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Factors affecting hospital costs and revenue: integrating expert opinions and literature review

Rostam Zalvand (School of Public Health, Tehran University of Medical Sciences, Tehran, Iran)
Mohammad Mohammadian (Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran)
Mohammad Meskarpour Amiri (Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran)

International Journal of Health Governance

ISSN: 2059-4631

Article publication date: 13 December 2021

Issue publication date: 11 February 2022

416

Abstract

Purpose

There is not enough comprehensive evidence on factors affecting hospital costs and revenue (HCR). The main objective of the current study is to identify and classify factors affecting HCR integrating experts' opinions and literature review.

Design/methodology/approach

First, a restricted literature review is conducted to identify the factors affecting HCR. In the second step, the targeted semi-structured interviews are conducted with 15 experts to identify, validate and classify the latent factors.

Findings

In addition to the factors identified through the literature review, 22 new important factors were added by the experts as the determinants of HCR, which were not pointed out in previous studies. The final model presented for the factors affecting HCR contains seven main groups, 22 subgroups and 70 variables.

Originality/value

Factors affecting HCR will provide valuable contributions for hospital budgeting, and financial and strategic planning, and they will offer an effective horizon for future research on cost-cutting strategies.

Keywords

Acknowledgements

The authors thank all the experts who have participated and devoted their precious time to improve the designed model of HCR.

Citation

Zalvand, R., Mohammadian, M. and Meskarpour Amiri, M. (2022), "Factors affecting hospital costs and revenue: integrating expert opinions and literature review", International Journal of Health Governance, Vol. 27 No. 1, pp. 21-40. https://doi.org/10.1108/IJHG-10-2021-0104

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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