The Relationship between Cost System Functionality, Management Accounting Practices, and Hospital Performance
| Dec 31, 2020
About this article
Published Online: Dec 31, 2020
Page range: 223 - 236
DOI: https://doi.org/10.2478/fman-2020-0017
Keywords
© 2020 Magdalena Kludacz-Alessandri, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Figure 1
Correlation levels among defined constructs in the research model(Source: Author's own elaboration)
| Size | CL | Calc | MAP | Per | |
|---|---|---|---|---|---|
| Hospital size – Size | 1 | ||||
| The level of computerization – CL | 0.16 | 1 | |||
| The quality of calculation– Calc | 0.49 | 0.45 | 1 | ||
| Management accounting practices – MAP | 0.17 | 0.29 | 0.45 | 1 | |
| Hospital performance – Per | 0.22 | 0.44 | 0.66 | 0.79 | 1 |
Results of multiple regression analysis (Source: Author's own elaboration)
| Factor I Calc | Factor II MAP | Factor III Per | |
|---|---|---|---|
| Education of manager – Edu | − | −0.34 | − |
| Hospital size – Size | 0.44 | − | − |
| The level of computerization – CL | 0.38 | − | − |
| The quality of calculation process – Calc | − | 0.46 | 0.38 |
| Management accounting practices – MAP | − | − | 0.62 |
| Determination rate – R2 | 0.37 | 0.30 | 0.73 |
| F-statistics | 22.81 | 17.17 | 106.5 |
The list of observable variables and constructs in the research model(Source: Author's own elaboration: Kludacz-Alessandri, 2017b)
| Observable variables | Constructs |
|---|---|
| Degree of utilization of IT technologies in administrative part of a hospital | Level of computerization in a hospital (CL) |
| Degree of utilization of IT technologies in medical part of a hospital | |
| Degree of IT systems integration | |
| Tracing direct material costs (medicines, medical products) to the patients and medical procedures | Quality of cost calculation (Calc) |
| Tracing other direct costs (e.g., labor) to the patients and medical procedures | |
| Allocation of the costs of medical procedures to the individual patients | |
| Allocation of the cost of man-days to the individual patients | |
| Planning and budgeting | Management accounting practices (MAP) |
| Cost control | |
| Processes improvement | |
| Performance measurement | |
| Analysis of resource efficiency | |
| Contract negotiations | |
| Profitability analysis | |
| Change in the structure of services | |
| Decisions on the purchase of medical equipment | |
| Profitability | Hospital performance(HP) |
| Cost optimization | |
| Efficient utilization of resources | |
| Patient satisfaction | |
| Medical service quality |