Despite the important role of Management accounting system in hospitals, van Triest and Elshahat (2007)
investigated the use of managerial and costing information in Egypt and found that the
use and sophistication of managerial and costing information in Egypt is limited. No
advanced accounting techniques seem to be applied and activity-based costing concepts
are largely unknown.The purpose ofmanagerial and costing information focusesmore on
pricing decisions rather than performance measurement, process improvement, or cost
reductions (van Triest and Elshahat, 2007). While Simon (2007) suggested that a
sophisticatedMAS is not automatically associated to superior performance, he concluded
that superior performance is the product of an appropriate fit between the identified
contingent factors and Management accounting system. Thus, the objective of this paper is to propose a research
framework on contextual factors that influence the use of Management accounting system and the mediating role of
Management accounting system on the relationship between these contextual factors and managerial performance.