Advances in Value-Based Healthcare by the Application of Time-Driven Activity-Based Costing for Inpatient Management: A Systematic Review

Jun 1, 2020, 00:00
10.1016/j.jval.2020.02.004
https://www.valueinhealthjournal.com/article/S1098-3015(20)30130-3/fulltext
Title : Advances in Value-Based Healthcare by the Application of Time-Driven Activity-Based Costing for Inpatient Management: A Systematic Review
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(20)30130-3&doi=10.1016/j.jval.2020.02.004
First page : 812
Section Title : SYSTEMATIC LITERATURE REVIEW
Open access? : No
Section Order : 812

Objectives

Implementation of value-based initiatives depends on cost-assessment methods that can provide high-quality cost information. Time-driven activity-based costing (TDABC) is increasingly being used to solve the cost-information gap. This study aimed to review the use of the TDABC methodology in real-world settings and to estimate its impact on the value-based healthcare concept for inpatient management.

Methods

This systematic review was conducted by screening PubMed/MEDLINE and Scopus databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, including all studies up to August 2019. The use of TDABC for inpatient management was the main eligibility criterion. A qualitative approach was used to analyze the different methodological aspects of TDABC and its effective contribution to the implementation of value-based initiatives.

Results

A total of 1066 studies were retrieved, and 26 full-text articles were selected for review. Only studies focused on surgical inpatient conditions were identified. Most of the studies reported the types of activities on a macrolevel. Professional and structural cost variables were usually assessed. Eighteen studies reported that TDABC contributed to value-based initiatives, especially cost-saving findings. TDABC was satisfactorily applied to achieve value-based contributions in all the studies that used the method for this purpose.

Conclusions

TDABC could be a strategy for increasing cost accuracy in real-world settings, and the method could help in the transition from fee-for-service to value-based systems. The results could provide a clearer idea of the costs, help with resource allocation and waste reduction, and might support clinicians and managers in increasing value in a more accurate and transparent way.

Categories :
  • Cost/Cost of Illness/Resource Use Studies
  • Economic Evaluation
  • Health Policy & Regulatory
  • Insurance Systems & National Health Care
  • Literature Review & Synthesis
  • Pricing Policy & Schemes
  • Study Approaches
Tags :
  • healthcare costs
  • microcosting
  • TDABC
  • time-driven activity-based costing
  • value-based healthcare
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