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Rilevazione del gap tra DRG price e internal cost: implicazioni di case-mix accounting

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  • Cristiana Cattaneo
  • Gaia Bassani

Abstract

In recent years, national and international studies analyse issues related to the consumption of resources, efficiency and appropriate costs in health care. In this framework, the Diagnosis Related Groups (DRGs) system and its implication for case mix, management accounting systems and processes in hospitals still requires research. This study has two objectives. The primary purpose is to investigate the gap between DRGs price and the internal cost for the hospital. The focus on the nursing care and non clinical services is due to the increasing relevance of the health and social care domain and non clinical services as well. Secondly, we want to investigate the opportunity to implement, especially at the national level, accounting case mix systems. The analysis in a hospital in northern Italy provides some results and insights in both directions.

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  • Cristiana Cattaneo & Gaia Bassani, 2017. "Rilevazione del gap tra DRG price e internal cost: implicazioni di case-mix accounting," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2017(2), pages 13-31.
    • Handle: RePEc:fan:macoma:v:html10.3280/maco2017-002002
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    1. Hill, Nancy Thorley, 2000. "Adoption of costing systems in US hospitals: An event history analysis 1980-1990," Journal of Accounting and Public Policy, Elsevier, vol. 19(1), pages 41-71.
    2. Preston, Alistair M. & Chua, Wai-Fong & Neu, Dean, 1997. "The Diagnosis-Related Group-Prospective Payment System and the problem of the government of rationing health care to the elderly," Accounting, Organizations and Society, Elsevier, vol. 22(2), pages 147-164, February.
    3. Covaleski, Mark A. & Dirsmith, Mark W. & Michelman, Jeffrey E., 1993. "An institutional theory perspective on the DRG framework, case-mix accounting systems and health-care organizations," Accounting, Organizations and Society, Elsevier, vol. 18(1), pages 65-80, January.
    4. Reinhard Busse & Jonas Schreyögg & Peter Smith, 2006. "Editorial: Hospital case payment systems in Europe," Health Care Management Science, Springer, vol. 9(3), pages 211-213, August.
    5. Antonio Leotta & Daniela Ruggeri, 2012. "I cambiamenti nei sistemi di misurazione e valutazione manageriale nelle aziende ospedaliere universitarie come contesti multi-stakeholder: proposizioni teoriche ed evidenze empiriche," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2012(3), pages 63-86.
    6. Luca Del Bene & Riccardo Ceccarelli, 2016. "Il contributo del Sistema Informativo alla gestione logistica dei materiali. Un caso di studio nel settore sanitario," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2016(1), pages 149-172.
    7. Luciano Marchi & Manuela Bertei, 2016. "Performance Audit in the Public Sector. What is the contribution to the Performance Management?," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2016(3), pages 49-63.
    8. Giuditta Callea & Aleksandra Torbica & Rosanna Tarricone, 2014. "Impatto del sistema di finanziamento a DRG sull?innovazione tecnologica in sanit?. Il caso italiano," MECOSAN, FrancoAngeli Editore, vol. 2014(89), pages 31-48.
    9. Ramji Balakrishnan & Leslie Eldenburg & Ranjani Krishnan & Naomi Soderstrom, 2010. "The Influence of Institutional Constraints on Outsourcing," Journal of Accounting Research, Wiley Blackwell, vol. 48(4), pages 767-794, September.
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