scholarly journals Comparison Of Real Costs In Type 2 Diabetes Mellitus Patients With INA-CBG'S Prices In Ina-Cbg's Regional General Hospital

2021 ◽  
Vol 2 (2) ◽  
pp. 42-51
Author(s):  
Isma Oktadiana
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medical Records ◽  
District Hospital ◽  
Patient Treatment ◽  
Diagnostic Code ◽  
Bivariate Correlation ◽  
Real Costs

The mismatch between real costs and the INA-package CBG's pricing is a common difficulty in the implementation of Jamkesmas. The goal of this study is to see how much of a discrepancy there is between real costs and INA-package CBG's rates for type 2 diabetes mellitus inpatients at the Bima District Hospital, as well as to look at the factors that affect real costs. Analytic observation is a sort of study. Jamkesmas claim files and patient medical records were analyzed retrospectively. Claim files and medical records of Jamkesmas diabetes mellitus patients at the Bima District Hospital for the 2020 period with the diagnostic code INA-E-4-10-I, CBG's E-4-10-II, and E-4-10-III were the research subjects, while the study's object was claim files and medical records of Jamkesmas diabetes mellitus patients at the Bima District Hospital for the 2020 period. The data was analyzed descriptively. In addition, a one-sample test statistical analysis was performed to determine the difference between real costs and INA rates, CBG's and a bivariate correlation test to find the factors that affect real costs. The study's study showed it for severity levels I, II, and III, there is a significant cost disparity between real costs and INA-CBG rates. Severity and leght of stay are 2 parameters that influence the real cost of patient treatment. ABSTRAK   Selisih antara harga sebenarnya dan harga paket INA CBG merupakan hambatan umum dalam pemasangan Jamkesmas. Tujuan dari penelitian ini adalah untuk mengetahui besarnya gap antara biaya riil dengan tarif CBG paket INA untuk pasien rawat inap diabetes tipe 2 di RSUD Bima, serta faktor-faktor yang mempengaruhi biaya riil. Observasi analitik dapat dianggap sebagai jenis penelitian. Analisis retrospektif terhadap berkas klaim Jamkesmas dan informasi medis pasien dilakukan. Berkas klaim dan rekam medis pasien diabetes mellitus Jamkesmas di RSUD Kabupaten Bima Periode 2020 dengan kode diagnostik INA-E-4-10-I, CBG's E-4-10-II, dan E-4-10-III adalah subjek penelitian, sedangkan objek penelitian adalah berkas klaim dan rekam medis pasien diabetes melitus Jamkesmas di RSUD Kabupaten Bima periode 2020. Data dianalisis secara deskriptif. Selain itu, statistik uji satu sampel analisis dilakukan untuk menentukan perbedaan biaya riil dengan tarif INA, CBG's, dan uji korelasi bivariat untuk menemukan faktor-faktor yang mempengaruhi biaya riil. Hasil kajian menunjukkan bahwa untuk tingkat keparahan I, II, dan III terdapat disparitas biaya yang signifikan antara biaya riil dengan tarif INA-CBG. Tingkat keparahan dan lama rawat inap adalah dua kriteria yang membuat biaya perawatan pasien yang sebenarnya.

scholarly journals Hemoglobin Levels in Type 2 Diabetes Mellitus Patients

2021 ◽  
Vol 3 (1) ◽  
pp. 24-29
Author(s):  
Wahyu Anita Khoirin ◽  
Rodhi Hartono
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Nephropathy ◽  
Medical Records ◽  
Renal Interstitium ◽  
Chronic Hyperglycemia ◽  
Hypoxic Environment ◽  
Age Category

Type 2 diabetes mellitus with chronic hyperglycemia can cause a hypoxic environment in the renal interstitium and can cause kidney disorders (diabetic nephropathy), this can lead to decreased kidney function and the production of erythropoietin produced by peritubular fibroblasts is disrupted, and hemoglobin is not formed optimally and occurs anemia. Thei purposei ofi thisi studyi wasi toi determinei hemoglobini levelsi in patients withi typei 2i diabetesi mellitusi in RSUD. K.R.M.T Wongsonegoro Semarang. This is a descriptive quantitative study, the data comes from the medical records of patients with typei 2i diabetesi mellitusi withi complicationsi ofi diabetici nephropathyi at RSUD K.R.M.T Wongsonegoro Semarang as many as 40 samples with non-probability samplingi itechnique. The results showed that there were 20 men who had decreased hemoglobin levels and 1 person who had normal hemoglobin levels. Meanwhile, in women, 17 people had decreased hemoglobin levels and 2 people had normal hemoglobin levels. Based on the age category, the most were the early elderly as many as 15 people and the least in the late teens and early adults each as many as 2 people. Meanwhile, based on the average level of anemia, more experienced moderate levels of anemia. Hemoglobin levels in patients with type. 2i. diabetesi. mellitusi. withi. complicationsi. ofi. diabetici. nephropathyi. at RSUD K.R.M.T Wongsonegoro Semarang were 40 samples, on average they had low hemoglobin levels.

