Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco

Abstract Background In Morocco, hospitals do not have cost accounting systems that allow them to produce reliable budget forecasts to know and justify the costs of their operations. Moroccan hospitals are thus among the public organizations that do not know the cost of their services. Faced with the...

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Main Authors: A. Benabdallah, T. Jellouli
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Cost Effectiveness and Resource Allocation
Subjects:
Online Access:https://doi.org/10.1186/s12962-023-00462-8
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author A. Benabdallah
T. Jellouli
author_facet A. Benabdallah
T. Jellouli
author_sort A. Benabdallah
collection DOAJ
description Abstract Background In Morocco, hospitals do not have cost accounting systems that allow them to produce reliable budget forecasts to know and justify the costs of their operations. Moroccan hospitals are thus among the public organizations that do not know the cost of their services. Faced with the lack of data on the cost of care for cancer patients, this research aims to implement an approach to calculate the cost of services provided at the level of the medical oncology department of the Hassan II University Hospital in Fez. The objective is to provide data that can be used in the pricing and financing process of the different services provided in medical oncology. Methods In this research work, we proposed a top-down costing approach. Two main qualitative data collection tools were used: observation and document analysis. We used mainly and Excel for data processing to determine costs and related statistics. Results The result of this study shows the possible application of a top-down approach to cost calculation which consists in determining the cost per department (oncology service) and per product (chemotherapy act, transfusion, ascites puncture, Inpatient day). Two main methods were mainly used, namely the volume-based allocation method and the method relative value units (RVU). The proposed top-down cost calculation approach has the advantage of being easy to implement, but on the other hand, it is not very accurate in producing results on the actual cost. The data from this study can be exploited to revise the prices of procedures provided in medical oncology.
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spelling doaj.art-c15cf04ef2d84443a321ada6696655392023-11-26T13:27:32ZengBMCCost Effectiveness and Resource Allocation1478-75472023-08-0121111010.1186/s12962-023-00462-8Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in MoroccoA. Benabdallah0T. Jellouli1Faculty of Law, Economic and Social Sciences, Sidi Mohammed Ben Abdellah UniversityFaculty of Law, Economic and Social Sciences, Sidi Mohammed Ben Abdellah UniversityAbstract Background In Morocco, hospitals do not have cost accounting systems that allow them to produce reliable budget forecasts to know and justify the costs of their operations. Moroccan hospitals are thus among the public organizations that do not know the cost of their services. Faced with the lack of data on the cost of care for cancer patients, this research aims to implement an approach to calculate the cost of services provided at the level of the medical oncology department of the Hassan II University Hospital in Fez. The objective is to provide data that can be used in the pricing and financing process of the different services provided in medical oncology. Methods In this research work, we proposed a top-down costing approach. Two main qualitative data collection tools were used: observation and document analysis. We used mainly and Excel for data processing to determine costs and related statistics. Results The result of this study shows the possible application of a top-down approach to cost calculation which consists in determining the cost per department (oncology service) and per product (chemotherapy act, transfusion, ascites puncture, Inpatient day). Two main methods were mainly used, namely the volume-based allocation method and the method relative value units (RVU). The proposed top-down cost calculation approach has the advantage of being easy to implement, but on the other hand, it is not very accurate in producing results on the actual cost. The data from this study can be exploited to revise the prices of procedures provided in medical oncology.https://doi.org/10.1186/s12962-023-00462-8Cost calculationHospitalRVU methodMedical oncologyTop-down approach
spellingShingle A. Benabdallah
T. Jellouli
Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco
Cost Effectiveness and Resource Allocation
Cost calculation
Hospital
RVU method
Medical oncology
Top-down approach
title Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco
title_full Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco
title_fullStr Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco
title_full_unstemmed Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco
title_short Application of a cost calculation approach in medical oncology: case of Hassan II university hospital in Morocco
title_sort application of a cost calculation approach in medical oncology case of hassan ii university hospital in morocco
topic Cost calculation
Hospital
RVU method
Medical oncology
Top-down approach
url https://doi.org/10.1186/s12962-023-00462-8
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