Designing and validating the cost management model of inpatient records in the global system: A Case study in Niknafas Obstetrics and Gynecology Hospital in Rafsanjan

Ali Zare Askari; Majid Mirmohammadkhani; Mohammad Reza Shahab; Abas AliEbrahimian

doi:10.18502/tbj.v21i2.10338

Ali Zare Askari Ph.D. student in Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran.
Majid Mirmohammadkhani Associate Professor, Department of Epidemiology and Statistics, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Mohammad Reza Shahab Assistant Professor, Department of Economics, Semnan Branch, Islamic Azad University, Semnan, Iran.
Abas AliEbrahimian Associate Professor, Department of Disaster and Emergency Medicine, School of Paramedical Sciences, Qom University of Medical Sciences, Qom, Iran.

DOI: https://doi.org/10.18502/tbj.v21i2.10338

Keywords: Cost Management Model, Inpatients, Global System, Niknafas Hospital of Rafsanjan

Abstract

Introduction: Cost management of inpatient records can directly and indirectly affect the management and control of hospital costs. Therefore, the present study was conducted with the aim of designing and validating the cost management model of inpatient records in the global system.

Methods: The present mixed method study was conducted in 2021. Senior and middle managers composed the statistical population in the qualitative section and the senior, middle managers and staff of Niknafas Hospital in Rafsanjan were the quantitative section statistical population. In the qualitative section, in-depth interviews were conducted with 33 experts using the purposive sampling accompanied with snowball method. A researcher-made questionnaire with a random sampling method was used to assess the model among 210 people in the quantitative section. Qualitative data were analyzed by Atlas.ti software and quantitative data were analyzed by exploratory and confirmatory factor analysis using SPSS and SmartPLS version 3 software.

Results: The results of the qualitative section indicated that the cost management model includes 15 sub-categories and 6 main categories. "Information and awareness", "sensitivity", "risk-taking and motivation", "control and supervision", "experience and skill", and "factors beyond the hospital's control" were the main categories. The SRMR fit indices (0.069), R² (>0.67), GOF (>0.36) showed that the fit of the measurement, structural and general models were appropriate and approved.

Conclusion: The present study showed that the designed model of cost management of inpatient records in the global system has a good fit and can be used in medical centers.