Table 2.
Serial number | Cost item | Cost points | Cost driver (first-level points) |
---|---|---|---|
1 | Personnel expenses | Human resource cost points | Job-level rank, service volume, working hours and comprehensive technical level |
2 | Medical material costs | Special non-chargeable consumable points | Unit usage |
General non-chargeable consumable points | Unit usage or low-value consumable coefficient in the 2023 edition of the “Standards” | ||
3 | Fixed asset depreciation costsa | Special building Depreciation points | Project duration |
Bed fee type projects | Bed count or the area of buildings involved | ||
General building depreciation points | Project duration | ||
Special equipment depreciation points | Project duration | ||
General equipment depreciation points | Project duration | ||
4 | Intangible asset amortization costs | Intangible asset amortization points | Project duration |
5 | Extraction of Medical Risk Fund | Medical risk fund points | Risk degree coefficient of medical service projects |
6 | Other operating expenses | E.g., special electricity points | Power consumption of large special equipment, project duration |
… | … |
aFor the fixed assets of a hospital, the most important are buildings and medical equipment. These buildings and medical equipment can be divided into two categories: special and general. Among them, the special house refers to the development of some medical service projects in the special site, then in the project cost accounting, the depreciation of these special houses should only be included in some specific projects, in order to more accurately conform to the principle of value transfer. For example, the operating room is a place to provide surgery and rescue for patients, and its depreciation should be shared in the various medical projects carried out in the operating room. Special equipment is treated similarly. The cost driver parameter of the cost sharing between them is mainly the service time. Limited by the length of this paper, we will not go into details here