ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI
Introduction: End Stage Renal Diseases (ESRD) becomes a serious healthcare problem because of the increasing prevalence of RRT and healthcare costs. ESRD patients need Renal Replacement Therapy (RRT). There are two types of RRT : Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD)...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2013
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| _version_ | 1797034678699425792 |
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| author | , IKA ERI HARYANI , dr. Ari Probandari, MPH, Ph.D. |
| author_facet | , IKA ERI HARYANI , dr. Ari Probandari, MPH, Ph.D. |
| author_sort | , IKA ERI HARYANI |
| collection | UGM |
| description | Introduction: End Stage Renal Diseases (ESRD) becomes a serious healthcare
problem because of the increasing prevalence of RRT and healthcare costs. ESRD
patients need Renal Replacement Therapy (RRT). There are two types of RRT :
Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD).
Several previous studies showed that CAPD has more advantage than HD, but it
was still debated. The treatment results were influenced by the background of the
country and the healthcare cost system.
Aims: The aim of the study was to compare between HD costs and CAPD cost
covered by PT. Askes (Persero) or known as the insurance medical cost and out of
pocket cost from the patients.
Methods: This study was an observational comparative study with descriptive
analytical design. The data of insurance cost was obtained from Askes data base,
whereas the patient cost was taken by questionnaires. The subjects were 59
patients undergoing HD and 50 patients undergoing CAPD in the center of HD
provided by PT. Askes (Persero) Regional Division VI. Random sampling was
conducted with consecutive sampling system.
Results: The median of HD insurance medical expense was
Rp. 5.949.234/person/month, while CAPD was Rp. 5.023.792/person/month.
There were also medical and non-medical cost paid by the patients. these median
were Rp. 287.208/person/month for HD patients and Rp. 323.000/person/month
for CAPD patients. 30,5 % of HD patients and 22 % of CAPD patients got their
income decreased, whereas the patient family that got decreased their income
were 10 % of HD patient family and 6 % of CAPD patient family. The median of
the income reduction among HD patients and HD patient family was
Rp. 2.250.000/person/month, whereas CAPD patients and CAPD patient family
was Rp. 2.125.000/person/month.
Conclusion: The median of HD insurance medical cost was higher than that of
CAPD. Compared to CAPD, the median patient expense (medical and nonmedical)
was lower in HD. The median of the income deduction among HD
patients and HD patient family was bigger than the one in CAPD patient and
CAPD patient family. |
| first_indexed | 2024-03-13T23:15:26Z |
| format | Thesis |
| id | oai:generic.eprints.org:126938 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T23:15:26Z |
| publishDate | 2013 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:1269382016-03-04T08:38:54Z https://repository.ugm.ac.id/126938/ ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI , IKA ERI HARYANI , dr. Ari Probandari, MPH, Ph.D. ETD Introduction: End Stage Renal Diseases (ESRD) becomes a serious healthcare problem because of the increasing prevalence of RRT and healthcare costs. ESRD patients need Renal Replacement Therapy (RRT). There are two types of RRT : Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD). Several previous studies showed that CAPD has more advantage than HD, but it was still debated. The treatment results were influenced by the background of the country and the healthcare cost system. Aims: The aim of the study was to compare between HD costs and CAPD cost covered by PT. Askes (Persero) or known as the insurance medical cost and out of pocket cost from the patients. Methods: This study was an observational comparative study with descriptive analytical design. The data of insurance cost was obtained from Askes data base, whereas the patient cost was taken by questionnaires. The subjects were 59 patients undergoing HD and 50 patients undergoing CAPD in the center of HD provided by PT. Askes (Persero) Regional Division VI. Random sampling was conducted with consecutive sampling system. Results: The median of HD insurance medical expense was Rp. 5.949.234/person/month, while CAPD was Rp. 5.023.792/person/month. There were also medical and non-medical cost paid by the patients. these median were Rp. 287.208/person/month for HD patients and Rp. 323.000/person/month for CAPD patients. 30,5 % of HD patients and 22 % of CAPD patients got their income decreased, whereas the patient family that got decreased their income were 10 % of HD patient family and 6 % of CAPD patient family. The median of the income reduction among HD patients and HD patient family was Rp. 2.250.000/person/month, whereas CAPD patients and CAPD patient family was Rp. 2.125.000/person/month. Conclusion: The median of HD insurance medical cost was higher than that of CAPD. Compared to CAPD, the median patient expense (medical and nonmedical) was lower in HD. The median of the income deduction among HD patients and HD patient family was bigger than the one in CAPD patient and CAPD patient family. [Yogyakarta] : Universitas Gadjah Mada 2013 Thesis NonPeerReviewed , IKA ERI HARYANI and , dr. Ari Probandari, MPH, Ph.D. (2013) ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=67177 |
| spellingShingle | ETD , IKA ERI HARYANI , dr. Ari Probandari, MPH, Ph.D. ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI |
| title | ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI |
| title_full | ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI |
| title_fullStr | ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI |
| title_full_unstemmed | ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI |
| title_short | ANALISIS BIAYA RAWAT JALAN HEMODIALISIS DAN PERITONEAL DIALISIS MANDIRI BERKESINAMBUNGAN PADA PESERTA ASKES DI PT. ASKES (PERSERO) DIVISI REGIONAL VI |
| title_sort | analisis biaya rawat jalan hemodialisis dan peritoneal dialisis mandiri berkesinambungan pada peserta askes di pt askes persero divisi regional vi |
| topic | ETD |
| work_keys_str_mv | AT ikaeriharyani analisisbiayarawatjalanhemodialisisdanperitonealdialisismandiriberkesinambunganpadapesertaaskesdiptaskesperserodivisiregionalvi AT drariprobandarimphphd analisisbiayarawatjalanhemodialisisdanperitonealdialisismandiriberkesinambunganpadapesertaaskesdiptaskesperserodivisiregionalvi |