SISTEMAS INOVADORES PARA CONHECIMENTO DOS CUSTOS NA GESTÃO FINANCEIRA HOSPITALAR
DOI:
https://doi.org/10.24883/IberoamericanIC.v9i4.355Keywords:
gestão hospitalar, gestão financeira, sistema de custos, matriz de maturidade, inovação e conhecimentoAbstract
Este estudo apresenta a construção de uma matriz maturidade capaz de avaliar a adoção (que está relacionada à inovação tecnológica e contábil) e o uso (que está relacionado ao conhecimento organizacional) dos sistemas de custos e de gestão financeira em hospitais brasileiros. Partiu-se da literatura prévia em contabilidade gerencial aplicada a hospitais, e foi realizado um estudo de casos múltiplos em quatro hospitais com diferentes estereótipos. Os casos reuniram as características de hospitais do tipo público, filantrópico e privado, assim como a existência de atividade de ensino, dessa forma as principais características dos hospitais gerais brasileiros foram contempladas, a fim de representar a realidade da gestão dos hospitais em nível nacional, possibilitando uma melhor calibragem da escala Guttman utilizada na matriz. Os resultados apresentados consistem em uma matriz de maturidade que pode ser testada e validada em outros casos, para em seguida ser aplicada em larga escala e captar a realidade nacional do setor em relação à adoção e ao uso desses sistemas.
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References
Abdel-Kader, M.; Luther, R. (2008). The impact of firm characteristics on management accounting practices: a UK-based empirical analysis. British Accounting Review, v.40, n.1, p.2-27. DOI: https://doi.org/10.1016/j.bar.2007.11.003
Abernethy, M. A. & Chua, W. F. A (1996). Field Study of Control System “Redesign”: The Impact of Institutional Process on Strategic Choice. Contemporary Accounting Research. DOI: https://doi.org/10.1111/j.1911-3846.1996.tb00515.x
Abernethy, M. A., Chua, W. F., Grafton, J. & Mahama H. (2007). Accounting and Control in Health Care: Behavioural, Organisational, Sociological and Critical Perspectives. In: Chapman, C., Hopwood, A. & Shields, M. Handbook of Management Accounting Research, Vol. 2. Elsevier. p. 805-829. DOI: https://doi.org/10.1016/S1751-3243(06)02014-1
Abernethy, M. A. & Stoelwinder, J. Y. (1996). The role of professional control in the management of complex organizations. Accounting, Organizations and Society, v.20, p.1-17. DOI: https://doi.org/10.1016/0361-3682(94)E0017-O
Abernethy, M. A. & Vagnoni, E. (2004). Power, organization design and managerial behaviour. Accounting, Organizations and Society, v.29, p.207-225. DOI: https://doi.org/10.1016/S0361-3682(03)00049-7
Aird, B. (1996). Activity-based cost management in health care-another fad? International journal of health care quality assurance, v. 9, n. 4, p. 16-9. DOI: https://doi.org/10.1108/09526869610124182
Alexander, J. A. & Morlock, L. L. (2000). Power and politics in health services organizations, in health care management: organization design and behavior. Albany, NY: Thomson Learning.
Alomiri, M. & Drury, C. (2007). A survey of factors influencing the choice of product costing systems in UK organizations. Management Accounting Research, v.18, n.4, p.399-424. DOI: https://doi.org/10.1016/j.mar.2007.02.002
Anderson, S. W. & Young, S. M. (1999). The impact of contextual and process factors on the evaluation of activity-based costing systems. Accounting, Organizations and Society, v.24, p.525-559. DOI: https://doi.org/10.1016/S0361-3682(99)00018-5
Baird, K.;, Harrison, G. & Reeve, R. (2004). Adoption of activity management practices: a note on the extent of adoption and the influence of organizational and cultural factors. Management Accounting Research. v.15 n.4, p.383-399. DOI: https://doi.org/10.1016/j.mar.2004.07.002
Camacho, R. R. (2010). Fatores condicionantes da gestão de custos interorganizacionais na cadeia de valor de hospitais privados no Brasil: uma abordagem à luz da Teoria da Contingência. 2010. Tese (Doutorado em Controladoria e Contabilidade: Contabilidade) - Faculdade de Economia, Administração e Contabilidade, Universidade de São Paulo, São Paulo.
