Analysis and assessment of medical-economic indicators for the activities of the in-hospital department of the University Hospital “Tsaritsa Yoanna – ISUL” in the period 2013–2024

Hospital activities, and in-hospital activities in particular, represent one of the most resource-intensive parts of the health system, and their effectiveness depends to a significant extent on the rational management of financial costs. This study analyzes the dynamics of basic medical-economic indicators – average cost per patient, daily costs divided by the number of hospital beds (daily cost per bed), average cost of medications per day (medication cost per day), and cost of food per day (food cost per day) – at University Hospital “Tsaritsa Yoanna – ISUL” for the period 2013–2024, in order to assess their role as indicators of the effectiveness of in-hospital activities. The results show a clear trend toward increasing costs, reflecting the influence of inflationary processes, pandemic factors, and the increasing complexity of treatment, while at the same time highlighting stable components within the cost structure. The analysis emphasizes the importance of quantitative indicators as a tool for management planning and for formulating strategies to increase the economic sustainability of hospital activities.