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3 43..! " so,#) K(=,!. </> so, A7( &'()=E # 4# 0 =@ /? 0 +. `=L6 [. A # A7( (' AM </> K(=,!.q A7(. K(=,! K=/C A7(. (# D c# # # A#7( /! AV? <) A# #' =C ( <% b A7( 7 < =C?# K#> D #M A# A# =C (?= 6. ' =C ( ( A T =C ( A7( `=,6 : `!7) AV,. = =C #/ 4. A#$ # A#7(?# <# a (`=L#6 #=E. `=L#6 ) U# # A v A7( K#> D # 7 pn. 7' `=,#6 #> =0 U A A7(? U (# `=,#6 #7 4.$. ' ( A7( a=). / < 7 A7(!! "#$% & `=,6 7 ' A6' A6 *0 = D. 7D be' C 7D be' C be' C b c) C 7 D [f) C : A7( ( 7 AfS q K>, CSR K6= c=7=) V. # d#6v # #' *#/ A7( AM : `' AV $.> #=C (# A# v A7( <' a D p) A#M 7' $.> A (., # A#7( b# #$.> # A v ' */ A7( # #$.> #C # #=C (# A A a= u#;? D. ' `=6L =C ( ' jc.% A $.> d6v ' */ A7( #M *D # :b#') #/ # A7( &'()=E. #7R b#') #. >. (.... ; 9 fe 4/ x#> A &'(). ' b' (] (... dr fe) 7' V. A * q## ##/. ##\> ## ## ##6 A.... AfS K=/C </>. K(=,! so, #.# b=&# A#CZ?# bl#6 =S c#/ #. #tv A#C$ u#; D ACZ? A v #' *#! # #=C A=.' f> A;?= 56 (# A7( ABC c=7& 9. 7' </=a=# [. # A#CZ?#.#' A#M =C, A#M. b#=m. A(! bv. A 0 *! `=L6 :' bm B' A =C ' */ A7( </= $ =C ( jc : 4. AV (# > `=L6 A7(! b =C ( (# # D `=L#6 =E A7( Yf$ b. =C [. D #=C (# #7' #.7#' # AV #. #7' #=C (# A#V? : *. AV. ' c=&@ K=/ d6v # *#! A# #=/ d6v </= =C ( : ' `=6L A A A 7 #=0 `=L#6 #; A# A# (# )=/ ( U# 7 (7' </= A K> AN 7% 6 R U V$ K#> A#N A#@=w. (#?# ) &7=#) (# 2 #. #D% V. 7 (, $ =.q `=L#6 #; A# A# () =) =C ( 3 K#> #=C. 7#' / </= A K> AN =0 =. =/ =C (,$ =). / ( 7 V. 7 7 *! =C ( =C (=% : * AV A. '?==C =C ( $.> AV? (# # A# #0 # a AV? K A#= pn# # # # A# <. A] =C #> A#N. s# j# b#v. 7' 7. ' a =C ( A7( (=% : *,] AV W7?' AV?. A#7( j# *O#R #7' A *R $.> D c ## ##6V ##V. D ##,% K##O;.% W##/$ K V. A7( b.'... =). &##'() ## ## ##6.##= ## A##7( : D

4 %../',$ &$% ' ( )* $ # U# `=L#6 #=E # A#7( D #= `,. < ## ##V$ 2 ##V$ ## (=## p##q. A#7( #= `,# # = A7( ( l\ &'(n # A#7( l#\ #, #V. `=L6 =E 6) 4# 49,900,000,000 6.=. ' #. (#\ 23) 4# 57,26,087,249 #. (#\ d##= A# (#\ 3) 4## 30,39,958,004 # # # <#/= #' *#/ A#7( ( D `,#?#= D #\ 52.# x#> > A ACZ 48. `=L#6 # A#7( A# v </= A7(. # `=L#6=E # A#7( A# v # A7( D \ A#7( #\ 52 #, V. =C V. 9 \ d= A. = V.. </=.'392 4 </= A7( b D 392' (') ) *+*,.!: 2 0 ( 4) # 6 49,900,000, ,39,958, ,26,087,249 2,876,995,275,544,46,400 2,649,380, ,46,566,928 (+) 4 ( 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 0,000 82,4999 روی ا 6.=. K=/C. > so, q /! : 4# <#/= #=C #, ( ' */ A7( `=L#6 # A#7( A 4 < == 244,46 4C 392 a=# `=L#6 #=E # A7(. 4 < == 27,74. 4 < == 7,242 A r#. ICU 2 V$. < V$ CCU U A# pq.. &'(n.?= d= A b/.7' K> A?/ d=. &#'() #=E. &#'() # 6.=?# A# A#$ #) </>#. K(#=,! so, K=/C 20 D U=# A#CZ </= </> / A dz. (#' A# 0 </ /> so,?7.7 b=& `=L6 A7( b q #, #V. `=L#6 # A#7( b# 3 4.$.# <# 392 4# A#CZ </= ($ A, V. / `=L6 A7( \ 50 D U=.# #' #6.= l\ ) V$. b/ r A#7( D #\?#=. A#7( 6.= D p) A#$?7. x> > > A V. `=L6 A#7( U# <#/= # f. A < #> ICU b/ r., U `=L6 # U. &'(n.?= d= A (=. < #V.?= `=L6 A7( (?/ d= A V$.7', ) 23& )(') 4# 6 "7$! 89': 6,902 ارژی ا ک رات دارو واد ر و واد ر ا , ,544,,508 7' A7(?/ d= A &'()=E. K=/C.?=.. 6.= :KM=X