scholarly journals Correlation Analysis Study between Hearing Loss Occurence and Duration of Type 2 Diabetes Mellitus in Sultan Agung Islamic Hospital Semarang

Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 12
Author(s):  
Citta Arunika Risyudhanti ◽  
Agung Sulistyanto ◽  
Suparmi Suparmi
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Hearing Impairment ◽  
Medical Records ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Chi Square ◽  
Cross Sectional

Introduction: Hearing impairment due to cochlear damage is one complication of Type 2 Diabetes Mellitus (DM2). Objective: This study aims to determine the relationship between duration of DM2 with hearing impairment.Method: The analytic observasional study with the cross sectional design using the medical record of DM2 outpatient in internal clinic of Islamic Sultan Agung Hospital Semarang and also pure tone audiometric examination’s record in Otorynolaryngology clinic of Islamic Sultan Agung Hospital Semarang.31 medical records of DM2 patients were meeting the inclusion and exclusion criteria. The data consist of 18 medical records of patients with less than6 years duration of DM2, and 13 medical records of patients with more than 6 years duration of DM2. The pure tone audiometry was used to classified the hearing impairment. The data analysis was conducted using SPSS 20.0. The correlation between the duration of DM2 and hearing impairment was analyzed using Chi Square test. The significance relation between the duration of DM type 2 and hearing impairment was analyzed using cooficient contigency, with significance of < 0.05. Result: hearing impairment’s distribution frequency on tested ears in Sultan agung Islamic Hospital Semarang were 27 ears having SNHL type (43,5%), 19 ears having CHL (30,6%) and 16 ears were normal (25,8%), p = 0,02 (p < 0,05). Conclusion: There is a weak correlation between the DM 2 duration and the incidence of hearing impairment in Sultan Agung Islamic Hospital Semarang.

scholarly journals The Correlation Of Self Efficacy With Coping Strategies On Patients Diabetes Mellitus Type 2 Which Use Insulin In Waled Hospital Of Cirebon District

2021 ◽  
Vol 8 (1) ◽  
pp. 7-13
Author(s):  
Anisa ◽  
Nonok Karlina ◽  
Ahmad Syaripudin
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Coping Strategies ◽  
Self Efficacy ◽  
District Hospital ◽  
Rank Test ◽  
P Value ◽  
And Coping

Diabetes mellitus is a disease that has clinical signs and symptoms due to chronic declining function. Type 2 diabetes mellitus always increases every year as much as 9.3% of people. Patients with type 2 diabetes mellitus are required to always be routine control, but patients with diabetes mellitus will experience stress caused by various stressors, to reduce these problems interventions need to provide self-efficacy to patients and coping strategies are also needed so that patients are able to adapt to their stress in order to create coping strategies the good one.The purpose of this study was to determine the relationship of self-efficacy with coping strategies in patients with type 2 diabetes mellitus who use insulin in the Polyclinic of Waled District Hospital Cirebon. This type of research uses descriptive correlational with cross sectional approach. Sampling using purposive sampling technique amounted to 34 respondents. The instrument used was a questionnaire. Analysis of data using rank test speraman.Place of research in Waled District Hospital Cirebon in July 2020. The results showed that most respondents' self-efficacy in the high category (58.8%) and coping strategies were mostly in the good category (61.8%). Spearman rank test results P value <a and r <1 then H0 = rejected means that there is a strong and positive relationship between self-efficacy and coping strategies in patients with type 2 diabetes mellitus in the Polyclinic of Waled District Hospital Cirebon (P value = 0,000: a = 0 .05 r = 0.719). It is expected that nurses should provide more motivation and support to patients with type 2 diabetes mellitus and educate about the importance of coping strategies

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