scholarly journals Penelitian Perbedaan Tarif Riil dan INA-CBG’s Penyakit Talasemia di Ruang Perawatan Anak RSUP Sanglah Bali Tahun 2017

2018 ◽  
pp. 95-101
Author(s):  
Anak Agung Made Wijaya Kusuma ◽  
Ketut Ariawati
Keyword(s):  
Iron Chelation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Thalassemia Patient ◽  
Cross Sectional ◽  
Pediatric Ward ◽  
Real Cost ◽  
Almost All ◽  
The Cost ◽  
Case Based

Abstrak Biaya pengobatan suportif seperti transfusi darah dan kelasi besi seumur hidup pada seorang pasien talasemia sangat besar. Hampir seluruh pasien talasemia di RSUP Sanglah Bali merupakan peserta Badan Penyelenggara Jaminan Sosial (BPJS) yang menggunakan sistem pola pembayaran Indonesia Case Based Groups (INA-CBG’s). Penelitian dilakukan untuk mengetahui perbedaan tarif biaya riil dan INA-CBG’s penyakit talasemia di ruang perawatan anak RSUP Sanglah Bali. Penelitian potong lintang menggunakan desain deskriptif, dilakukan pada bulan Januari sampai dengan Desember 2017. Data dalam penelitian ini terdiri dari data karakteristik dan perbedaan antara tarif riil rumah sakit dengan tarif INA-CBGs penyakit talasemia di ruang perawatan anak RSUP Sanglah. Terdapat 313 kasus rawat inap dari 29 pasien talasemia yang diikutsertakan dalam penelitian. Rumah Sakit Umum Pusat Sanglah mendapat nilai positif Rp 534.784.590 (21,8%) dari selisih total tarif paket INA CBG’s dengan total tarif riil rumah sakit pada tahun 2017. Terdapat perbedaan positif antara tarif riil rumah sakit dengan tarif sesuai INA CBG’s pada perawatan anak dengan talasemia di RSUP Sanglah, yang memberi keuntungan bagi pihak rumah sakit. Kata kunci: talasemia, asuransi, JKN, INA-CBG’s Abstract The cost of supportive treatment such as blood transfusion and lifelong iron chelation in thalassemia patient is very expensive. Almost all thalassemia patients at Sanglah Bali Hospital are participants of Badan Penyelenggara Jaminan Sosial (BPJS) who use Indonesia Case Based Groups (INA-CBG’s) payment system. The study was conducted to determine the discrepancy hospital and INA-CBG’s fare of Thalassemia disease at pediatric ward Sanglah Bali Hospital. Cross sectional study using descriptive design, conducted in January until December 2017. The data in this study consisted of data on the characteristics and differences between the hospitals real cost with INA-CBG’s fare in the child with Thalassemia disease at Sanglah Hospital. There were 313 inpatient cases of 29 thalassemia patients enrolled in the study. Sanglah Hospital received a positive value of Rp 534,784,590 (21.8%) from discrepancy of the INA CBG’s fare with the total real cost of hospitals in 2017. There is a positive discrepancy between hospital and INA-CBG’s fare of Thalassemia disease at pediatric ward which gives benefits to the hospital. Keywords: thalassemia, insurance, JKN, INA-CBG’s

scholarly journals Contraceptive User’s Profile

2016 ◽  
Author(s):  
Eka R Gunardi
Keyword(s):  
Obstet Gynecol ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Study Population ◽  
The Mean ◽  
The Difference ◽  
Almost All ◽  
The Cost

Objective: To obtain informations regarding the profile of contraceptive users in Raden Saleh Clinic, Jakarta. Method: A cross-sectional study was conducted in June 2012, at Raden Saleh Clinic, Jakarta. The study population was the patient who came to Raden Saleh Clinic from 2008 until 2011. Results: The mean age of the contraception users was 34.06 and the mean of their husband’s age was 38.91 years old. Most of the patients were graduated from senior high school (43.2%) and university (37.9%). More than half of the patients (55.2%) were not working and more than a half of their husband (53.2%) were private employee. Almost all (92.6%) of the patient were married. Most of the patient (38.8%) came with no prior contraception. After consultation, all patients had chosen their preferred contraceptive methods, namely IUD (61.4%), injectable contraception (20.9%), pill (13.7%), sterilization (3.4%), and implant (0.6%). Conclusion: Family planning reduces maternal mortality and the best method is different for each patient because of the difference in their own condition and the consideration of the cost and benefit. [Indones J Obstet Gynecol 2013; 1-4:179-82] Keywords: contraception, contraceptive users profile

scholarly journals Cross-sectional study of prevalence and risk factors, and a cost-effectiveness evaluation of screening and preventive treatment strategies for latent tuberculosis among migrants in Singapore

