_.gif)
_.gif)
Cost Analysis from the Patient's Perspective and Economic Difficulties in Hemodialysis Patients at Fatmawati RSUP Jakarta
Abstract
Chronic kidney disease is a global health problem with an increasing prevalence and incidence of kidney failure, has a poor prognosis and high costs. One way to overcome this high financing problem is of course by doing early treatment and for that, it is necessary to identify the risk factors of the disease. The purpose of this study was to examine the costs from the patient's perspective and the economic hardship experienced by the patient's family. The study used a case control method with a ratio of 1:1, where primary data were obtained through direct interviews with patients and/or their families. Based on the analysis, the average transportation cost required for one time hemodialysis is around Rp.12,000 - Rp.178,750, depending on vehicle type and vehicle mileage. Only 54 out of 100 hemodialysis patients need a companion with an average monthly cost of Rp.2,055,556. The cost of lost productivity per month in the study ranged fromRp.691,964 - Rp.1,942,308, depending on the patient's income. However, only 13% of patients experienced economic difficulties in the form of difficulty paying bills and daily needs. Other economic difficulties such as asking for help to selling assets were experienced by 25% of patients, and this was related to the length of time they underwent hemodialysis.
Keywords
Full Text:
PDFReferences
Adriati, dan R.M Teguh Wahjudi. Tingkat penerimaan penggunaan jamu sebagai alternatif penggunaan obat modern pada masyarakat ekonomi rendah-menengah dan atas. Fakultas Kedokteran, Universitas Airlangga. Surabaya. 2016.
Aisyah, Andri Dwi Hernawan, Abduh Ridha. Perilaku Merokok Sebagai Faktor Yang Berisiko Terhadap Kejadian Gagal Ginjal Kronik. 2015; Fakultas Ilmu Kesehatan Masyarakat Universitas Muhammadyah Pontianak.
Australian Institute of Health and Welfare; Chronic kidney disease in Australia. 2005; ISBN 74024 508 3
Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan. Laporan hasil Riset Kesehatan dasar. Jakarta: 2013.
Badan Pusat Statistik. Berita Resmi Statistik : Keadaan Ketenagakerjaan Indonesa Februari 2018. No.42/05/Th.XXI, 07 Mei 2018
Churchill, Gilbert A. 2005. “Dasar-Dasar Riset Pemasaran”, Edisi 4, Jilid I, Alih Bahasa Oleh Andriani, Dkk, Penerbit Erlangga, Jakarta.
Delima, Emiliana Tjitra, Lusianawati Tana, Frans Suharyanto Halim,et all. Faktor risiko penyakit ginjal kronik: Studi kasus kontrol di empat rumah sakit di Jakarta tahun 2014. Buletin Penelitian Kesehatan Vol.45 No.1. 2017; 17-26.
Dr. Randi Chen. Slowing the Progression of Chronic Kidney Disease. American Kidney Fund. 2018
Emily Zimmeman, Steven H.Woolf. Understanding the Relationship Between Education and Health; Virginia Commonwealth University; 2014.
Eva Sulistiowati, Sri Idaiani. Faktor Risiko Penyakit Ginjak Kronik Berdasarkan Analisis Cross-Sectional Data Awal Studi Kohort Penyakit Tidak Menular Penduduk Usia 25-65 Tahun di Kelurahan Kebun Kalapa, Kota Bogor Tahun 2011. Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik. Jakarta : 2015
Giuseppe Turchetti, S. Bellelli, M. Amato, S. Bianchi, P. Conti, A. Cupisti, V. Panichi, A. Rosati, F. Pizzarelli, on behalf of the Tuscany CKD Study Grup. The social cost of chronic kidney disease in Italy. Eur J Health Econ. 2017: 18:847-858.
