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Table 1 Modell of marginal contribution analysis in a hospital

From: Economic efficiency versus accessibility: Planning of the hospital landscape in rural regions using a linear model on the example of paediatric and obstetric wards in the northeast of Germany

 

DRG 1

DRG 2

DRG 3

DRG..

DRG n-2

DRG n-1

DRG n

Revenues

x1d1

x2d2

x3d3

xn-2dn-2

xn-1dn-1

xndn

Direct Cost

x1a1

x2a2

x3a3

xn-2an-2

xn-1an-1

xnan

=

Contribution I

x1(d1-a1)

x2(d2-a2)

x3(d3-a3)

xn-2(dn-2-an-2)

xn-1(dn-1-an-1)

xn(dn-an)

DRG-fixed cost

FD1

FD2

FD3

FDn-2

FDn-1

FDn

=

Contribution II

x1(d1-a1)- FD1

x2(d2-a2)- FD2

x3(d3-a3)- FD3

xn-2(dn-2-an-2)- FDn-2

xn-1(dn-1-an-1)- FDn-1

xn(dn-an)- FDn

department cost

FA1

FAb

=

Contribution III

x1(d1-a1)- FD1 + x2(d2-a2)- FD2 - FA1

xn-2(dn-2-an-2)-FDn-2 + xn-1(dn-1-an-1)- FDn-1 + xn(dn-an)-FDn – Fab

hospital-fixed cost

FK

=

profit/loss

\( \sum \limits_{j=1}^n\left({d}_j-{a}_j\right)\cdot {x}_j-\sum \limits_{j=1}^n{FB}_j-\sum \limits_{p=1}^b{FA}_p- FK \)