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050629
Author(s):  
Vanessa W Lim ◽  
Hwee Lin Wee ◽  
Phoebe Lee ◽  
Yijun Lin ◽  
Yi Roe Tan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cost Effectiveness ◽  
Length Of Stay ◽  
Latent Tuberculosis ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ltbi Prevalence ◽  
The Cost

ObjectivesWHO recommends that low burden countries consider systematic screening and treatment of latent tuberculosis infection (LTBI) in migrants from high incidence countries. We aimed to determine LTBI prevalence and risk factors and evaluate cost-effectiveness of screening and treating LTBI in migrants to Singapore from a government payer perspective.DesignCross-sectional study and cost-effectiveness analysis.SettingMigrants in Singapore.Participants3618 migrants who were between 20 and 50 years old, have not worked in Singapore previously and stayed in Singapore for less than a year were recruited.Primary and secondary outcome measuresCosts, quality-adjusted life-years (QALYs), threshold length of stay, incremental cost-effectiveness ratios (ICERs), cost per active TB case averted.ResultsOf 3584 migrants surveyed, 20.4% had positive interferon-gamma release assay (IGRA) results, with the highest positivity in Filipinos (33.2%). Higher LTBI prevalence was significantly associated with age, marital status and past TB exposure. The cost-effectiveness model projected an ICER of S$57 116 per QALY and S$12 422 per active TB case averted for screening and treating LTBI with 3 months once weekly isoniazid and rifapentine combination regimen treatment compared with no screening over a 50-year time horizon. ICER was most sensitive to the cohort’s length of stay in Singapore, yearly disease progression rates from LTBI to active TB, followed by the cost of IGRA testing.ConclusionsFor LTBI screening and treatment of migrants to be cost-effective, migrants from high burden countries would have to stay in Singapore for ~50 years. Risk-stratified approaches based on projected length of stay and country of origin and/or age group can be considered.

scholarly journals What is the Cost of Leptospirosis treatment in Jamaica? A Cross-sectional Study

2018 ◽  
Vol 6 (3) ◽  
pp. 166-172
Author(s):  
Joneshia Bryan-Thomas ◽  
Kristen Collins ◽  
Jotham Omoregie ◽  
Annakay Levy
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Cost

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 Acceptability and Attitude towards a Mobile-Based Home Exercise Program among Stroke Survivors and Caregivers: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Amreen Mahmood ◽  
Vevita Blaizy ◽  
Aparajita Verma ◽  
Joel Stephen Sequeira ◽  
Dola Saha ◽  
...  
Keyword(s):  
Exercise Program ◽  
Cross Sectional Study ◽  
Home Exercise ◽  
Stroke Survivors ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Home Exercise Program ◽  
Chi Square Analysis ◽  
The Cost

Background. Stroke is a leading cause of disability and requires continued care after hospital discharge. Mobile-based interventions are suitable to reduce the cost of stroke rehabilitation and facilitate self-management among stroke survivors. However, before attempting to use mobile-based home exercise program, it is crucial to recognize the readiness of stroke survivors and their caregivers to opt for such interventions. Objective. To assess the acceptability and attitude towards a mobile-based home exercise program among stroke survivors and their primary caregivers. Methods. A cross-sectional study was conducted among 102 participants to understand their attitude and acceptability towards mobile-based home exercise program. A validated 10-item questionnaire was adapted for the study. The questions which assessed the attitude were rated on a three-point Likert scale, with three denoting agree and one denoting disagree. The acceptability was assessed by their willingness to opt for a mobile-based home program services. A Chi-square analysis and cross-tabulation were performed to test differences between caregivers and patients. A logistic regression was performed to determine the effects of age, gender, and mobile phone on acceptability. Results. Ninety-two percent of caregivers and 90% of patients showed willingness to opt for mobile-based intervention. Majority of the participants showed a positive attitude towards this mode of treatment. There was no difference in the attitude noted among caregivers and patients (p>0.05) towards mobile-based intervention. Conclusion. The stroke survivors and caregivers welcomed the concept of mobile-based home exercise program even in a low-resource settings, but further studies to understand treatment and cost-effectiveness of this technology among the stroke survivors would lead to better implementation.

