Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Cost Driver Analysis in General Hospitals Using Simultaneous Equation Model and Path Model

연립방정식모형과 경로모형을 이용한 종합병원의 원가동인 분석

  • 양동현 (인제대학교 보건대학원 병원경영학과, 병원전략경영연구소) ;
  • 이원식 (아산의료원 기획조정실)
  • Published : 2004.03.01
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Abstract

The purpose of this empirical study is to test hypotheses in order to identify the cost drivers that drive indirect costs in general hospitals in Korea. In various cases' studies, it has been suggested that overhead costs are driven by volume and complexity variables, how they are structurally related and how the cost impacts of these variables can be A unique feature of the research is the treatment of complexity as an endogenous variable. It is hypothesized that level of hospital complexity in terms of the number of services provided(i.e., “breath" complexity) and the intensity of individual estimated in practice. overhead services(ie., “depth" complexity) are simultaneous determined with the level of costs needed to support the complexity. Data used in this study were obtained from the Database of Korean Health Industry Development Institute, Health Insurance Review Agency and analyzed using simultaneous equation model, path model. The results found those volume and complexity variables are all statistically signi-ficance drivers of general hospital overhead costs. This study has documented that the level of service complexity is a significant determinant of hospital overhead costs, caution should be exercised in interpreting this as supportive of the cost accounting procedures associated with ABC. with ABC.

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References

  1. 김양환. 은행간접원가의 원가동인에 대한 실증연구[박사학위논문] 서울: 중앙대 대학원; 2000.
  2. 김성기, 안숙찬. 원가관리 회계. 서울:다산출판사; 1995
  3. 김중식. 현대관리회계. 서울:형설출판사; 1998
  4. 박광훈, 양동현. 간접원가의 원가동인에 관한 연구. 회계학연구 1998;23(2):163-181
  5. 설동진(6명까지 나열).병원 간접비에 영향을 미치는 원가동인에 관한 연구. 보건행정학회지 2000;10(4):116-143
  6. 신홍철. 우리나라 기업의 제조간접비 발생동인 및 제조간접비 배분실태에 관한 연구. 회계학연구 1995;20(1): 131-157
  7. 안태식. 원가동인 연구의 비판적 검토와 미래연구방향. 서울대 경영논총 1998:215- 244
  8. 이성욱. 제조간접비에 영향을 미치는 원가동인에 관한 실증적 연구(박사학위논문). 서울: 한양대 대학원 ; 1999
  9. Anderson Sw. Measuring the impact of Product mix heterogeneity on manufacturing Overhead Cost. The Accounting Review 1995;70(3):363-387
  10. Anderson Sw. Measuring manufacturing flexibility. Harvard Business School Dissertation; 1993
  11. Babad Y, Balachandran B. Cost driver optimization in activity-based costing. The Accounting Review 1993;68(3)563-575
  12. Banker RD, Datar DS, Kekre S, Mukhopadyay. Cost of product and process complexity in Measure for Manufacturing Excellence; Boston, MA: Harvard Business School Press. 1990
  13. Banker RD, Johnston HH. A Case study on the impact of material related cost drivers on economic improvement. Journal of Management Accounting Research 1993;576-601
  14. Banker RD, Ou, Potter G. Manufacturing overhead: A study of factors affecting manufacturing overhead costs Unpublised Working Paper. 1994
  15. Banker RD, Potter G, Schroeder G. An empirical analysis of manufacturing overhead cost drivers. Journal of Accounting and Economics. 1995;19:115-137 https://doi.org/10.1016/0165-4101(94)00372-C
  16. Boer G, Jeter D. what's New about modem manufacturing? Empirical evidence on manufacturing cost change. Journal of Management Accounting Research1993;Fall:61-83
  17. Bruns, William JJ, Kaplan RS. Accounting & management: Field study perspectives. Harvard Business School Press; 1987
  18. Cooper R. Cost classification in client-based and activity-based manufacturing cost system. Journal of Cost Management.1990;Fall:12-12
  19. Cooper R, Kaplan RS. How cost accounting systematically distorts product costs in accounting and management. Field Study Perspective, Boston, MA;Harvard Business School Press. 1987
  20. Foster G, Gupta M. Manufacturing overhead cost drover analysis. Journal of Accounting and Economics 1990; 12; 309-337
  21. Kaplan RS. The design of cost management systems: Text, Cases and readings, Prentice-Hall, 1991
  22. Datar SM, Kekre S, Mukhopadhyay T, Srinivasan K. Simultaneous estimation of cost drivers. The Accounting Review 1993;68(3):602-614
  23. Evans JH, Hwang Y, Nagarajan JH. Cost reduction and process reengineering in hospital.Jouma 1 of Cost Management 1997;(May/June):20-27
  24. Hayes RH, Wheelwright SC. Restoring our competitive edge: Competing through manufacturing, John Wiley & Sons,1984
  25. ttner CD, MacDuffie JP. Measuring plant-level difference in manufacturing overhead: structural and executional cost drivers in the world auto industry. Production and Operations Management. 1995;Fall:312-334
  26. Johnson HT, Kaplan RS. Relevance Lost: The rise and fall of management Accounting. Harvard Business School Press; 1987
  27. Mabberley J. Activity-based costing in financial institutions, Pitman Publishing; 1992
  28. MacArthur JB, Stranahan HA. Cost driver analysis in hospital: A simultaneous equation approach. Journal of Management Accounting Research 1998;10:.279-312
  29. Maskell BM. Performance for world class manufacturing, Productivity Press Inc; 1991
  30. Miller JG, Vollmann TE. The hidden factory. Harvard Business Review; Sept-Oct 1985.pp.142-150
  31. Moriarity S. Another approach to allocation joint costs. Accounting Review; Oct.1975. pp.45-46
  32. Noreen E, Soderastrom N. Are overhead costs Strictly Proportional to Activity? Evidence from hospital departments. Journal of Accounting and Economics 1994:255-278
  33. Ostrenga MR, Probst FS. Process value analysis: The missing link in cost management. Journal of Cost Management. 1992;Fall
  34. Otto BM. Cost accounting in the Service industry: A critical assessment, Institute of Management Accountant. 1994
  35. Porter ME. Competitive Advantage. New York The Free Press; 1985
  36. Potter GL. Economic implementations of Single Cost Driver Systems. Journal of Management Research 1993;Fall:15-32
  37. Raffish N, Turney PB. The CAM-I glossary of activity-based management (2nd ed.); 1991
  38. Rotch W. Activity-based costing in services industries: Emerging practices in cost management. Edited by Brinker BJ, Warren, Gorgam & Lamont, 1991, p.F2-5
  39. Shank JK, Govindarajan V. Strategic cost management and the value chain. Journal of Cost Management, 1992; Winter; 5-21