Comparison Analysis of Real Costs with Ina-CBG Rate's Ischemic Stroke Disease in Installations in Regional Public Hospitals X in Banda Aceh 2019

Mulyanti Mulyanti, Irwan Saputra, Maimun Syukri, Nurjannah Nurjannah, Nova Dian Lestari

Abstract


The government health financing system paid for hospital using the INA-CBG’s method. Stroke is the third most common cause of death after heart disease and cancer and stroke rank first as a cause of disability. Thus, the treatment of strokes due to disability and recurrent strokes requires a fairly high maintenance cost. Results: The total cost of ischemic stroke in 345 hospitalized cases with a total real cost was IDR 2.800.210.362 and a total cost of INA-CBG's of IDR 2.830.254.600.This has a significant difference, as well as severity levels and comorbidities. There is a difference between the real hospital rates and INA-CBG’s rates with a value of P = 0,000. The cost of caring for ischemic stroke patients the most cost was accommodation (22%). Conclusion: There is a difference between the real hospital costs and the INA-CBG’s rates for ischemic stroke patients at X Hospital, this is because there is still a negative difference associated with severity level, type of comorbid, length of stay and class of care.


Keywords


real costs; ina-CBG rates; stroke disease; hospital X

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References


Adisasmito, W, (2008), Kebijakan standar pelayanan medik dan diagnosis related group (DRG), kelayakan penerapannya di Indonesia, Fakultas Kesehatan Masyarakat Univesitas Indonesia, Jakarta,

Anita, (2017), Studi Penggunaan Obat Golongan Statin Pada Pasien Stroke Iskemik (Penelitian Dilakukan Di Instalasi Rawat RSUD Sidoarjo), University of Muhammadiyah Malang,

Banda Aceh JUKEMA,:VOl 3(1): 198-205,

Batticaca, F, B, (2008), Asuhan keperawatan pada klien dengan gangguan sistem persarafan, Jakarta: Salemba Medika,

Binsasi, E, (2016), Model Besar Klaim (Severity) yang Diajukan Rumah Sakit Kepada BPJS Kesehatan, SAINTEKBU, 8(2),

Cheah, J, (2000), Clinical pathways-an evaluation of its impact on the quality care in an acute care general hospital in Singapore, Singapore medical journal, 41(7), 335-346,

Cummins, J, D,, & Mahul, O, (2008), Catastrophe risk financing in developing countries: principles for public intervention: The World Bank,

Dahlan, S, (2011), Statistik untuk kedokteran dan kesehatan, Jakarta: Salemba Medika,

Dewanto, G, (2009), Panduan praktis Diagnosis dan tata laksana penyakit saraf, Jakarta: EGC,

Dumaris, H, (2018), Analisis Perbedaan Tarif Rumah Sakit dan Tarif INA-CBG’s Pelayanan Rawat Jalan di RSUD Budhi Asih Jakarta Tahun 2015, Jurnal Administrasi Rumah Sakit Indonesia, 3(1),

Dwidayati, A,, Andayani, T, M,, & Wiedyaningsih, C, (2016), Analisis Kesesuaian Biaya Real Terhadap Tarif INA-CBGS Pada Pengobatan Stroke Non Hemoragik Pasien JKN Rawat Inap RSUD Dr, Soehadi Prijonegoro Sragen Tahun 2015, Jurnal Farmasi Indonesia, 13(2), 139-149,

Feuth, S,, & Claes, L, (2008), Introducing clinical pathways as a strategy for improving care, Journal of integrated care pathways, 12(2), 56-60,

Firmanda, D, (2016), Clinical Pathways Kesehatan Anak, Sari Pediatri, 8(3), 195-208,

Firmansyah, F,, Andayani, T, M,, & Pinzon, R, T, (2016), Analisis biaya penyakit stroke iskemik, Jurnal Manajemen Dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 6(1), 27-34,

Ginsberg, L, (2010), Lecture notes: neurology (Vol, 16): John Wiley & Sons,

Goldstein, L, B,, Bushnell, C, D,, Adams, R, J,, Appel, L, J,, Braun, L, T,, Chaturvedi, S,, , , , Hart, R, G, (2011), Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association, Stroke, 42(2), 517-584,

Gomes, J,, & Wachsman, A, M, (2013), Types of strokes Handbook of clinical nutrition and stroke (pp, 15-31): Springer,

Haslinur, S,, et al, (2020), Analysis of Differences between INA CBG’s Rates and Hospital Real Rates in Hemophilia Patients at RSUD Zainoel Abidin Banda Aceh, Budapest International Research and Critics Institute-Journal (BIRCI-Journal), P,1758-1763

Iskandar, J, (2011), Stroke waspadai ancamannya, Yogyakarta: Cv andi offset,

Jacobs, P,, & Rapoport, J, (2004), The economics of health and medical care: Jones & Bartlett Learning,