scholarly journals Association between the Use of Alternative Medicine and Adherence to Treatment in Patients with Type 2 Diabetes

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Perez-Sosa Abigail M ◽  
Keyword(s):  
Risk Factors ◽  
Alternative Medicine ◽  
Medical Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Cost

Background: Diabetes mellitus 2 (T2D) is the leading cause of morbidity and mortality in northern Mexico. Various treatments are used to control the disease; however, the cost of these and the difficulty of dietary management have as a consequence that the patient abandons them and looks for cheaper and easier-to-use alternatives. Aim: The purpose of this study is to determine the relationship between the use of alternative medicine and adherence to medical treatment in patients with T2D. Design and Setting: Analytic cross-sectional study. Methods: An analytical cross-sectional study was designed between March and July 2019 including 464 patients with T2D from the family medicine unit #48 Ciudad Juarez, Mexico. We used the Morisky-Green scale for adherence to treatment and the use of Alternative Medicine (CAM) was evaluated with a holistic complementary and alternative medicine questionnaire. The Chi-Square test was used for comparison of proportions and risk factors were calculated using odds ratio with 95% confidence intervals. Results: 53% of patients use CAM; biological therapy (herbs and supplements) is the most frequent (94%). The association between CAM use and adherence to medical treatment was 2.1 (95% CI 1.4-3.1, p= 0.001). The risk factors for the use of CAM were female sex, basic level education, uncontrolled disease and a time of evolution greater than 10 years. Conclusion: CAM users are 2.1 times more at risk of having a regular or bad adherence to medical treatment.

scholarly journals The Analysis of Reliability Costs Toward INA-CBGS Rates in Patients With Hypertension in Pandan Arang Boyolali District Hospital In 2017

2019 ◽  
Vol 16 (2) ◽  
pp. 105-117
Author(s):  
Isma Oktadiana
Keyword(s):  
Rural Areas ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Real ◽  
Real Cost ◽  
Level Ii ◽  
Treatment Of Hypertension ◽  
Class 1 ◽  
Grade 3 ◽  
The Cost

In Indonesia, the incidence of hypertension ranged from 6-15% and many patients are still not reached by health services, especially in rural areas. The research purposes to determine patterns of treatment of hypertension, the average cost of treatment, the factors that affect the total cost, and the cost of compliance with the real cost of the package INA-CBGs. The study was an observational cross-sectional study design according to the perspective of the hospital. Method of data collection was done in retrosfektif and data derived from quantitative data. Subjects were inpatients suffering from hypertension without comorbidities and hypertension with comorbid diabetes mellitus, heart failure and kidney failure. The results showed significant differences with the INA-CBG rates on total costs in outpatients differed significantly in 79 samples, while the real cost of Rp 335,145 was greater than the INA-CBGs rate of Rp. 181,400, while inpatients differed significantly in 63 samples at the grade I, grade 3, 2, 1 severity of Rp. Rp. , Rp. 1,438,069, Rp. 1,498,683, Rp. 2,000,685, the severity level II class 3 and class 1 was Rp. 1,540,134, Rp. 2,866,200, III and grade 1 III severity levels of Rp. 1,586,617 and Rp. 3,439,500. This difference shows a positive difference, where the total real cost is more.

scholarly journals Should male doctors in Sri Lanka wear a necktie to be recognized and respected?