Capellini, G. A. (2013). Matriz de maturidade dos sistemas de custos em hospitais. 89 f. Dissertação (Mestrado) – Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, 2013.
Chenhall, R. H., & Langfield-Smith, K. (2003). The role of employee pay in sustaining organisational change. Journal of Management Accounting Research, v.15 , p.117–143. DOI: https://doi.org/10.2308/jmar.2003.15.1.117
Cohen, S. & Kaimenaki, E. (2011). Cost accounting systems structure and information quality properties: an empirical analysis. Journal of Applied Accounting Research, v.12, n.1, p.5-25. DOI: https://doi.org/10.1108/09675421111130586
Cohen, S., Venieris, G. & Kaimenaki, E. (2005). ABC: adopters, supporters, deniers and unawares. Managerial Auditing Journal, v.20, n.9, p.981-1000. DOI: https://doi.org/10.1108/02686900510625325
Cunha, J. A. C. (2011). Avaliação de desempenho e eficiência em organizações de saúde: um estudo em hospitais filantrópicos. Tese (Doutorado em Administração). Universidade de São Paulo, São Paulo.
Dunn, R. T. (2007). Healthcare management, Health Administration Press, Chicago: Aupha.
Duggan, M. (2000). Hospital market structure and the behavior of not-for-profit hospital: evidence from responses to California’s disproportionate share program, National Bureau of Economic Research, working paper 7966, Cambridge, Out. DOI: https://doi.org/10.3386/w7966
Eldenburg, L. & Krishnan, R. (2007). Management Accounting and Control in Health Care: An Economics Perspective In: Chapman, C, Hopwood, A. & Shields, M. Handbook of Management Accounting Research, v.2, p.859-883, Elsevier. DOI: https://doi.org/10.1016/S1751-3243(06)02016-5
Elwyn, G., Rhydderch, M., Edwards, A., Hutchings, H., Marshall, M., Myres, P. & Grol. R. (2004) Assessing organisational development in primary medical care using a group based assessment: the Maturity Matrix. Qual Saf Health Care, v.13, p.287-294. DOI: https://doi.org/10.1136/qshc.2003.008540
Geiger, D. & Ittner, C. (1996). The influence of funding source and legislative requirements on government cost accounting practices. Accounting Organizations and Society, v.21, n.6, p.549-567. DOI: https://doi.org/10.1016/0361-3682(96)00008-6
Glandon, G. L., Smaltz, D. H. & Slovensky, D. J. (2008). Information systems for healthcare management, Health Administration Press, 7ª Ed. Chicago: Aupha.
Hammad, S. A., Jusoh, R. & Oon, E. Y. N. (2010) Management accounting system for hospitals: a research framework. Industrial Management & Data Systems, v.110, n. 5, p.762-784. DOI: https://doi.org/10.1108/02635571011044777
Hsu, S. H. & Qu, S. Q. (2012). Strategic cost management and instituitional changes in hospitals. European Accounting Review, v.21, n.3, p.499-531.
Jacobs, R., Smith, P. C. & Street, S. (2006). Measuring Efficiency in Health Care: analytic techniques and health policy, Cambridge University Press, Nova York. DOI: https://doi.org/10.1017/CBO9780511617492
Kovner, A. R. & Neuhauser, D. (2004). Heath services management: readings, cases and commentary, Health Administration Press, 8ª Ed. Chicago: Aupha.
Kuruvilla, S., Mays, N., Pleasant, A. & Walt, G. (2006). Describing the impact of health research: a Research Impact Framework. Biomed Central Health Services Research. DOI: https://doi.org/10.1186/1472-6963-6-134
La Forgia, G. M. & Couttolenc, B. F. (2009). Desempenho hospitalar no Brasil: em busca de excelência. São Paulo: Singular.
