scholarly journals Analisis Perbandingan Biaya Perawatan (Cost of illness Stroke Iskemik dan Stroke Hemoragik Pasien Rawat Inap di SUD Pannembahan Senopati

2021 ◽  
Vol 7 (1) ◽  
pp. 29-36
Author(s):  
Setiani Setiani ◽  
◽  
Imram Radne Rimba ◽  
Eliza Dwinta ◽  
◽  
...  
Keyword(s):  
Direct Cost ◽  
Cost Of Illness ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Bottom Up ◽  
Health Cost ◽  
Material Cost

Stroke termasuk dalam penyakit katarostropik yang dapat mengancam jiwa, dan memiliki resiko tinggi serta membutuhan pertolongan segera. Stroke dapat menyebabkan penderitanya memiliki faktor resiko morbiditas seusia hidupnya yang dapat menimbulkan Burden disease sehingga menyebabkan kematian, cedera, hilangnya produktifitas dan membutuhkan biaya penanganan yang cukup tinggi. Tujuan utama dari penelitian ini adalah untuk mengetahui total biaya perawatan dan selisish biaya perawatan stroke iskemik dan stroke hemoragik pasien rawat inap di RSUD Panembahan Senopati Bantul. Penelitian ini menggunakan rancangan penelitian deskriptif analitik non-eksperimental dengan pendekatan cross sectional study menurut perspektif penyedia layanan kesehatan (provider). Biaya yang diperhitungkan adalah biaya langsung (direct cost) menggunakan pendekatan bottom up. Subyek penelitian adalah semua pasien stroke rawat inap yang terdaftar sebagai pasien umum di rumah sakit yang memenuhi kriteria inklusi. Data dianalisis menggunakan software Excel dan SPSS. Hasil penelitian melibatkan 50 sampel yang terdiri dari 32 pasien stroke iskemik dan 18 pasien stroke hemoragik menunjukan dengan analisis regresi linear variabel bebas berpengaruh terhadap biaya stroke sebesar 49,1%. Lama rawat inap menjadi faktor yang paling berpengaruh terhadap tingginya biaya dengan nilai p 0,00 (<0,05). Total direct health cost perawatan stroke adalah sebesar Rp151.633.600,00 Sedangkan material cost sebesar Rp113.954.918,00. Total rata-rata biaya stroke iskemik Rp4.625.511.006, stroke hemoragik Rp6.531.786.277 dengan selisih Rp1.906.275.271.

scholarly journals Cost of Illness Study of Regular Out Patient Department Diabetic in a Low Income Country: A Cross Sectional Study

2019 ◽  
Vol 3 (1) ◽  
pp. 16-25
Author(s):  
V. Kattel ◽  
M. Subedi ◽  
Y. Agrawal ◽  
Z.S. Pall ◽  
S. Rani ◽  
...  
Keyword(s):  
Direct Cost ◽  
Cost Of Illness ◽  
Low Income ◽  
Financial Burden ◽  
Quality Care ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Income Country

Background: The burden of Diabetes in South Asia is alarming as the prevalence is higher compared to other region, living cost is low after Sub Saharan Africa and health care system are in state of expanding to be more accessible and adequate.   Objectives: The objective of the study was to assess the direct cost of illness among diabetic patient regularly visiting at outpatient department (OPD) in BPKIHS. Methods: This was a cross sectional study done in year 2018.  142 patients with at least nine visit per year were enrolled. The direct cost were calculated from the pattern of prescription of medications and laboratory investigations carried out over a year of the individual patient. The data were tabulated and analyzed. Results: Among the 142 patients on 37.5% were in mono-therapy and 62.5% were in poly-therapy. The direct cost of illness was USD 103 per annum that includes drug and investigation cost expensed at OPD visit. The average indirect cost was USD 102 per annum including travel and food. Among 142 patient the cost of illness on inpatient due to DM was USD 85.47 per event. Conclusion: The financial burden of being a diabetic in Nepal is high. Comprehensive quality care by expansion of health system and service with nominal charges to patient seems to be one of the challenges in Nepal.

scholarly journals Costs of reusable and disposable aprons in a public teaching hospital

2014 ◽  
Vol 48 (5) ◽  
pp. 915-921
Author(s):  
Paloma de Souza Cavalcante Pissinati ◽  
Maria do Carmo Lourenço Haddad ◽  
Mariana Ângela Rossaneis ◽  
Roseli Broggi Gil ◽  
Renata Aparecida Belei
Keyword(s):  
Direct Cost ◽  
Teaching Hospital ◽  
Average Cost ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Managers ◽  
Study Population ◽  
The Cost

Objective To analyze the direct cost of reusable and disposable aprons in a public teaching hospital. Method Cross-sectional study of quantitative approach, focusing on the direct cost of reusable and disposable aprons at a teaching hospital in northern Paraná. The study population consisted of secondary data collected in reports of the cost of services, laundry, materials and supplies division of the institution for the year 2012 Results We identified a lower average cost of using disposable apron when compared to the reusable apron. The direct cost of reusable apron was R$ 3.06, and the steps of preparation and washing were mainly responsible for the high cost, and disposable apron cost was R$ 0.94. Conclusion The results presented are important for hospital managers properly allocate resources and manage costs in hospitals
.

scholarly journals Estimating the Direct Cost of Cancer in Nepal: A Cross-Sectional Study in a Tertiary Cancer Hospital