5 45..! " 23 B= CD 3,678,97,04 6,989,398,708 7,028,33,58 5,608,486,32 0,688,9,46 9,699,22,347 9,637,995,858 0,058,049,709 0,39,507,553 8,984,904,737 8,87,70,739 7,982,225,95 6,354,438,799,957,373,758 27,74,438,40 A 05,349,686 93,004,020 64,608,885 77,366,76 4,52,22 84,36,95 3,68,7,508,640,429 ; 23 CD 392' (') 4# 6 "7$ ">%?@8 <38=% 652,093,600 06,652,800 04,000,000 4,720,000 4,980,000 4,70,000 5,390,000 9,70,000 7,200, ,000,000 4,70,000,70,000,20,000 4,50,000,544,46,400 < % 23 <38=% :3 39,777,573 47,749,503 60,532,683 0,928,029 2,5,475 58,620, ,759, ,095,789,056 95,76,204 7,662,345,59 853,982,200 3,852,700,973 3,359,363,420 2,363,099,675 3,037,98,485,42,762,00 307,007,522,580,778,76,648,220,733,568,90,306 22,922,000 33,446,832,504 ()! 89': 3 23 # 6 :3 ; 95,046,360 39,647, ,797,766 46,842,200 34,365,870 28,87,450 28,058,00 4,978,600 40,80,320 9,940,20 79,347,452 37,860,705 35,80,360 6,654,50 834,086,83 4 )' 6 4# 6 "#': 4 23 %5M C8 B= 23 % 5M 23 :3# 6 8,845,392 26,963,200 2,442,684,897 7,860,000 6,208,728 8,360,000 4,222,500,8,000 3,700,026, ,460,500,92,000 5,933,000 3,003,000 42,77,540 6,902,648,847 C8 B= 23 7,509,069,374 5,723,620,98 6,393,64,29 4,607,75,736 6,66,345,78 6,69,983,080 7,062,707,276 6,839,526,227 5,277,258,883 7,429,983,080 6,393,64,29 6,69,983,080 4,607,75,736,699,086,294 82,499,323,8 00 5,77,298,063 26,53,823, ,257,474,426 ICU 00 4,29,64, ,24, ,45,490, ICU CCU & POST CCU 5E F% 9 G HA I I I CCU & POST CCU I 3 JK 29 G 9 G 9 G :3L0 00 5,644,978, ,235, ,43,742,52. b/ r ) V$ 00 5,843,377, ,2,97, ,722,79,309 pq. 00 7,828,63, ,583,767, ,244,395,620 < < > 00 7,448,63, ,349,7, ,098,992,24 < < > 00 7,923,072, ,533,273, ,389,799,6 < > 00 7,674,929, ,357,83, ,37,097,368 < > 00 5,452,90, ,275,658, ,76,532,042 (= 00 27,633,504, ,45,87, ,487,633, ,926,220, ,754,526, ,7,693,872 2V$ 00 8,5,868, ,06,876,94 5 4,098,992,24 < V$ 00 9,58,90, ,568,822, ,590,079,889 < V$ 00,69,845, ,907, ,938,673 &'(n B= 00 7,242,28, ,44,088, ,828,040,403 TOTAL. = V. A7( D = A7( D, V. `, b ; A :KM=X

6 %../',$ &$% ' ( )* $ ' (') 4# 6 *+ =%!: 5 J0: P% 23 CD ; 23 CD ,350,83 9,450,269,04 5,77,298,063 3,678,97,04 ICU 7,589,770,9,03,038 4,29,64,330 6,989,398,708 CCU & POST CCU 5,247,9 22,673,,794 5,644,978,275 7,028,33,58 ) V$. b/ r 565,692,45,863,66 5,843,377,304 5,608,486,32 pq. 2,600,60 8,56,282,224 7,828,63,078 0,688,9,46 < < > 2,84,722 7,47,286,26 7,448,63,870 9,699,22,347 < < > 3,505,203 7,56,068,425 7,923,072,567 9,637,995,858 < > 3,966,222 7,732,979,054 7,674,929,346 0,058,049,709 < >,402,78 5,77,698,29 5,452,90,737 0,39,507,553 (= 36,638 36,68,409,066 27,633,504,329 8,984,904,737 5,646,946 2,3,93,5 2,926,220,772 8,87,70,739 2V$ 6,220,284 6,098,094,233 8,5,868,38 7,982,225,95 < V$ 4,30,282 5,53,340,752 9,58,90,953 6,354,438,799 < V$ 494,39 3,649,29,605,69,845,847,957,373,758 &'(n 49,895, ,46,566,928 7,242,28,788 27,74,438,40 TOTAL.7#' {#7==E A#7(?