Kemenkes RI, (2016), Peraturan Menteri Kesehatan Republik Indonesia Nomor 27 Tahun 2014 Tentang Petunjuk Teknis Sistem Indonesian Case Base Groups (INA-CBGs), Jakarta,

Kemenkes RI, (2018), Hasil utama riskesdas 2018, Jakarta: Kemenkes RI,

Komaryani K,(2012) Kebijakan Penentuan Biaya INA-CBG’s, Jakarta: Tim Teknis INA-CBG,

Kotler, P,, Keller, K, L,, Koshy, A,, & Jha, M, (2006), Defining Marketing for the 21st century, Kotler, Philip and Kevin Lane, Marketing Management 12e, New Jersey: Prentice Hall, 3-31,

Lili Suryani,2017, Perbedaan Biaya Real Rumah Sakit dan Tarif INA-CBG's Untuk Kasus Katastopikgengan Penyakit Jantung Koroner Pasien Rawat Inap Peserta Jaminan Kesehatan Nasional Di RSUDZA,

Mahendra, & Rachmawati, E, (2008), Pencegahan Stroke dengan Tanaman Obat, Jakarta: Penebar Swadaya

Munawaroh S, (2019) Perbedaan tarif INA-CBG’s dengan tarif rumah sakit pada pasien BPJS kasus stroke iskemik Rawat Inap Kelas Idi RS PON tahun 2018, MARSI; VOL 3(2) 2018

Marelli, T, (2000), Nursing documentation book: St, Louis: Mosby Inc,

Mazidah, Z, (2019), Analisis Biaya penyakit stroke pasien jaminan kesehatan nasional di RSUD Blambangan Bayuwangi,

Mozaffarian, D,, Benjamin, E, J,, Go, A, S,, Arnett, D, K,, Blaha, M, J,, Cushman, M,, , , , Howard, V, J, (2015), Executive summary: heart disease and stroke statistics—2015 update: a report from the American Heart Association, Circulation, 131(4), 434-441,

Muslimah, M,, Andayani, T, M,, Pinzon, R,, & Endarti, D, (2017), Comparison of Real Costs against the Price of INA-CBG's Ischemic Stroke in Bethesda Hospital, Jurnal Manajemen Dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 7(2), 105-118,

Muttaqin, A, (2008), Buku ajar asuhan keperawatan klien dengan gangguan sistem persarafan, Jakarta: Salemba Medika, 41,

Najah, N,, Raharjo, K,, & Andini, R, (2016), Penerapan Metode Activity Based Costing System dalam Menentukan Tarif Jasa Rawat Inap (Studi Kasus pada Rumah Sakit Umum RA, Kartini Kabupaten Jepara), Journal Of Accounting, 2(2),

Nugraheni, W, P,, & Hartono, R, K, (2017), Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN, Indonesian Bulletin of Health Research, 45(1), 27-36,

Palmer, A,, Williams, B,, Yasmine, E,, Astikawati, R,, & Safitri, A, (2007), Tekanan Darah Tinggi, Jakarta: Erlangga,

Pinzon, R,, & Asanti, L, (2010), Awas stroke! pengertian, gejala, tindakan, perawatan dan pencegahan: Penerbit Andi,

Primandita, P,, Marwati, T,, & Solikhah, S, (2010), Analisa Cost Sharing Perhitungan Tarif Hemodialisis (HD) Masyarakat Miskin Di Rumah Sakit Umum PKU Muhammadiyah Unit I Yogyakarta, Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Universitas Ahmad Daulan, 5(3),

Purbaningsih, S,, Wahyono, D,, & Suparniati, E, (2015), Cost of illness pasien stroke, Jurnal Manajemen dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 5(2), 95-103,

RSUD Meuraxa, (2019), Laporan Tahunan Bagian Rekam Medik Tahun 2019, Banda Aceh: Tidak Dipublikasi,

Setyawan, F, E, B, (2018), Sistem Pembiayaan Kesehatan, Jurnal Berkala Ilmiah Kedokteran dan Kesehatan, 2(4),

Sulastomo, M, K, (2007), Jakarta: PT Gramedia Pustaka Utama,

Sutomo, (2003), Analisis Keputusan Investasi Rawat Inap Ruang Super VIP RSUD Pandan Arang Boyolali Tahun 2003 Program Pascasarjana Universitas Diponegoro,

Thabrani H, Sistem pembayaran Fasilitas kesehatan pedoman managemen informasi kesehatan di sarana pelayanan kesehatan,(ed) Jakarta: UI –Press; 2011

Trisnantoro, L, (2018), Memahami penggunaan ilmu ekonomi dalam manajemen rumah sakit: UGM press,

WHO, (2016), World Health Statistics 2015, Geneva: World Health Organization; 2015, World health statistics, 2012.




DOI: https://doi.org/10.33258/birci.v3i3.1203

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