G.N Catur Wiguna, Riris A.Ahmad, Adi Utarini. Biaya pelayanan hemodialisis peserta asuransi kesehatan menurut perspektif pasien di rumah sakit umum daerah tipe B, provinsi Bali. Jurnal manajemen pelayanan kesehatan Vol.16 No.1. 2013;37-45
Husnah. Hubungan Pola Makan dan Kadar Kolesterol Darah dengan Batu Saluran Kemih di Poli Urologi RSUD Dr.Zainoel Abidin Banda Aceh. Universitas Syiah Kuala Banda Aceh.2010
Imran, Syahrul, and Fajri, N. (2021). Foville Syndrome Due to Pontine Hemorrhage and Pontine Infarct: Case Series. Britain International of Exact Sciences (BIoEx) Journal Vol. 3 (2): 114-120.
Indonesia Investment, Laporan Kependudukan ; diakses dari https://www.indonesia-investments.com/id/budaya/penduduk/item67 pada tanggal 10 Januari 2019
Infodatin, Pusat data dan informasi kementrian kesehatan RI. Situasi penyakit ginjal kronis. 2017: ISSN 2442-7659.
Jessica M., et al. Association between Water Intake, Chronic Kidney Disease, and Cardovascular Disease: A Cross-Sectional Analysis of NHANES Data. American Journal of Nephrology. 2013 : DOI: 10.1159/000350377
Jeewo Kim, Juyeon Lee, Kyung-Nam Kim, Kook-Hwan Oh, Curie Ahn, Jongkoo Lee, Daehee Kang, dan Sue K. Park. Association between Dietary Mineral Intake and Chronic Kidney Disease : The Health Examines (HEXA) Study. International Journal of Environmental Research and Public Health. 2018 : 1070;doi:10.3390/ijerph15061070.
Kausoula Gerasimoula, Lagou Lefkothe, Lena Maria, Alikari Victoria, Theofilou Paraskevi, polikondrioti Maria. Quality of life in hemodialysis patients. 2015: 27.305-309. Dikutip dari Avramovic M, Stefanovic V. Health-related quality of life in different stages of renal failure artif organs. 2012; 36(7):581-589.
Kementerian Kesehatan Republik Indonesia. Buku pedoman teknis Analisis farmakoekonomi di Fasilitas Kesehatan. Jakarta; 2016.
Kementerian Kesehatan Republik Indonesia. Buku pedoman kajian farmakoekonomi. Jakarta; 2013.
Kim Jong Yeon, Kim Bokyoung, Park Kisoo, Cho Jiyoung, Seo Jungju, Park Sunhee, Kim Chanduck, Kim Yonglim. Health Related quality of life with KDQOL-36 and its association with self-efficacy and treatment satisfaction in Korean dialysis patients. Qual Life Res. 2013;22:753-758
Laily Isro’in Cholik Harun Rosjidi. Prevalensi Faktor Risiko Gagal Ginjal Kronik. 2014; Fakultas Ilmu Kesehatan Universitas Muhammaiyah Ponorogo.
Lazaniriana, R., et. al. (2020). Formulation of Moringa oleifera Lam. based Bio-fortified Food Supplement for Pregnant Women in Madagascar, Indian Ocean. Britain International of Exact Sciences (BIoEx) Journal Vol. 2 (2): 533-540.
Munzir M, M.Ahmed, et al. The Effect of Smoking Cigarette on Kidney Functions Among Sundaes Peoples. Internationan Journal of Development Research, Vol.5, Issues 05, pp.4473-4475, 2015 : ISSN: 2230-9926
Natalia Alencar, et al. Prevalence and Factor Associated with Chronic Kidney Disese among Hospitaled patients in a University Hospital in the City of San Paulo,SP, Brazil. 2014 : doi:105935/1010-2800.20150013
National Center fo Chronic Desease Prevention and Health Promotion:. National Chronic Kidney Desease Fact Sheet, Division of Diabetis Translation. 2017.
NKF KDOQI: Clinical practice guidelines for chronic kidney disease : evaluation, classification and stratification. 2002. ISBN 1-931472-10-6.