= ICU. 2 V$ #6 U D. D A {7= A7( 6 4.$ o#6 #.= A C <% K.@?=7i/. P.. U# (#$ A# k 9. < {#7= A#7(,$ br K.@ U ICU.' $. o6.= A C <(= <T% (>% 3 JS) 664,606 (,785,097) (542,78) (639,086) (658,785) (776,957) (74,744) (675,364) (488,270) A#7( b#' {7= 7 b=& A7( A@ #,. K=/C fe V > D0 r Y% #) K>. 7 ' A@M. A6 # A#7(. 52 {#7= # A#7(.# ' jc < > ICU.7' A7( D \ 48 {7==E < # #V$. CCU.?#= < # < #>. <#.. x> > A {7= A7(?/ 392'?$ 9@% ) (A $7 BC% ) D!: 6 <T% (>% JS) 664,606 (,785,097) (20,78) (298,086) (37,785) (435,957) (373,744) (334,364) (47,270) # % (>% JS) 3,5,000,579,000 # % (>% JS) 3,5,000,579,000 R2 ">% 2,450,394 3,364,097,222,78,39,086,338,785,456,957,394,744,355,364,68,270 Q> ICU CCU & POST < < > < < > < > < > 2 V$ < V$ < V$. $. lo> ICU ($ A U A/ A C. {7= A7(?= :KM=X.' AM 392 4, V. [f) C 9 A7( A

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8 %../',$ &$% ' ( )* $ + 48 A *./ =0 $ *7 A. KO; # (# / A7( AZ o=m\ KO; #] #+7 A# K/=/# m# #,$ 7# br #.#' <f=. < => W7 a= D < b7) A A7( KO; < R => #?#7., A7( U,$,% &/ A7( KO; M\. A7( D br 6.= R A$ #=/ ( A$ A7( A7$ A/$ D <D. V. < A7( *!. A#. / ( A,% =C A,$. 7' A# # K> AN. ', U K=\ > b= A #V 7#6. U' ) M A ', ( =C A 6 ` < <D K \?# A#7( U# A A7( b=m A A#7( a=# # A7(./ c/ V. A# A#7( #, # < A `=L6 =E. `=L6?=7i/. KR f0 A,$ < (# A# K#> D #> n <. n <. D # o=m\ ( A. 6.= A7=, WD,$ A# < # A7( A O; A/$.,% A#7( D,$ # b#r `,# A#CZ </= A x> 6.= A, V. `=L6 D T# #6.#= A#7( #V.?#. #$ 6.= A A$?7..# K.#X D <#/= # A#7( U +7 A?T# # #.. A# v A7(?=7i/ #,$ A# # x#> > A ' */ A7( \ #R A#$ # #6 # <#/= A7( U ACZ </= D. A {7= A7(.=. #' o#6 #.= A C 7C K.@ b ; A. </= A K> AN <D 7 < # <#/= % D A7(? 0 =) A A$? #0 #+ #) #R #+ D 392 4# ACZ A#CZ?# k# =.' <D (<,7) A7( <#D <#?= D,$ < A & AN.?=7i/. /V :<V WX YD A#7( A#M A#7=D ' *! KCZ +,/= = U,7 K> ' */ #' *#/ A#7( A#M A XV U.P) A 0?.@ k 6, V. < 7 A b/.' A' / A ACZ K#> #' *#/ A7( AM A <&/. * () 7=/> * </= ( 4# A# v ACZ? A.7>) <, &'() K> ' */ A7(?==.' 389. A#7( K#O;.% W#/$ D p#) <#/=?# # # 4# `=L#6=E # A7( a= # <#/= # #V. `=L6 A7(.(2). # 4 39,206 <% A. 4 7,027,249,628 ACZ # <#/= # K#> A U bt D # #V. # [f). K> U( ACZ A#?=C$#. # [f) U(. ACZ 4?=# K#> #' */ A7( ' V.. U <% A. `=,6 = K@ A#M < #7 #M ACZ <&/. \ <#/= q # K> ' */ /=R 389 4# A# #=C 7 A7( [. 9?T# 7#) A#7( A# = A!=? A *! # A#7(.# x#> #> A# # A7( D `, /23 #\ 7/57 d= A so,. q AfS #> A# A7( b D \ 4/96. \ 0/32 \ # K#R BO\ ACZ? 9. x> U# #+7 A# l# D# (=. 6 W7 # > U# K> ' */ /=R A7( #\ 6 # #6.#= (#= #XV A#CZ.(3) D p#). x> > A A7( D `,?T. 23 # d#= A#.. A v A7( <%. q so,.7' A7( `,?= \ 3.7#' A7( D \ * dl ; A K=/C D #=. / XV ACZ so, A7( T# `#!V b#= A#?&/ A ACZ.' U.P) </= </= [f) D <#. ', U A7( b=m. A7( # #7. # <D# # # #> R A7$ W#ZR #; A#.# =/ (NV. ', K> </= Z7=/. R 7 KO& D & R b=m. A(! R 7 < 7 A A #$ ar # b=. A7( c=&@. 7' =0 A7( A/$ D? [. A7( [. u#=r #7' /& [. =C 7?#' # # W#7 # # D. A7( (

