Upravljanje troškovima zdravstvenih organizacija za finansijsku održivost
DOI:
https://doi.org/10.56362/Rev24105047MKljučne reči:
troškovi, zdravstvena organizacija, kontrola, interna revizijaApstrakt
Pružaoci zdravstvenih usluga u okruženju koje se dinamično menja su pod pritiskom da kontrolišu rapidan rast troškova zdravstvene zaštite, u čemu im značajno pomaže interna revizija. Zdravstvene organizacije se danas suočavaju sa bezbroj izazova dok pokušavaju da se prilagode zahtevima za boljim kvalitetom i smanjenim troškovima. Za generisanje zdravstvenih usluga potrebne su metodologije zasnovane na specifičnim karakteristikama zdravstvene zaštite. Metode segmentacije zasnovane na menadžmentu otkrivaju da hitni slučajevi, kontinuirana nega, prevencija i lečenje imaju različitu logiku stvaranja vrednosti, otpada, tražnje i finansija. Upravljanje aktivnostima u zdravstvu se fokusira na to kako organizovati resurse i tokove, tako da se zadati ciljevi, troškovi i klinički kvalitet i iskustvo pacijenata mogu postići sa dostupnim resursima. U tom kontekstu je definisana svrha ovog rada, a to je da se ukaže na specifičnosti upravljanja troškovima u zdravstvenim organizacijama.
Reference
Appleby, J., Devlin, N., & Parkin, D. (2007). NICE’s cost-effectiveness threshold. BMJ, 335(7616), 358–359. doi:10.1136/bmj.39308.560069.be.
Ballegaard, S. A., Hansen, T. R., & Kyng, M. (2008, April). Healthcare in everyday life: designing healthcare services for daily life. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 1807-1816).
Chandra, A., Flack, E., & Obermeyer, Z. (2021). The health costs of cost-sharing (No. w28439). National Bureau of Economic Research.
Coleman, M. D. (2010). Sunk cost and commitment to medical treatment. Current Psychology, 29, 121–134.
Crémieux, P.-Y., Ouellette, P., Pilon, C. (1999). Health care spending as determinants of health outcomes, Health Economics, 8(7), 627–639. doi:10.1002/(sici)1099-1050(199911)8:7<627::aid-hec474>3.0.co; 2–8.
Dunn, R. (2022). Haimann’s Healthcare Management, Health Administration Press Chicago, Illinois.
Evans, R. G. (2002). Financing health care: taxation and the alternatives. Funding health care: options for Europe, 1, 31–58.
Friedman, M., Akaaboune, O., & Margolis, D. M. (2013). Internal audit: A new lens for cost management. Journal of Corporate Accounting & Finance, 24(4), 27–39.
Hanskamp-Sebregts, M., Robben, P. B., Wollersheim, H., & Zegers, M. (2020). Transparency about internal audit results to reduce the supervisory burden: A qualitative study on the preconditions of sharing audit results. Health Policy, 124(2), 216–223.
Heath, C. (1995). Escalation and de-escalation in response to sunk cost: the role of budgeting in mental accounting. Organizational Behavior and Human Decision Processes, 62, 38–54.
Hitiris, T., & Posnett, J. (1992), The determinants and effects of health expenditure in developed countries. Journal of Health Economics, 11(2), 173–181. doi:10.1016/0167-6296(92)90033-w; Martín, J. J. M., Puerto López del Amo González, M., & Dolores Cano García, M. (2011), Review of the literature on the determinants of healthcare expenditure. Applied Economics, 43(1), pp. 19–46. doi:10.1080/00036841003689754.
Hoque, Z. (Ed.). (2005). Handbook of cost and management accounting. Spiramus Press Ltd.
Hussey, P. S., Wertheimer, S., & Mehrotra, A. (2013). The Association Between Health Care Quality and Cost. Annals of Internal Medicine, 158(1), p. 27. doi:10.7326/0003-4819-158-1-201301010-00006.
Jeremić, N., Jakovljević, N. ., & Jeremić, M. (2022). The role of internal auditing in business continuity. Revizor, 25(97–98), 53–71. https://doi.org/10.56362/Rev2298053J.
