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dc.contributor.authorDubron, Kathia
dc.contributor.authorVerschaeve, Mathilde
dc.contributor.authorRoodhooft, Filip
dc.date.accessioned2022-01-10T03:50:33Z
dc.date.available2022-01-10T03:50:33Z
dc.date.issued2021en_US
dc.identifier.doi10.1186/s12884-021-04134-4
dc.identifier.urihttp://hdl.handle.net/20.500.12127/6998
dc.description.abstractBackground: Recently, time-driven activity-based costing (TDABC) is put forward as an alternative, more accurate costing method to calculate the cost of a medical treatment because it allows the assignment of costs directly to patients. The objective of this paper is the application of a time-driven activity-based method in order to estimate the cost of childbirth at a maternal department. Moreover, this study shows how this costing method can be used to outline how childbirth costs vary according to considered patient and disease characteristics. Through the use of process mapping, TDABC allows to exactly identify which activities and corresponding resources are impacted by these characteristics, leading to a more detailed understanding of childbirth cost. Methods: A prospective cohort study design is performed in a maternity department. Process maps were developed for two types of childbirth, vaginal delivery (VD) and caesarean section (CS). Costs were obtained from the financial department and capacity cost rates were calculated accordingly. Results: Overall, the cost of childbirth equals €1894,12 and is mainly driven by personnel costs (89,0%). Monitoring after birth is the most expensive activity on the pathway, costing €1149,70. Significant cost variations between type of delivery were found, with VD costing €1808,66 compared to €2463,98 for a CS. Prolonged clinical visit (+ 33,3 min) and monitoring (+ 775,2 min) in CS were the main contributors to this cost difference. Within each delivery type, age, parity, number of gestation weeks and education attainment were found to drive cost variations. In particular, for VD an age > 25 years, nulliparous, gestation weeks > 40 weeks and higher education attainment were associated with higher costs. Similar results were found within CS for age, parity and number of gestation weeks. Conclusions: TDABC is a valuable approach to measure and understand the variability in costs of childbirth and its associated drivers over the full care cycle. Accordingly, these findings can inform health care providers, managers and regulators on process improvements and cost containment initiatives. [en_US
dc.language.isoenen_US
dc.publisherBMCen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectObstetricsen_US
dc.subjectTime-Driven Activity-Based Costingen_US
dc.subjectVaginal Birthen_US
dc.subjectCaesarean Sectionen_US
dc.subjectHealth Managementen_US
dc.titleA time-driven activity-based costing approach for identifying variability in costs of childbirth between and within types of deliveryen_US
dc.identifier.journalBMC Pregnancy and Childbirthen_US
dc.source.volume21en_US
dc.source.issue705en_US
dc.contributor.departmentKU Leuven, University Hospital Leuven, Kapucijnenvoer 33, 3000, Leuven, Belgiumen_US
dc.contributor.departmentKU Leuven, Faculty of Economics and Business, Research Centre Accountancy, Leuven, Belgiumen_US
dc.identifier.eissn1471-2393
vlerick.knowledgedomainAccounting & Financeen_US
vlerick.typearticleJournal article with impact factoren_US
vlerick.vlerickdepartmentAFen_US
dc.relation.urlhttps://rdcu.be/cEC6ren_US
dc.identifier.vperid51506en_US


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International