scholarly journals Perhitungan Cost of Treatment pada Pasien Rawat Inap Penderita Stroke Peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Azizah Munawwarah ◽  
Eri Witcahyo ◽  
Sri Utami

Stroke merupakan salah satu penyakit katastropik yang menjadi penyebab kematian paling banyak di Indonesia. Kota Probolinggo merupakan kota dengan prevalensi stroke tertinggi kedua di Jawa Timur. Prevalensi dan kematian akibat stroke ini terus meningkat di RSUD dr. Mohamad Saleh Kota Probolinggo.  Stroke merupakan penyakit berbiaya tinggi dan secara komplikasi dapat membahayakan jiwa, sehingga dibutuhkan pengelolaan pembiayaan yang tepat untuk menjamin efektifitas dan efisiensi pelayanan kesehatan penyakit ini. Oleh karena itu, perlu dilakukan studi mengenai cost of treatment yang mengukur biaya perawatan per episode layanan dari stroke. Tujuan penelitian ini untuk mengetahui gambaran perhitungan cost of treatment pada penderita stroke peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo. Studi ini merupakan studi evaluasi ekonomi parsial, dimana bertujuan untuk mendeskripsikan suatu objek biaya tanpa ada perbandingan terhadap intervensi lain yang dilakukan di RSUD dr. Mohamad Saleh Kota Probolinggo. Sampel penelitian adalah penderita stroke peserta BPJS di RSUD dr. Mohamad Saleh yang memenuhi kriteria inklusi dan eksklusi yaitu sebanyak 40 responden. Hasil penelitian menunjukkan rata-rata biaya langsung sebesar Rp 8.278.584. Rata-rata indirect cost sebesar Rp 974.383. Sedangkan rerata biaya per satu episode layanan stroke sebesar Rp 9.252.967. Saran yang diberikan adalah meningkatkan pencatatan tindakan keperawatan yang baik serta dilengkapi dengan tindakan koreksi ulang.  Perlu dilakukan monitoring dan evaluasi berkala terhadap billing sebagai bentuk pengendalian biaya.

2013 ◽  
Vol 3 (Suppl 1) ◽  
pp. P1 ◽  
Author(s):  
Gert-Jan Braunstahl ◽  
Marco Deenstra ◽  
Janice Canvin ◽  
Guy Peachey ◽  
Chien-Wei Chen ◽  
...  

2021 ◽  
pp. 097275312199849
Author(s):  
Raghuram Nagarathna ◽  
M Madhava ◽  
Suchitra S Patil ◽  
Amit Singh ◽  
K. Perumal ◽  
...  

Background: Diabetes mellitus is a major noncommunicable disease. While mortality rates are increasing, the costs of managing the disease are also increasing. The all-India average monthly expenditure per person (pppm) is reported to be ₹ 1,098.25, which translates to an annual expenditure of ₹13,179 per person. Purpose: While a number of studies have gone into the aspect of the cost of disease management, we do not find any study which has pan-India reach. We also do not find studies that focus on differences (if any) between rural and urban areas, age or on the basis of gender. We planned to report the cost of illness (COI) in diabetes individuals as compared to others from the data of a pan-India trial. Methods: Government of India commissioned the Indian Yoga Association to study the prevalence of diabetes mellitus in India in 2017. As part of the questionnaire, the cost of treatment was also captured. Data collected from 25 states and union territories were analyzed using the analysis of covriance (ANCOVA) test on SPSS version 21. Results: There was a significant difference ( P < .05) between the average expenses per person per month (pppm) of individuals with self-reported known diabetes (₹1,357.65 pppm) and others (unknown and/or nondiabetes individuals–₹ 999.91 pppm). Similarly, there was a significant difference between rural (₹2,893 pppm) and urban (₹4,162 pppm) participants and between those below (₹1,996 pppm) and above 40 years (₹5,059 pppm) of age. Conclusion: This preliminary report has shown that the COI because of diabetes is significantly higher than others pointing to an urgent need to promote disease-preventive measures.


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