Nur Patria Krisna,Dwi. Faktor Risiko Penyakit Batu Ginjal. Jurnal Kesehatan Mahasiswa, Jurusan IKM Universitas Negeri Semarang. 2011
Permanasari, Yurista dan Aditianti. Konsumsi makanan tinggi kalori dan lemak tetapi rendah serat dan aktfitas fisik kaitannya dengan kegemukan pada anak usia 5-18 tahun di Indonesia. Badan Penelitian dan Pengembanan Kesehatan. 2017
Pietro Manuel Ferraro, Eric N. Taylor, Giovanni Gambaro, dan Gary C. Cuthan. Soda and Other Beverages and the Risk of Kidney Stones. Clin J Am Soc Nephrol. 2013 : 8(8): 1389-1395 doi: 10.2215/CJN.11661112 : 10.2215/CJN.11661112
Rascati KL, Walters Kluner, Lippincott Willian dan Wilkins Essentialy of pharmacoeconomis; 2009:112-120.
Razi, K. et.al. (2021). Outcomes of Patients Who Have Undergone AV Shunt Procedure at Dr. Zainoel Abidin General Hospital in Banda Aceh. Budapest International Research in Exact Sciences (BirEx) Journal Vol 3 (1):8-12.
Restu Pranandari, Woro Supadmi. Faktor risiko gagal ginjal kronik di unit hemodialisis RSUD Wates Kulon Progo. 2015; Majalah Farmasetik Vol.2 no.2 ; 316-320.
R.Harshman, A. Naim, J. Carter, et al. Early detection, screening, and management of chronic kidney disease among actively employed: an integrated health management approach (abstrak PUK20) Value Health 2011;14(3) A78
Rotich Joyce Cherono. The Prevalence and Risk Factor for Chronic Kidney Diseases in Kerincho Country,Kenya. Desember 2017: DOI:10.15640/ijn.v4n2a8
Rumah Sakit Umum Pusat Fatmawati. 2018; diakses dari http://www.fatmawatihospital.com/konten/details/pelayanan/hemodialisa pada tanggal 20 Januari 2018
Rumeyza Kazancioglu. Risk factors for chronic kidney disease: un update. Kidney international Suplements. 2013; 3, 368-371
Sarwono J. Teori dan praktik riset pemasaran dengan SPSS. Yogyakarta : Andi;2005, hal.41
Stavroula Gerogianni, Fotoula Babatsikou, Georgia Geroganni, Charilaos Koutis, Erasmania Psimenou. Social life of patients undergoing haemodialysis. Internasional Journal of caring sciences Vol.9 Issue 1, 2016;p.122. Dikutip dari Kaitelidou D, Liaropoulos L, Siskou O, Mamas T, Zirogiannis P, Maniadakis N, Papakonstantinou V, Prezerakos P. (2007). The social and economic consequences of dialysis in patients' lives with chronic renal insufficiency. Nursing, 46 (2): 246-255
Stengel, B. Et al. Lifestyle factor, Obesity and the Risk of Chronic Kidney Disease. 2003. Epidemiology Volume 14 (4) : 87-479
Suhardi Darmo Atmojo, SMF Penyakit dalam RSUP Dr.Sardjito. Prinsip dan indikasi hemodialisis. (abstrak) PITI Penyakit dalam; 1999.
The Australian Kidney Foundatiion Trading as Kidney Health Autralia. Linking Kidney Disease Cardiovascular Disease and Diabetes. 2015 : ABN 37 008 464 426
The Kidney Foundation Canada; The Burden of Out-of-Pocket Cost for Canadians with Kidney Failure; 2018.
Vonny Mariance Wowor. Analisis Drug Related Problem (DRP) dan pemberian rekomendasi farmasis pada pasien penyakit ginjal kronis di instalasi rawat inap RSUP Fatmawati. Jakarta; 2016
th Report of Indonesan renal registry, Indonesia; 2017. Diakses dari https://www.indonesianrenalregistry.org/data/IRR%202017%20.pdf
DOI: https://doi.org/10.33258/birci.v4i3.2514
Article Metrics
Abstract view : 108 timesPDF - 51 times
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.