Penentuan Tarif Layanan Kesehatan Gigi dan Mulut dengan Metode Activity Based Cost System

2019 ◽  
Vol 14 (2) ◽  
pp. 72
Author(s):  
Dinik Fitri Rahajeng Pangestuti ◽  
Indah Purbasari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Cost Driver ◽  
Activity Based Costing ◽  
Accounting Systems ◽  
Cost System ◽  
Primary Health ◽  
The Cost

Background: The result of the morbidity report at 2001, shown that dental and oral health in Indonesia is still become public complaint, it is around 60%, such as dental caries and periodontal disease. Dental public health effort to date has yet to be run with optimal due to various constraints, including: limitations of the power, the means of operating costs as well as social and economic conditions of society. Considering these constraints have developed a model of services in the form of a layered service (level of care) according to existing resources, in the form of Primary Health Care (PHC). But this time the tariff is determined by hospitals, especially the private hospitals are still considered high by most of society. In determining the cost of products as the basis for determining the price of the hospital sometimes still use traditional accounting systems that pricing anyway no longer reflects the activity because of the many categories that are not direct. The main difference between the calculation of the product cost of goods of traditional cost accounting by activity-based costing is the amount of cost driver (trigger) is used. In the determination of cost of products with activity-based costing uses the cost drivers in the sum more than in traditional cost accounting systems that use only one or two cost drivers based on the unit.Objective: To determine the differences between determination of dental and oral health service tariff by using Activity Based Cost System and traditional method.Methods: This research was a case study research and how to collect data from the financial reporting RSUD Panembahan Senopati Bantul about patient visits for examination in dental health polyclinic. Results: The results of this research were the determination of the tariff model of oral health services by using Activity-Based Cost systems, as well as a comparison between traditional fare tariffs and tariff system for Activity Based Cost System. Keywords: tariff, dental and oral health, Primary Health Care, activity based costing, cost driver.

scholarly journals Profile of Oral Health and susceptibility to Oral Candidiasis in Patients of Primary Health Care

10.3823/1751 ◽  
2015 ◽  
Author(s):  
Anne Milane Formiga Bezerra ◽  
Maria do Carmo Andrade Duarte de Farias ◽  
Rosilene Agra da Silva ◽  
Patrício Borges Maracajá ◽  
Alfredina dos Santos Araújo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Candidiasis ◽  
Primary Health

scholarly journals ОПТИМІЗАЦІЯ ПРОГНОЗУВАННЯ РОЗВИТКУ АРТЕРІАЛЬНОЇ ГІПЕРТЕНЗІЇ НА ОСНОВІ КОМПЛЕКСНОГО ЗАСТОСУВАННЯ ІНФОРМАЦІЙНИХ МЕТОДИК ІЗ РОЗРОБКОЮ ДИФЕРЕНЦІАЛЬНО-ДІАГНОСТИЧНИХ КРИТЕРІЇВ ПРИ НАДАННІ ПЕРВИННОЇ МЕДИЧНОЇ ДОПОМОГИ

2016 ◽  
Author(s):  
V. P. Martsenyuk ◽  
P. R. Selskyy ◽  
B. P. Selskyy
Keyword(s):  
Neural Network ◽  
Health Care ◽  
Primary Health Care ◽  
Roc Analysis ◽  
Correlation Coefficients ◽  
Network Clustering ◽  
Care Level ◽  
Primary Health ◽  
Initial Survey

The paper describes the optimization of the prediction of disease at the primary health care level with a complex phased application of information techniques. The approach is based on analysis of the average values of indicators, correlation coefficients, using multi-parameter neural network clustering, ROC-analysis and decision tree.The data of 63 patients with arterial hypertension obtained at teaching and practical centers of primary health care were used for the analysis. It has been established that neural network clasterization can effectively and objectively allocate patients into the appropriate categories according to the level of average indices of patient examination results. Determination of the sensitivity and specificity of hemodynamic parameters, including blood pressure, and repeated during the initial survey was conducted using ROC-analysis.The diagnostic criteria of decision-making were developed to optimize the prediction of disease at the primary level in order to adjust examination procedures and treatment based on the analysis of indicators of patient examination with a complex gradual application of information procedures.

An Oral Health Promotion Module for the Primary Health Care Nursing Course in Acornhoek, South Africa

1999 ◽  
Vol 16 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Eyitope O. Ogunbodede ◽  
Michael J. Rudolph ◽  
Norma M. Tsotsi ◽  
Helen A. Lewis ◽  
Jonathan I. Iloya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Health Promotion ◽  
Primary Health ◽  
Nursing Course ◽  
Care Nursing

scholarly journals The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil

2020 ◽  
Vol 17 (5) ◽  
pp. 1646
Author(s):  
Maria Aparecida Cunha ◽  
Mario Vianna Vettore ◽  
Thiago Resende dos Santos ◽  
Antônio Thomaz Matta-Machado ◽  
Simone Dutra Lucas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Human Resources ◽  
Organizational Support ◽  
Organizational Factors ◽  
Dental Students ◽  
Dental Prosthesis ◽  
Dental Prostheses ◽  
Primary Health

This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients.

scholarly journals Patient safety culture from the perspective of workers and primary health care teams

2019 ◽  
Vol 53 ◽  
pp. 42 ◽  
Author(s):  
Daiane Cortêz Raimondi ◽  
Suelen Cristina Zandonadi Bernal ◽  
Laura Misue Matsuda
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Service ◽  
Safety Culture ◽  
Family Health ◽  
Patient Safety Culture ◽  
Health Care Teams ◽  
Primary Health

OBJECTIVE: Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS: Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS: Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058). CONCLUSIONS: We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

scholarly journals Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Staffan Nilsson ◽  
Per O. Andersson ◽  
Lars Borgquist ◽  
Ewa Grodzinsky ◽  
Magnus Janzon ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chest Pain ◽  
Troponin T ◽  
Point Of Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Increased Risk ◽  
The Cost

Objective. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. Design. Observational, prospective, cross-sectional study with followup. Setting. Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using POCT-TnT in the southeast of Sweden. Patients. All patients ≥35 years old, contacting one of the primary health care centres for chest pain, dyspnoea on exertion, unexplained weakness, and/or fatigue with no other probable cause than cardiac, were included. Symptoms should have commenced or worsened during the last seven days. Main Outcome Measures. Emergency referrals, patients with acute myocardial infarctions (AMI), or unstable angina (UA) within 30 days of study enrolment. Results. 25% of the patients from PHC centres with POCT-TnT and 43% from PHC centres without POCT-TnT were emergently referred by the GP (P=0.011 ). Seven patients (5.5%) from PHC centres with POCT-TnT and six (8.8%) from PHC centres without POCT-TnT were diagnosed as AMI or UA (P=0.369). Two patients with AMI or UA from PHC centres with POCT-TnT were judged as missed cases in primary health care. Conclusion. The use of POCT-TnT may reduce emergency referrals but probably at the cost of an increased risk to miss patients with AMI or UA.

Sign in / Sign up

Export Citation Format

Share Document