2019 ◽  
Vol 13 (05) ◽  
pp. 445-448
Author(s):  
Prabath K Abeysundara ◽  
Nilanga Nishad ◽  
Karthiha Balendran ◽  
Manod Pabasara ◽  
Poornima K Bandara ◽  
...  
Keyword(s):  
Secondary Education ◽  
Sri Lanka ◽  
Patient Care ◽  
Cross Sectional Study ◽  
Cultural Norms ◽  
Sectional Study ◽  
National Hospital ◽  
Cross Sectional ◽  
Almost All

Introduction: European cultural norms have influenced physicians’ attire in Sri Lanka. The necktie is one such item of clothing which is worn to be recognized and respected as professionals. This study was carried out to assess the perceptions of doctors and patients towards male doctors wearing neckties while providing patient care. Methododology: A descriptive cross-sectional study was carried out at the National Hospital of Sri Lanka. An interviewer-administered questionnaire was used to collect data from doctors and patients. Results: The study included 105 doctors (57% males) and 333 patients (54% males). Mean ages of the doctors and patients were 37 years (95% C.I. 36-39) and 47 years (95% C.I. 45-49) respectively. Sixty-nine percent of the patients had completed secondary education or above. None of the patients were aware of the risk of spreading infections by wearing a necktie. Of the 41% of doctors who thought it was unnecessary to wear a necktie, 95% believed the necktie can spread infections. Ninety-five percent of patients believed doctors should wear neckties to be identified and respected and to maintain trustworthiness. Conclusions: None of the patients were aware of the possible risk of spreading infections by wearing a necktie, while most of the doctors who thought neckties were unnecessary also believed neckties can spread infections. Almost all patients thought that doctors should wear a necktie to be recognized and respected. Therefore, implementing a change in dress policy for doctors is a challenging task in Sri Lanka.

scholarly journals Psychological Effects and Coping Strategies for Home Isolation and Social Distancing in Children and Adolescents During COVID-19 Pandemic, A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Abduljaleel Abdullatif Zainel
Keyword(s):  
Children And Adolescents ◽  
Electronic Devices ◽  
Cross Sectional Study ◽  
Psychological Effects ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Social Distancing ◽  
Social Media Platforms ◽  
Almost All

BACKGROUND By the end of 2019, a novel coronavirus was identified as the cause of a cluster of pneumonia cases in Wuhan, China. It rapidly spread due to a strong evidence of human-to-human transmission, resulting in a pandemic throughout the world. Almost all countries around the world, including Qatar, have established instructions and regulations to limit the spread of the virus and to preserve the health of societies. Unfortunately, these procedures are often associated with some negative effects on individuals’ psychological and intellectual well-being, including children and adolescents. OBJECTIVE The objective of this study was to screen the psychological effects of home isolation and social distancing on children and adolescents, and the strategies used to cope with those effects. METHODS This is a cross-sectional study implemented using an online scaling questionnaire through a SMS text messaging. All home-isolated children and adolescents registered in Primary Health Care Corporation aged 7-18 years old invited to participate in the study, children and adolescents with intellectual disadvantages excluded. A p value 0.05 (two tailed) is considered for statistically significant level. RESULTS Data were collected from 6608 participants through the period of June 23rd to July 18th, 2020. Almost all the participants have followed the official regulations during the period of home isolation and social distancing, and 69.1% of their parents expressed their children and adolescents were vulnerable to the virus as an average person, compared to 25% expressed they were not vulnerable at all. The mean score of emotional construct anger and depression have decreased with the increase of following official instructions, with p value of 0.04 and 0.11 respectively. The difference in mean score of all psychological effects and the coping strategies used among participants between the three levels of vulnerability to corona virus, were statistically significant. The trend of mean score varied little with the escalation of the level of vulnerability to the virus. This mild variation can make difference when sample size is large as in case of our study. CONCLUSIONS Screening for psychological and social disruptions is of importance to develop strategies by schools and healthcare providers to assess and monitor behavioral changes and negative psychological effects during reintegration post-COVID-19. Participants experiencing higher levels of anxieties should be given extra attention during reintegration and transitional phases in schools. Although electronic devices and social media platforms may have lowered the level of anxiety in some cases, it is important to address how electronic devices and social media platforms are used and how content is tailored to children and adolescents. It is also important to maintain an active lifestyle for children and young adults, and encourage them not to neglect their physical health, as it promotes better psychological state of mind.

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