Khan, M. Y. & Jain, P. K. (2008). Cost accounting and financial management for CA Professional Competence Examination, Tata McGraw-Hill Publishing Company Limited, New Delhi.
Kulvik, M., Linnosmaa, I., & Hermans, R. (2006). Adoption of new technologies and costs of health care (No. 1037). ETLA Discussion Papers.
Ljubisavljević, S., & Jovanović, D. (2011). Empirical research on the internal audit position of companies in Serbia. Economic Annals, 56(191), 123–141.
Malinić, D., Milićević, V., Stevanović, N. (2012). Upravljačko računovodstvo, Ekonomski fakultet, Beograd.
Maniadakis, N., Vardas, P., Mantovani, L. G., Fattore, G., & Boriani, G. (2011). Economic evaluation in cardiology. Europace, 13(suppl_2), ii3-ii8.
Marcinko. D. E. & Hetico, H. R. (2014). Managerial Medical Cost Accounting, Structure, modelling, and Behavior, In: Financial Management Strategies for Hospitals and Healthcare Organizations - Tools, Techniques, Checklists and Case Studies, Eds: D. E. Marcinko, H. R. Hetico, Taylor & Francis Group, pp. 3–35.
Mauskopf, J. (1998). Prevalence-based economic evaluation. Value Health. 1(4), 251–9. doi: 10.1046/j.1524-4733.1998.140251.x. PMID: 16674550.
Milošević, M., Stojiljković, M., Raičević, J., & Milojević, S. (2023). Obrazovanje i obuka u oblasti strateškog finansijskog menadžmenta i kontrole: u kom pravcu bi trebalo da idemo?. Revizor, 26(102–103), 25–36. https://doi.org/10.56362/Rev23102025M.
Mitrović, A., Knežević, S. (2023). Kontrola i revizija, Fakultet za hotelijerstvo i turizam u Vrnjačkoj Banji, Univerzitet u Kragujevcu.
Mitrović, A., Ognjanović, J., & Milašinović, M. (2022). Interna kontrola i računarsko okruženje. Revizor, 25(99), 65–80. https://doi.org/10.56362/Rev2299065M.
Neriz, L., Núñez, A., & Ramis, F. (2014). A cost management model for hospital food and nutrition in a public hospital. BMC health services research, 14(1), pp. 1–12.
Propp, D. A. (1999). Fixed vs Variable Costs of Hospital Care. JAMA: The Journal of the American Medical Association, 282(7), 630–630. doi:10.1001/jama.282.7.630.
Srebro, B. (2022). Integrisani model interne revizije u funkciji unapređenja strateškog upravljanja (Doktorska disertacija, Univerzitet u Beogradu-Fakultet organizacionih nauka).
Stadhouders, N., Kruse, F., Tanke, M., Koolman, X., & Jeurissen, P. (2019). Effective healthcare cost-containment policies: a systematic review. Health Policy, 123(1), pp. 71–79.
Stanišić, M. (2022). Upravljanje funkcijom interne revizije. Revizor, 25(100), 93–110. https://doi.org/10.56362/Rev22100093S.
Stepovic, M., Rancic, N., Vekic, B., Dragojevic-Simic, V., Vekic, S., Ratkovic, N., & Jakovljevic, M. (2020). Gross domestic product and health expenditure growth in Balkan and East European countries – three-decade horizon. Frontiers in Public Health, 8, 492.
Taheri, P. A., Butz, D. A. (2005). Health Care as a Fixed-Cost Industry: Implications for Delivery. Surgical Innovation. 12(4), 365-371. doi:10.1177/155335060501200413.
Zatz, D. A. (2000). “Organizational Development Toolpack.” Teaneck, NJ: Toolpack. com. http://www.toolpack.com.
Žarkić Joksimović, N., Barjaktarović Rakočević, S., Obradović, T. (2016). Upravljačko računovodstvo: analiza, planiranje, odlučivanje, kontrola, Fakultet organizacionih nauka, Beograd.
