ANALISIS BIAYA TERAPI GAGAL JANTUNG PADA PASIEN RAWAT INAP DENGAN JKN DI RSUD UNDATA PALU PROPINSI SULAWESI TENGAH

BR. TAMBUNAN, RINI MARGARETHA (2015) ANALISIS BIAYA TERAPI GAGAL JANTUNG PADA PASIEN RAWAT INAP DENGAN JKN DI RSUD UNDATA PALU PROPINSI SULAWESI TENGAH. Tesis thesis, Universitas Setia Budi Surakarta.

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Abstract

In the implementation of National Health Insurance, the payment pattern in intermediate facility level based on INA-CBG’s tariff, considering the high prevalence and treatment cost of heart failure, it is possible for the hospital to encounter financial loss. The objective of research was to find out the difference of real cost from the INA-CBG’s tariff, the factors affecting the real cost, and to find out the compatibility of therapy and diagnosis. This study was an observational analytical research. The data was taken retrospectively from the document of national health insurance claim in JanuaryMay 2014 period. The data analysis was conducted using one sample t-test to compare the real cost and INA-CBG’s tariff, correlational test to find out the factors affecting the real cost, and the therapy compatibility was analyzed by considering the use of medication when the patients was treated in inpatient ward related to the diagnosis. The result of research showed a positive difference of real cost with INACBG’s tariff. For heart failure at the first severity levels, the first class of treatment was IDR 144.691.734; the second class of treatment was IDR 53.901.246; the third class of treatment was IDR 56.193.456. For heart failure at the second severity levels, the first class of treatment was IDR 168.864.674; the second class of treatment was IDR 72.220.683; the third class of treatment was IDR 87.292.674. For heart failure at the third severity levels, the first class of treatment was IDR 36.348.499; the second class of treatment was IDR 12.254.979; the third class of treatment was IDR 16.532.029. The factors affecting the real cost in the first and second severity levels were LOS and procedure, in the third severity level were no factors affecting the real cost. The factors affecting the real cost in the first and second class of treatment were LOS and procedure, while in the third class of treatment were LOS, secondary diagnosis, and procedure. The result of therapy compatibility showed that out of 115 treatment episodes, 99 were compatible and 16 were incompatible. Keywords: National Health Insurance, INA-CBGs, Heart Failure, Cost, Therapy Compatibility.

Item Type:	Thesis (Tesis)
Uncontrolled Keywords:	National Health Insurance, INA-CBGs, Heart Failure, Cost, Therapy Compatibility.
Subjects:	H Social Sciences > HG Finance R Medicine > R Medicine (General)
Divisions:	Fakultas Farmasi > Prodi S2 Farmasi
Depositing User:	magdalena kartika ningsih
Date Deposited:	21 Feb 2020 01:24
Last Modified:	14 Jan 2021 03:55
URI:	http://repo.setiabudi.ac.id/id/eprint/2369

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