The Effect of the Application of Management Accounting, Cost Analysis, and Decision Making on the Financial Performance of Brebes Regional General Hospital

This study aims to determine and analyse the effect of the implementation of management accounting, cost analysis, and decision-making on the financial performance of Brebes Regional General Hospital (RSUD Brebes), both partially and simultaneously. The population in this study consisted of all employees of RSUD Brebes, totalling 511 individuals. The sample was determined using the Slovin formula with a 10% margin of error, resulting in 84 respondents selected through an incidental sampling technique. The data used in this study were primary data obtained from respondents’ answers to questionnaires. Data analysis was conducted using multiple linear regression analysis with the assistance of SPSS software. The theoretical framework underlying this study includes Contingency Theory, management accounting, cost analysis, decision-making, and financial performance. The results of the study indicate that, both partially and simultaneously, the implementation of management accounting, cost analysis, and decision-making has a significant effect on the financial performance of RSUD Brebes. These findings suggest that effective application of management accounting practices, accurate cost analysis, and appropriate decision-making processes contribute to improving financial performance. In conclusion, the integration of management accounting, cost analysis, and decision-making plays an important role in enhancing the financial performance of hospitals, particularly in non-profit healthcare institutions such as RSUD Brebes. These factors support better financial management, efficiency, and organisational sustainability, while also helping organisations respond more effectively to operational challenges and resource constraints.

Management Accounting, Cost Analysis

1. Alawiah, T. W., Mahfudnurnaja Muddin, & Sari, R. (2024). Pengaruh sistem akuntansi manajemen dan pengambilan keputusan terhadap kinerja manajerial pada Bank BNI Makassar Cabang Mattoangin. SEIKO: Journal of Management & Business, 7(2), 1176–1189. [Google Scholar] [Crossref]

2. Bowden, C. (2025). Cost analysis and price analysis explained. Preferred CFO. https://preferredcfo.com/insights/cost-analysis-and-price-analysis [Google Scholar] [Crossref]

3. Csaszar, F. A., & Ostler, J. O. (2020). A contingency theory of representational complexity in organizations. Organization Science, 31(5), 1198–1219. [Google Scholar] [Crossref]

4. Dewi, S. R. (2019). Akuntansi biaya. UMSIDA Press. [Google Scholar] [Crossref]

5. Dumadi, Supratin, E., Mulyani, I. D., Nasiruddin, & Kharisma, A. S. (2020). Pengaruh informasi akuntansi diferensial terhadap pengambilan keputusan manajer (studi empiris pada perusahaan manufaktur di Kabupaten Brebes). Journal of Accounting and Finance, 2(2), 13–22. [Google Scholar] [Crossref]

6. Dunia, F. A., Abdullah, W., & Sasongko, C. (2019). Akuntansi biaya. Salemba Empat. [Google Scholar] [Crossref]

7. Fahmi, I. (2017). Analisis laporan keuangan. Alfabeta. [Google Scholar] [Crossref]

8. Faisal, A., & Astuti, A. R. T. (2022). Akuntansi manajemen (teori dan aplikasi). IAIN Parepare Nusantara Press. [Google Scholar] [Crossref]

9. Feriyana, W. (2020). Akuntansi manajemen. Hia Tech. [Google Scholar] [Crossref]

10. Ferry, L., & Ahrens, T. (2017). Using management control to understand public sector corporate governance changes: Localism, public interest, and enabling control in an English local authority. Journal of Accounting & Organizational Change, 13(4), 548–567. [Google Scholar] [Crossref]

11. Hani, T. M. (2019). Penghitungan unit cost dan penyusunan tarif rumah sakit. Deepublish. [Google Scholar] [Crossref]

12. Hutabarat, F. (2021). Analisis kinerja keuangan perusahaan. Desanta Publisher. [Google Scholar] [Crossref]

13. Irham, F. (2018). Analisis kinerja keuangan. Alfabeta. [Google Scholar] [Crossref]

14. Jong, N. M., Riyanto, A. Q., Attamimi, F. A., & Cloria, A. W. (2025). Peran akuntansi manajemen dalam meningkatkan kinerja keuangan. Jurnal Penelitian Ekonomi, Manajemen, dan Bisnis, 4(4), 364–373. [Google Scholar] [Crossref]

15. Moullin, M. (2017). Improving and evaluating performance with the public sector scorecard. International Journal of Productivity and Performance Management, 66(4), 442–458. [Google Scholar] [Crossref]

16. Pasolong, H. (2023). Teori pengambilan keputusan. Alfabeta. [Google Scholar] [Crossref]

17. Rosyadi, R., Wibowo, A., & Susanto. (2025). Analisis biaya satuan (unit cost) rumah sakit terhadap kelayakan investasi (studi kasus rumah sakit Amalia Laksono Subang). MESA (Teknik Mesin, Teknik Elektro, Teknik Sipil, Teknik Arsitektur), 9(1), 20–28. [Google Scholar] [Crossref]

18. Suparta, W. G., & Sintaasih, D. K. (2017). Pengantar perilaku organisasi (teori, kasus, dan aplikasi penelitian). CV. Setia Bakti. [Google Scholar] [Crossref]

19. Sutrisno, E. (2017). Manajemen sumber daya manusia. Kencana. [Google Scholar] [Crossref]

20. Sutrisno. (2017). Manajemen keuangan: Teori, konsep dan aplikasi. Ekonisia. [Google Scholar] [Crossref]

21. Syaekhu, A. (2021). Teori pengambilan keputusan. Zahir Publishing. [Google Scholar] [Crossref]

22. Wibowo, M. A., Sari, M. M., Maulana, M. I., Fadillah, I., & Sidauruk, J. (2024). Peran penerapan akuntansi manajemen terhadap kinerja keuangan perusahaan. JKPIM: Jurnal Kajian dan Penalaran Ilmu Manajemen, 2(2), 1–9. [Google Scholar] [Crossref]

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