Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1986 Aug;39(8):817–827. doi: 10.1136/jcp.39.8.817

Costing clinical biochemistry services as part of an operational management budgeting system.

I F Tarbit
PMCID: PMC500099  PMID: 3745472

Abstract

The process of costing clinical biochemistry tests as a component of the commissioning of a unit management budgeting system based on an International Computers Limited (ICL) minicomputer system was examined. Methods of apportioning consumable and labour costs under direct and indirect cost headings and as test and request charges were investigated, and in this currently operational system it was found that 38% of consumable costs and 57% of labour costs were not a direct component of the routine analysis function. Means of assigning test costs to a given request source and the incorporation of such charges into clinical budget statements were looked at. A reduction in laboratory workload did not produce a comparable reduction in laboratory costs. For a theoretical reduction in workload of 20% only a 3.8% laboratory saving in recoverable costs could be expected.

Full text

PDF
817

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnard D. J., Bingle J. P., Garratt C. J. Cost of carrying out clinical diagnostic tests. Br Med J. 1978 Jun 3;1(6125):1463–1465. doi: 10.1136/bmj.1.6125.1463. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Broughton P. M., Hogan T. C. A new approach to the costing of clinical laboratory tests. Ann Clin Biochem. 1981 Nov;18(Pt 6):330–342. doi: 10.1177/000456328101800603. [DOI] [PubMed] [Google Scholar]
  3. Chapman C., Hayter C. Cost of carrying out clinical diagnostic tests. Br Med J. 1978 Sep 16;2(6140):830–830. doi: 10.1136/bmj.2.6140.830. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Krieg A. F., Israel M., Fink R., Shearer L. K. An approach to cost analysis of clinical laboratory services. Am J Clin Pathol. 1978 May;69(5):525–536. doi: 10.1093/ajcp/69.5.525. [DOI] [PubMed] [Google Scholar]
  5. Lundberg G. D., Westlake G. E. Cost containment in the clinical laboratory--to be or to seem to be, or when is a nontest a test? JAMA. 1980 Apr 25;243(16):1659–1659. [PubMed] [Google Scholar]
  6. Winkelman J. W., Hill R. B. Clinical laboratory responses to reduced funding. JAMA. 1984 Nov 2;252(17):2435–2440. [PubMed] [Google Scholar]
  7. Winkelman J. W. Less utilization of the clinical laboratory produces disproportionately small true cost reductions. Hum Pathol. 1984 Jun;15(6):499–501. doi: 10.1016/s0046-8177(84)80002-7. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES