Assessment of quality qosts in a state hospital within the context of the paf model

The determination, measurement, following and reporting of the costs of activities carried out within the scope of quality at hospitals will be guide the hospital management in terms of evaluating the effectiveness of the studies conducted on the quality targets and making the necessary arrangements. The aim of this research is to give information about plans and precautions that can be take to improve quality and reduce costs with the analysis of activities costs classifying them according to their prevention, assessment and evaluation and failure costs. The datas were obtained by examining the medical, administrative, financial and technical records of the hospital where the research was conducted and by interviewing with the related unit employees, quality management department and hospital administration. The research was conducted at a state hospital in Sakarya. In the research, first of all it was given information about basic concepts under the general information title, then, its material and method was explained, and after that, in the finding and discussion part. The quailty costs of the hospital were classified as prevention, assessment and evaluation, internal failure and external failure according to PAF (Prevention-Appraisal-Failure) model. The obtained cost data were evaluated with the help of tables and graph percents. Quality cost items related to preventive, assessment and evaluation and failure were evaluated by proportioning according to total cost, total quality cost and related total main quality cost. It was utilized from ratio analysis and pareto analysis while analysing datas. It was determined that the total quality cost in total cost found %20,69. It was determined that preventive costs had the most part within total quality costs (%95,59). Assessment and evaluation (%2,99), external failure (%1,20) and internal failure (%0,23) follow preventive cots. In the last part of the thesis, it was advised on the importance of following quality costs at the hospitals, improving the content of identified cost items and which section studies should be concentrated on.