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KMID : 1170320180240010066
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Korean Journal of Health Economics and Policy
2018 Volume.24 No. 1 p.66 ~ p.89
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Cost of supplying umbilical cord blood for hematopoietic stem cell transplantation
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Kim Jee-Ae
Lim Min-Kyoung
Park Ju-Hee
Kim Kun-Il
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Abstract
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Background: To analyze unit cost of umbilical cord blood (UCB) for hematopoietic stem cell transplantation (HSC) and to proposed a method for cost-effective supply of UCB.
Study Design and Methods: “Activity Based Costing” (ABC) was adopted to calculate the supplying cost of a UCB unit. The cost object is UCB supplying cost, and activity center a UCB bank. To identify activities of UCB supply, literature and regulations were reviewed with consultation by experts. The survey was conducted on 16 banks to identify cost by each activity.
Results: The total cost of supplying UCB was $32,781,133 and the unit cost $ 964 that was separable into one-off cost ($ 924/unit) and continuous cost ($ 40/unit). Banks with large inventory had lower supplying cost. Banks storing 10,000 units or greater had lower cost than its counterparts ($ 777 vs $ 2,078, respectively).
Conclusion: Considering unit cost is widely different among banks, it is essential that supplying of UCB is carried out efficiently. An inverse association between cost and inventory size suggests integration of small banks into large ones, or a centralized banking system, are advantageous in terms of cost.
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KEYWORD
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Umbilical cord blood, Activity based costing, Hematopoietic stem cell transplantation, Supplying cost
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