The Impact Of Cost Accounting On Healthcare Quality Management

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Annisya Nurul Zahra Rifta Elmid
Rifta Elmid Safitri
Dwi Noerjoedianto
Arnild Augina Mekarisce

Abstract

The transformation of the healthcare system toward Value-Based Healthcare requires efficient cost management without compromising patient quality and safety. This study aims to analyze the impact of cost accounting implementation on healthcare quality management through a systematic literature review approach. The research method follows the PRISMA 2020 guidelines, with literature searches conducted through Google Scholar, PubMed, and SINTA databases. Article selection was carried out using the PICOS framework to ensure relevance to the research objectives. The screening process resulted in nine eligible articles that were analyzed through qualitative synthesis. The findings indicate that the implementation of modern cost accounting methods, such as Activity-Based Costing (ABC), Time-Driven Activity-Based Costing (TDABC), and Itemized Point Cost (IPC), significantly contributes to improving operational efficiency, enhancing cost transparency, reducing the risk of medical errors, and supporting healthcare accreditation standards. However, excessive emphasis on strict cost control may influence patients’ perceptions of service quality. Therefore, the integration of financial and non-financial performance indicators is essential to ensure that economic efficiency aligns with continuous improvement in healthcare service quality.

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How to Cite
Rifta Elmid, A. N. Z., Rifta Elmid Safitri, Dwi Noerjoedianto, & Arnild Augina Mekarisce. (2026). The Impact Of Cost Accounting On Healthcare Quality Management. International Journal of Health Engineering and Technology, 5(1). https://doi.org/10.55227/ijhet.v5i1.706
Section
Health

References

Asyari, A. & Achyarsyah, P. (2022). Evaluasi Model Perhitungan Tarif Dasar Kamar Rawat Inap Pasien Berdasar Metode Activity Based Costing Study Pada RS Siloam Kebon Jeruk. Jurnal Ekonomi, Manajemen, Bisnis, dan Sosial. 2(2): 237–246.

Dewita, D., Syachbrani, W. & Uluputty, N.F. (2024). Hospital Inpatient Cost Optimization Using Activity-Based Costing: A Case Study at RSUD Bantaeng. Phinisi Applied Accounting Journal. 2(2). http://ojs.unm.ac.id/PA2J/article/view/68753/30166

Elfoghi, R. (2025). Management Control and Quality Indicators in Healthcare: A Literature Review. African Scientific Journal. 3(31): 1616–1634. https://doi.org/10.5281/zenodo.17080027

Etges, A.P.B.D.S., Ruschel, K.B., Polanczyk, C.A. & Urman, R.D. (2020). Advances in Value-Based Healthcare by the Application of Time-Driven Activity-Based Costing for Inpatient Management: A Systematic Review. Value in Health. 23(6): 812–823. https://doi.org/10.1016/j.jval.2020.02.004

Hussey, P.S., Wertheimer, S. & Mehrotra, A. (2013). The Association Between Health Care Quality and Cost: A Systematic Review. Annals of Internal Medicine. 158(1): 27–34. https://doi.org/10.7326/0003-4819-158-1-201301010-00006

Jabarbeigi, R., Kalhor, R., Rafiei, S. & Hashemi, F. (2021). Assessing Cost of Quality in a Medical Device Division of a Training Hospital: A Case Study in Iran. Evidence Based Health Policy, Management and Economics. 5(3): 157–165. https://doi.org/10.18502/jebhpme.v5i3.7288

Li, Y., Liang, S., Qin, K., Su, H. & Xia, P. (2024). Itemized Point Cost Method in Human Resource Cost Accounting in Medical Service Projects. Cost Effectiveness and Resource Allocation. 22(1): 91. https://doi.org/10.1186/s12962-024-00599-0

Meskarpour-Amiri, M., Shokri, N., Aliyari, S., Bahadori, M. & Hosseini-Shokouh, S.M. (2025). Strategies to Reduce Costs and Increase Revenue in Hospitals: A Mixed Methods Investigation in Iran. BMC Health Services Research. 25(1): 127. https://doi.org/10.1186/s12913-025-12295-7

Mumford, V., Greenfield, D., Hogden, A. et al. (2015). Counting the Costs of Accreditation in Acute Care: An Activity-Based Costing Approach. BMJ Open. 5(9): 1–9. https://doi.org/10.1136/bmjopen-2015-00885

Shakya, S., Bohingamu Mudiyanselage, S., Robinson, S., Randall, S. & Gao, L. (2025). Time-Driven Activity-Based Costing and Its Use in Health Economic Analysis: A Systematic Literature Review. Applied Health Economics and Health Policy. 23(6): 989–1004. https://doi.org/10.1007/s40258-025-00988-3

Sulistyaningrum, I., Santoso, A., Fathnin, F., Solamanda, A. & Nugrahaini, A. (2022). Persepsi Pasien pada Sistem Pembayaran Kapitasi: Survey pada Peserta Jaminan Kesehatan Nasional di Puskesmas Kabupaten Demak. Pharmacon: Jurnal Farmasi Indonesia. 19(2): 213–221. https://doi.org/10.23917/pharmacon.v19i2.19696