9 49..! " #' #7 A. &'() K(=,!?= 56.% &'() K(=,! <82Z # U#. # #V. / A7( u=r AM,$.0,7=) bm $. </= 9# U# # A# v # # A#7( o=m#\ e A7( b #L #e #$ A# %. A7(,C e 6V V. # A v A T }.>... o=m\ e U. #6 # U A v [f) C c=&@ = U?=7i/ :3KL. #%. #6V # # *M b7) &/ D D#= KO; < =>,$ </= =).`fn A/=/\ U.P)? References. Abolhalaj, M., Financial foundations of health organizations. 2006, Tehran: Bnfam. 2. Blocher M, Chen L.(999). Cost Management a Strategic Emphasis. Newjersy Irwin:Mc Graw Hill. 4(3). 3. S Mousavi. F Khorvash. H Fathi, H Fadai. Sh Hadianzarkesh moghadam. (20). Survey the Average of Cost in out Patient and Imaging in Alzahra Hospital and Comparing with Service's Tariff. Health information management journal.2 (7). P: 8 4. A Aeenparast, F Farzadi, F Maftoon, T Zahirian Moghadam. (204). Feasibility of estimating cost of diagnostic radiology and sonography services by using activity based costing. Journal of the Iranian Institute for Health Sciences Research (payesh). (4). P: 9 5. Zahdy. M, calculating the cost of health care according to the type of services provided at health centers Borujen, Proceedings of the Seminar students in health care management across the country, 24 and 25 May. Second edition. 2006, Tehran: specialized media. 6. Shepard, Donald S., Hodgkin, Dvmynk, Yuan Yi, Anthony, analysis, analysis of hospital costs, guidance for managers, translated by Pourreza. First edition. A# `=L6=E A7( / A >), V. # C$ ACZ =V? D. ' `=,6 V.? <#(/ # K #\,#/= A#7( b=m.'jcx vl A/$ D. > A =@ U b#= A# #, #V. %? + ACZ? #?#7. # /= `6= <% < 7' # b=m `=6 % b=m < 7 <.`=' A' A7( + D :D K U.P)?,.M A/$ D A# /# b7#) #6.= A7( A * KO; < AM b= A : U c=&@ #\ > KO; > A 4 V ACZ </= # # b&? W,$.?&/ 6.=.#= D (#. #= #,) #V. # `, <.%.' `=,6 6.= A7( </= b 6 # #/=R :K(#=,! D #> #/=R A * # AV u; D U $ K(=,! A v 2002, Tehran: pajuhesh tamin ejtemayi institute, pp A Shoghli. Y Hamidi. (2003). A Survey on Activity Based Costing in Zanjun health center. The journal of Zanjun univ.of Med. Sci.(4). P: 7 8. Brimson J, Antos J. (994). ActivityBaased management for service Industries, Government Entities and Nonprofit Organization, New York. : John Wiley & Sons Co.(5). 9. Horngren C, Bhimani A, Foster G.(999). Management and cost Accounting. New Jersy. : PrenticeHall Europe Co. 2 (). 0. Hansen M. Cost Management.(997). Torento South Western College Publishing. (). A Rezapoor. (2007).Unitcost of financial cost centers in ShohadayehafteTir hospital. The journal of Qazvin univ.of Med. Sci. 0 (4). P: 6 2. A Afshari, M.A Khatib Semnani, R Rahim Nia, S Anvari Savojbolaghi,B Yusefi. (203). Cost Of Services In Medical Imaging Center Of Imam Khomeini Hospital. Payavard salamat journal. 7 (2). P: 0 3. A Saber Mahani et al. (200). Cost price Estimation of Radiology Services in Shafa Hospital, Kerman. Toole Behdasht journal. (0) P: 2

