource allocation and management. It can be an important aid in making management decisions, particularly for improving pricing practices by making costing more accurate. It also facilitates the identification of underutilized resources and related costs, leading to cost reduction. The ABC system will also help hospitals control costs, improve the quality and efficiency of the care they provide, and manage their resources better.

scholarly journals Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

2017 ◽  
Vol 18 (1) ◽  
pp. 53-60
Author(s):  
Dragana Ignjatovic-Ristic ◽  
Ana Solujic ◽  
Andrea Obradovic ◽  
Katarina Nikic-Djuricic ◽  
Marija Draskovic ◽  
...  
Keyword(s):  
High School ◽  
Study Groups ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Past ◽  
Care Workers ◽  
Significant Difference ◽  
The University

Abstract Research over the past twenty years has shown that the attitudes of health care workers and students towards people who are suffering from schizophrenia have become more negative. The aim of our study was to investigate the attitudes of medical and pharmacy students towards patients with schizophrenia and explore the differences in attitudes between study groups and students in different years. Materials and methods: Second- and fifth-year medical and pharmacy students from the Faculty of Medical Sciences at the University of Kragujevac were included in an observational, prospective, cross-sectional study. The sample consisted of 113 students from the pharmacy and medical schools who were chosen via random sampling. The students completed a two-part questionnaire. Th e first part contained questions about sociodemographic characteristics, whereas the second part was a translated version of the Mental Illness: Clinician’s Attitudes (MICA) v4 scale. Results: There is a statistically significant difference (р<0.05) in the attitudes towards people with schizophrenia between second- and fifth-year medical and pharmacy students (with lower scores in both groups in fifth-year students). Of the total number of students who had lower summed scores on the Likert scale, 51.3% had previously finished medical high school, whereas 28.3% had previously finished regular high school. Conclusion: Our results showed a statistically significant difference in attitudes towards people with schizophrenia between second- and fifth-year students as well as a difference related to previous high school education. This stresses the importance of levels of knowledge about schizophrenia to reducing the stigmatization of patients who suffer from this disorder.

A costing study of the document supply service at a Chinese research library: the case of Wuhan University Library

2008 ◽  
Vol 36 (2) ◽  
pp. 86-90 ◽  
Author(s):  
Xia Liu ◽  
Ting Lei
Keyword(s):  
Design Methodology ◽  
Unit Cost ◽  
Research Library ◽  
Cost Study ◽  
Content Type ◽  
University Library ◽  
Costing Study ◽  
The Difference ◽  
The Cost ◽  
The University

PurposeThis paper aims to report on a cost study of document supply at Wuhan University Library, and to investigate the difference in costs over time and the cost‐effectiveness for the university.Design/methodology/approachA quantitative approach is employed.FindingsThe borrowing unit cost and lending unit cost decreased by 27 percent and 60 percent, respectively, between 2002 and 2004, but showed a small increase in 2006.Originality/valueThe paper reveals the cost of document supply in a Chinese research library and proves that the cost could be lowered rapidly by taking effective measures. The paper also demonstrates that document supply is an effective way to resolve the library budgetary crisis as well as satisfying end‐users' needs.

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