Title: A Study on costing of Neurosurgery Procedure at a Public Hospital in India

Authors: Dr Jawahar S K Pillai, M Rajalekshmi

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.158

Abstract

Activity-based costing (ABC) is a costing model that identifies activities in an organization and assigns the cost of each activity resource to all products and services according to the actual consumption of each. The study, Costing of Neurosurgical procedures was an observational study which was carried out in SCTIMST (Sree Chitra Tirunal Institute of Medical Sciences & Technology) Thiruvananthapuram during 2009-2010.Objectives of the study were to study the charging system at SCTIMST, to analyze the various elements of cost involved in the neuro-surgical procedure craniotomy, to calculate expenses for selected cases of craniotomy, to ascertain average cost per case by preparing a cost sheet based on elements of cost. An activity based costing method was used for calculation of the cost. Ten cases of major Neurosurgery were studied. The cost included manpower, consumables, overheads etc. The cost was calculated to be Rs 77914/- as against the hospital charge of Rs 36000/-.

Keywords: Activity based costing, Hospital, Neurosurgery.

References

  1. A Primer of Health Systems Economics –V Raman Kutty Allied Publishers Limited 1999
  2. Winyard GPA, McNeilly RH, Adams CBT. How many beds do we really need-for example, in neurosurgery? BrMedJ 1981;282:498-9.
  3. Bartlett JR, Neil-Dwyer G, Banham JMM, Evaluating cost effectiveness of diagnostic equipment: the brain scanner case. Br Med J 1978;ii:815-20
  4. Mendelow AD, Campbell DA, Jeffrey RR, et al. Admissions after mild head injury: benefits and costs. BrMed3' 1982;285:1530-2.
  5. Rees M. The costs of the cardiothoracic and neurological units in the Southampton General Hospital. Report of the Regional Services Project Steering Committee. Winchester: Wessex Regional Health Authority,1985.
  6. Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet 7 1975;,i:480-4.
  7. Smith A. Qualms about QALYs. Lancet 1987;i: 1134-6.
  8. Carlson H, Pellettieri L. Doctors' versus patients' evaluation of results after neurosurgery. J Neurol Neurosurg Psychiatry 1989;52:153-5.
  9. Roberts CJ, Farrow SC, Charny MC. How much can the NHS afford to spend to save a life or avoid a severe disability? Lancet 1985;i:89-91.
  10. Munoz E, Sterman H, Patel P, Chaffin D, Mulloy K, Wise L. Financial risk, hospital costs, and complications and comorbidity (CCs) in non-CC stratified neurosurgical diagnostic related groups (DRGs). Neurosurgery 1988;22:955-60.
  11. Pickard JD, Bailey S, Sanderson H. Steps toward cost-benefit analysis of regional neurosurgical care [Abstract]. J Neurol Neurosurg Psychiatry 1988;51:465
  12. Staubus, George J. Activity Costing and Input-Output Accounting (Richard D. Irwin, Inc., 1971).
  13. Activity-Based Costing (ABC): In recent years, ABC has lost ground in the metric wars. But it may be set for a resurgence, by David M. Katz
  14. Accounting fundamentals for health care management Steven A. Finkler, David M. Ward - 2006

Corresponding Author

Dr Jawahar SK Pillai

Additional Professor, Department of Hospital Administration, AIIMS, Bhubaneswar, Odisha, PIN-751019,

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob No- 9447900330