Abstract
Hospitals have several distinct services besides in-patient and out-patient health care. This service diversity leads to huge complexity and to high cost of the hospital management. However, specific characteristics of health services, such as the diversity of professionals and their autonomy, the variety of procedures, the different types of information and often the lack of an integrated system of information, make cost calculation a big challenge. In Brazil, there are only a few hospitals that can calculate their costs and utilize them as a tool for effective management. This study presents the preliminary results of TDABC use for calculating the costs of surgical procedures at a medium-sized hospital, as well as to use business process analysis and modeling for its implementation. The results attained so far indicate that TDABC is an adequate method for calculation and effective control of costs and a tool for improving processes as well.
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References
Pérez-Pineda, F., Privetera, A.E.: Guadalupano hospital: looking for sustainable growth. J. Bus. Res. 69(9), 3848–3858 (2016)
Alemão, M.M., et al.: Aplicação do custeio Abc no processo de transplantes de fígado, no Estado de Minas Gerais. Revista PRETEXTO 16(3), 77–91 (2015)
Matos, A.J.: Gestão de Custos Hospitalares: técnicas, análises e tomada de decisão, 3a edn. STS, São Paulo (2002)
Gonçalves, M.A., Alemão, M.M., Drumond, H.A.: Estudo da utilização da informação de custos como ferramenta de gestão em organização pública: o estudo e o Sigh-Custos. Perspectivas em Gestão & Conhecimento 3(1), 210–226 (2013)
Mediha, G.O., et al.: Activity-based costing management and hospital cost in patients with chronic obstructive pulmonary disease. Eur. J. Gen. Med. 13(2), 116–126 (2016)
Cogan, S.: Modelos de ABC/ABM: inclui modelos resolvidos e metodologia original de reconciliação de dados para o ABC/ABM. Qualitymark, Rio de Janeiro (1997)
Kaplan, R.S., Cooper, R.: Custo e Desempenho: administre seus custos para ser mais competitivo, 2a edn. Futura, São Paulo (2000)
Kaplan, R.S., Anderson, S.R.: Time-driven-activity-based costing. Harvard Bus. Rev. 82(11), 131–138 (2004)
Kaplan, R.S., Anderson, S.R.: The speed reading organization. Bus. Finance 13, 39–42 (2007)
Chen, A., et al.: Time-driven activity based costing of total knee replacement surgery at a London teaching hospital. Knee 22(6), 640–645 (2015)
French, K.E., et al.: Measuring the value of process improvement initiatives in a preoperative assessment center using time-driven activity-based costing. Healthcare 1(3–4), 136–142 (2013)
de Oliveira, S.B.: Gestão por processos: fundamentos, técnicas e modelos de implementação: foco no sistema de gestão de qualidade com base na ISO 9000:2000. 2a ed. Rio de Janeiro: Qualitymark (2012)
Valle, R., de Oliveira, S.B., et al.: Análise e modelagem de processos de negócio: foco na notação BPMN. Atlas, São Paulo (2013)
Cannavacciuolo, L., et al.: An activity-based costing approach for detecting inefficiencies of healthcare processes. Bus. Process Manage. J. 21(1), 55–79 (2014)
Nogueira, D.N.G., Castilho, V.: Resíduos de serviços de saúde: mapeamento de processo e gestão de custos como estratégias para sustentabilidade em um centro cirúrgico. REGE - Revista de Gestão 23(4), 362–374 (2016)
Thiollent, M.: Metodologia da Pesquisa Ação, 18a edn. Cortez, São Paulo (2011)
Tripp, D.: Pesquisa ação: uma introdução metodológica. Educação e Pesquisa 31, 443–466 (2005)
De Souza, A.A.: Gestão financeira e de custos em hospitais. Atlas, São Paulo (2013)
Datasus. Produção Hospitalar SIH/SUS. Disponível em: http://datasus.saude.gov.br/informacoes-de-saude/tabnet. Accessed 25 Jan 2017
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Silva, M.M.H., de Oliveira, S.B. (2018). Proposal to Implementation Time-Driven Activity Based Costing (TDABC) for Calculation of Surgical Procedure Costs of a Medium-Sized Teaching Hospital. In: Rocha, Á., Guarda, T. (eds) Proceedings of the International Conference on Information Technology & Systems (ICITS 2018). ICITS 2018. Advances in Intelligent Systems and Computing, vol 721. Springer, Cham. https://doi.org/10.1007/978-3-319-73450-7_19
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DOI: https://doi.org/10.1007/978-3-319-73450-7_19
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