Five Years of Total His Cost Accounting, Analysis and Prognosis

  • A. R. Bakker
  • H. G. M. van der Zanden
Conference paper
Part of the Lecture Notes in Medical Informatics book series (LNMED, volume 25)


In earlier MIE-papers was reported on a cost allocation model used around Leiden University Hospital Information System and results obtained. The figures are extended now to a five years period and it is found that, notwithstanding an average growth rate in HIS use of about 20% per year, total HIS costs at Leiden are not increasing and almost stable at 1.4% of the hospital budget. This result is contradictory to what is often expected.

Especially for the US market projections on cost levels are available. A growth of HIS cost is predicted to 3–4% of the hospital budget.

In this paper the phenomenon (constant cost level, combined with considerable growth of HIS use) is studied in more detail and it is concluded that under certain assumptions on the growth of HIS use and the growth of the co-operative around Leiden University Hospital Information System, the cost level can be expected to remain constant for the next 5 years.


Average Growth Rate Computer Centre Hospital Information System Hardware Cost Cost Level 
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  1. [1]
    Bakker, A.R, Hoogendoorn, C., van der Zanden H, G, M. “Cost aspects, cost allocation and cost figures for an integrated hospital information system”, In: Proc, MEDINFO ‘83: J. H. von Bemmel et al, eds, Amsterdam, Augustus 1983, North Holland Pubi, Comp., pp, 214–217Google Scholar
  2. [2]
    Bakker, A R., van der Zanden, H G M, “Trends in Costs of a Hospital Information System”, In: Proc MIE ‘84, F H Roger et al, eds, September 1984, Springer Verlag, Berlin Heidelberg New York Tokyo pp. 61’65Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • A. R. Bakker
    • 1
  • H. G. M. van der Zanden
    • 1
  1. 1.BAZISLeiden University HospitalLeidenThe Netherlands

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