10 %../',$ &$% ' ( )* $ + 50 Abstract Surveying Activity Based Costing of Final Units (A Case Study in one of the Armed Forces Hospitals ) Noori M, Markazi Moghaddam N 2 *, Goudarzi R 3, Meshkani Z 4 Submitted: Accepted: Background: Suitable budget allocation of organizational activities can deliver the resources distribution, enabling operational monitoring and providing expected access to the cost results. The aim of this study was to calculate the cost of final units in one of the Armed Forces Hospitals. Materials and Methods: One of the Armed Forces Hospitals selected in 203.Data gathered from all cost centers to costs calculation and evaluated based on theory of ActivityBased Costing analysis. General wards and intensive care units, operating rooms, dental, emergency and dialysis were considered as final units. Cost calculation performed using Excel software version Results: Total cost of hospital was 244,46 million rails in 203 which direct and indirect allocated costs were 52% and 48%, respectively. The CCU, surgery ward, ICU and operating rooms had the highest and clinics and dental had the lowest in case of costs. More than 50 percent of the direct costs of all the units have been spent on manpower except the operating room. After labor costs, medication costs accounted for the largest percentage of direct spending units. Conclusion: Paying attention to human resources in terms of number and distribution of all units especially in the final units, also considering medications use particularly in middle units and consumables in overhead ones especially can be result in reduction and adjusting hospital costs. Keywords: ActivityBased Costing, Overhead costs, Cost of Services, hospital costs. PhD Candidate in Strategic Management, Supreme National Defense University 2. Assistant Professor, Department of Public Health, School of Medicine, AJA University of medical sciences, Tehran, Iran, (*Corresponding author), nmmoghaddam@gmail.com, Tell: , Address: Deputy of Budget and planning, AJA University of Medical Sciences, Etemadzadeh Street, West Fatmei Street, Tehran, Iran 3. Assistant Professor, Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran 4. Msc in Health Economics, Health Management and Economics Research Center, Iran university of medical sciences, Tehran, Iran

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