ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI
The implementation of INA-DRGs system for the third-class patients of Jamkesmas (Public Health Insurance Program) in hospital is expectedly able to increase the access and the health service quality for the poor and underprivileged people in effectively and efficiently realizing the optimal health s...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2012
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| author | , DEVI OKTAVIANI , Prof. dr. Iwan Dwiprahasto, M.Med.Sc, Ph.D. |
| author_facet | , DEVI OKTAVIANI , Prof. dr. Iwan Dwiprahasto, M.Med.Sc, Ph.D. |
| author_sort | , DEVI OKTAVIANI |
| collection | UGM |
| description | The implementation of INA-DRGs system for the third-class patients of
Jamkesmas (Public Health Insurance Program) in hospital is expectedly able to
increase the access and the health service quality for the poor and underprivileged
people in effectively and efficiently realizing the optimal health service. This
research is purposively to obtain the average cost of medical treatment of cervical
cancer and also learn the compatibility between cost of medical treatment of
cervical cancer in RSUD Dr. Moewardi and the constancy of INA-DRGs based
health financing.
This is a descriptive research under the perspective of hospital in which
its method in collecting data is retrospectively done by investigating the medical
record document of patients with cervical cancer and the data of the medical
treatment cost of patients. The research subject is cervical cancer case with the
third-class patients of JAMKESMAS in RSUD Dr. Moewardi in the period of
January-July 2010 that is in line with the inclusion criteria. Further, the data
analysis is done by cross tab with Chi Square test and by comparing the average
cost and ALOS (Average length of stay) through the constancy of INA-DRG.
The test result of Chi Square shows a correlation between LOS, patient
factor (the number of parities), disease factors (co-morbidity and severity level)
with the health care cost for cervical cancer in RSUD. Dr. Moewardi. The health
care average cost of cervical cancer based on the tariff of RSUD Dr. Moewardi for
the severity level I include: IDR2.893.243 for surgery, IDR3.313.342 for
chemotherapy, IDR3.988.027 for radiotherapy and IDR10.039.072 for radical
hysterectomy. Meanwhile, in the severity level II, it includes IDR5.885.859 for
surgery, IDR4.474.084 for chemotherapy. In the severity level III, it includes
IDR13.347.209 for radical hysterectomy. The ALOS is longer compared to ALOS
of INA-DRG except in the severity level III. This then gives an effect on the
health care cost for cervical cancer that in general is higher than the tariff of INADRG.
In conclusion, inefficient implementation of INA-DRG for the treatment of
cervical cancer in patients of JAMKESMAS in RSUD Dr. Moewardi. |
| first_indexed | 2024-03-13T22:37:35Z |
| format | Thesis |
| id | oai:generic.eprints.org:98927 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:37:35Z |
| publishDate | 2012 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:989272016-03-04T08:46:03Z https://repository.ugm.ac.id/98927/ ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI , DEVI OKTAVIANI , Prof. dr. Iwan Dwiprahasto, M.Med.Sc, Ph.D. ETD The implementation of INA-DRGs system for the third-class patients of Jamkesmas (Public Health Insurance Program) in hospital is expectedly able to increase the access and the health service quality for the poor and underprivileged people in effectively and efficiently realizing the optimal health service. This research is purposively to obtain the average cost of medical treatment of cervical cancer and also learn the compatibility between cost of medical treatment of cervical cancer in RSUD Dr. Moewardi and the constancy of INA-DRGs based health financing. This is a descriptive research under the perspective of hospital in which its method in collecting data is retrospectively done by investigating the medical record document of patients with cervical cancer and the data of the medical treatment cost of patients. The research subject is cervical cancer case with the third-class patients of JAMKESMAS in RSUD Dr. Moewardi in the period of January-July 2010 that is in line with the inclusion criteria. Further, the data analysis is done by cross tab with Chi Square test and by comparing the average cost and ALOS (Average length of stay) through the constancy of INA-DRG. The test result of Chi Square shows a correlation between LOS, patient factor (the number of parities), disease factors (co-morbidity and severity level) with the health care cost for cervical cancer in RSUD. Dr. Moewardi. The health care average cost of cervical cancer based on the tariff of RSUD Dr. Moewardi for the severity level I include: IDR2.893.243 for surgery, IDR3.313.342 for chemotherapy, IDR3.988.027 for radiotherapy and IDR10.039.072 for radical hysterectomy. Meanwhile, in the severity level II, it includes IDR5.885.859 for surgery, IDR4.474.084 for chemotherapy. In the severity level III, it includes IDR13.347.209 for radical hysterectomy. The ALOS is longer compared to ALOS of INA-DRG except in the severity level III. This then gives an effect on the health care cost for cervical cancer that in general is higher than the tariff of INADRG. In conclusion, inefficient implementation of INA-DRG for the treatment of cervical cancer in patients of JAMKESMAS in RSUD Dr. Moewardi. [Yogyakarta] : Universitas Gadjah Mada 2012 Thesis NonPeerReviewed , DEVI OKTAVIANI and , Prof. dr. Iwan Dwiprahasto, M.Med.Sc, Ph.D. (2012) ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=54999 |
| spellingShingle | ETD , DEVI OKTAVIANI , Prof. dr. Iwan Dwiprahasto, M.Med.Sc, Ph.D. ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI |
| title | ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI
PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN
BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI |
| title_full | ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI
PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN
BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI |
| title_fullStr | ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI
PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN
BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI |
| title_full_unstemmed | ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI
PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN
BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI |
| title_short | ANALISIS BIAYA PENGOBATAN KANKER SERVIKS SEBAGAI
PERTIMBANGAN DALAM PENETAPAN PEMBIAYAAN KESEHATAN
BERDASARKAN INA-DRGs DI RSUD Dr. MOEWARDI |
| title_sort | analisis biaya pengobatan kanker serviks sebagai pertimbangan dalam penetapan pembiayaan kesehatan berdasarkan ina drgs di rsud dr moewardi |
| topic | ETD |
| work_keys_str_mv | AT devioktaviani analisisbiayapengobatankankerservikssebagaipertimbangandalampenetapanpembiayaankesehatanberdasarkaninadrgsdirsuddrmoewardi AT profdriwandwiprahastommedscphd analisisbiayapengobatankankerservikssebagaipertimbangandalampenetapanpembiayaankesehatanberdasarkaninadrgsdirsuddrmoewardi |