Langfield-Smith, K. (1997). Management control system and strategy: a critical review. Accounting, Organizations and Society, v.22, n.2, p.207-232. DOI: https://doi.org/10.1016/S0361-3682(95)00040-2
Lapsley I. & Wright, E. (2004). The diffusion of management accounting innovations in the public sector: A research agenda. Management Accounting Research, v.15, p.355–374. DOI: https://doi.org/10.1016/j.mar.2003.12.007
Lawrence, C. H. (1990) The effect of ownership structure and accounting system type on hospital costs. Research in Governmental and Nonprofit Accounting, v.6, p.35-60.
Liyanage, C. & Egbu, C. (2008). A performance management framework for healthcare facilities management, Journal of Facilities Management, v.6, n.1, p.23-36. DOI: https://doi.org/10.1108/14725960810847440
Naranjo-Gil, D. (2004). The role of sophisticated accounting system in strategy management. The International Journal of Digital Accounting Research, v.4, n.8, p.125-144. DOI: https://doi.org/10.4192/1577-8517-v4_5
Nowicki, M. (2006). HFMA’s introduction to hospital accounting, 5ª Ed. Chicago: Aupha.
Oyadomari, J. C. T., Cardoso, R. L., Mendonça, O. R. & Lima, M. P. (2008). Fatores Que Influenciam a Adoção de Instrumentos de Controle Gerencial nas Organizaçãos Brasileiras. Um Estudo Exploratório sob a Ótica da Teoria Neo-institucional. In: VIII Congresso USP de Controladoria e Contabilidade. DOI: https://doi.org/10.11606/rco.v2i2.34705
Pizzini, M. J. (2006). The relationship between cost-system design, managers’ evaluation of the relevance and usefulness of cost data, and financial performance: an empirical study of US hospitals, Accounting Organization and Society, v.31, p.179-210. DOI: https://doi.org/10.1016/j.aos.2004.11.001
Rhydderch, M., Edwards, A., Marshall, M., Campbell, S., Grol, R., Engels, Y. & Elwyn, G. (2006). Maturity Matrix: a criterion validity study of an instrument to assess organizational development in European general practice. Quality in Primary Care, v.14, n.3, p.133-143.
Scapens, R. W. & Roberts, J. (1993) Accounting and control. A case study of resistance to accounting change. Management Accounting Research, v. 5, p. 301-321.
Scapens, R. W. (1994) Never mind the gap: towards and institucional perspective on management accounting practice. Management Accounting Research, v. 5, p. 301-321, 1994. DOI: https://doi.org/10.1006/mare.1994.1019
Scapens, R. W. (1990) Researching management accounting practice: the role of case study methods. The British Accounting Review, 22, 259-281. DOI: https://doi.org/10.1016/0890-8389(90)90008-6
Schoute, M. (2009) The relationship between cost system complexity, purposes of use, and cost system effectiveness. The British Accounting Review, v.41, n.4, p.208-226. DOI: https://doi.org/10.1016/j.bar.2009.10.001
Walburg, J., Bevan, H., Wilderspin, J. & Lemmens, K. (2006) Performance management in health care – improving patient outcomes: an integrated approach, Londres e Nova York: Routledge. DOI: https://doi.org/10.4324/9780203356807
White, K. R. & Griffith, J. R. (2010) The well-managed heathcare organization, Health Administration Press, 7ª Ed. Chicago: Aupha.
Yazdifar, H. & Askarany, D. (2012) A comparative study of the adoption and implementation of target costing in the UK, Australia and New Zealand. International Journal of Production Economics, v.135, n.1, p.382-392. DOI: https://doi.org/10.1016/j.ijpe.2011.08.012
Yin, R. K. (2010) Estudo de caso: planejamento e método. Porto Alegre, Bokman.
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