| Summary: | Background: Efforts to achieve efficiency in diagnostic support examination for outpatient health insurance service is needed because the claimed received is generally lower than the cost of examination. Order of diagnostic support examination has to be controlled to minimize hospital expenditure. Efforts to control has been done by dr. Soeradji Tirtonegoro hospital and its effectiveness needs to be assessed.
Objective: To assess effectiveness of efforts to maintain efficiency and identify factors that inhibited efforts to maintain efficiency in diagnostic support
examination.
Method: The study was a quasi experiment that used one group pre test- post test study design. Study is done by watching the order of supporting diagnosis examination before and after intervention to maintain efficiency made to 40 doctors polyclinics. Intervention is given in the form of distribution of circular issued by the manager, reminder sheet at the polyclinic and feedback to the doctor.
Results: Study is done by watching the 683 orders of supporting diagnosis examination of outpatient (243 laboratory, 348 radiodignostics, 56 USG) before and after intervention. Evidently, there is no decreasing examination cost totally so it cannot be called as efficiency althogh statistical test using t-test showed p-value (laboratory 0,009, radiodiagnostic 0,000, USG 0,040) less than 0,05. Factors inhibiting efforts for efficiency are 1) The understanding of doctors to the health insurance rules is low
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