2019 ◽  
Vol 7 ◽  
Author(s):  
Shiva Ram Khatiwoda ◽  
Raja Ram Dhungana ◽  
Vishnu Prasad Sapkota ◽  
Sarswoti Singh
Keyword(s):  
Direct Cost ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cancer Hospital

scholarly journals Estimation of the incidence of genital warts and the cost of illness in Germany: A cross-sectional study

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Peter Hillemanns ◽  
J Gabrielle Breugelmans ◽  
Friederike Gieseking ◽  
Stève Bénard ◽  
Emilie Lamure ◽  
...  
Keyword(s):  
Cost Of Illness ◽  
Genital Warts ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Cost

scholarly journals Clinical governance as professional self-reflection: A cross-sectional study assessing the quality of COPD care in German general practice

2019 ◽  
Author(s):  
Stefan Heinmüller ◽  
Luca Frank ◽  
Anina Höfle ◽  
Michael Langer ◽  
Korbinian Saggau ◽  
...  
Keyword(s):  
General Practice ◽  
Cross Sectional Study ◽  
Clinical Governance ◽  
Care Quality ◽  
Sectional Study ◽  
Negative Effects ◽  
Cross Sectional ◽  
Bottom Up ◽  
Copd Patients

Abstract BACKGROUND In the United Kingdom, a system of clinical governance (CG) which was introduced “top-down” by politics tries to ensure high quality health services. In general practice, the meeting of quality targets was linked to financial incentives causing several negative effects. In Germany CG is not established. We advocate a “bottom-up” CG for German general practice to avoid these negative effects. AIMS To test “bottom-up” CG within a network of general practices (GPN) using chronic obstructive pulmonary disease (COPD) as example disease. As a first step, we wanted to assess the current care quality of the GPN for COPD. Furthermore, feasibility of a care quality assessment through routine data from electronic health records (EHR) should be evaluated. METHODS A cross-sectional study was conducted. Quality indicators (QI) were developed according to COPD guidelines. COPD patients of the GPN ≥40 years were identified. For the determination of QI, data were retrieved from EHR. RESULTS In total, 2568 COPD patients were identified. Their mean age was 67 (SD±12) years, 49% were male. Thirty-five percent had a parallel diagnosis of asthma. There was no documentation of any spirometry for 54% of patients, 29% had a spirometry within the previous year. An influenza vaccination was administered to 37% within the preceding twelve months, 12% received a pneumococcal vaccination in the last six years. Smoking status was documented for 44% within the last year. Several QI were not assessable. CONCLUSION Care quality assessment by means of EHR data was challenging due to non-standardized documentation. Assessable QI indicated suboptimal COPD care. Our results confirm the need for CG in German general practice and better EHR softwares supporting CG through structured documentation and feedback for GPs. We are planning to proceed with “bottom-up” CG by introducing quality improvement measures within the GPN in answer to this study.

Cost-of-illness of psoriasis - results of a German cross-sectional study

2017 ◽  
Vol 32 (1) ◽  
pp. 174-180 ◽  
Author(s):  
D. Jungen ◽  
M. Augustin ◽  
A. Langenbruch ◽  
N. Zander ◽  
K. Reich ◽  
...  
Keyword(s):  
Cost Of Illness ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Economics of cancer care: A community-based cross-sectional study in Kerala, India

2020 ◽  
Vol 09 (01) ◽  
pp. 07-12
Author(s):  
Dinesh T. A. ◽  
Prem Nair ◽  
V. Abhijath ◽  
Vidya Jha ◽  
K. Aarthy
Keyword(s):  
Indirect Cost ◽  
Direct Cost ◽  
Economic Burden ◽  
Cancer Care ◽  
Statistical Tests ◽  
State Intervention ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Cost

Abstract Bacground: The estimated incidence of cancer cases in Kerala for 2014 was 31,400 and the mortality associated with it was 13,816. Although the treatment of cancer has shown remarkable advances, it has come with increasing costs. Objective: The objective of this study is to estimate the economic burden of cancer in Vypin Block Panchayat at Ernakulam by analyzing the average total direct and indirect cost of cancer care, socioeconomic status, and cost of cancer care between government and private hospitals. Materials and Methods: A cross-sectional study was conducted for 2 months from March to April 2018. The study was conducted by utilizing an annotated cost questionnaire for completion by patients. Total direct and indirect cost was estimated. Appropriate statistical tests were used. Results: Direct cost for cancer care contributed 75% toward the cost of illness and the remaining was found to be indirect cost. Loss of income (44%) contributed to the largest chunk of indirect cost. The average direct cost for cancer care was found to be Rs. 25,606 and the average indirect cost was Rs. 8772. The average total cost of cancer care was calculated to be Rs. 34,378. Significant statistical variation was found between the cost of cancer care in private and government hospitals. The economic burden of cancer in this Vypin Block Panchayat was found to be Rs. 218,256,977/- Conclusion: The ratio of average income to average cost in this study is skewed which indicates the lack of affordability for cancer care in this population. A very large gap, therefore, exits between income levels and cost of cancer care clearly indicating a vast gap between affordability and cost of treatment, which clearly necessitates the need for a definite policy and state intervention for a mass cancer care program.

Sign in / Sign up

Export Citation Format

Share Document