Penerapan Clinical Pathways sebagai Instrumen Pengendalian Biaya Pelayanan : Studi Penelitian Tindakan Penderita BPJS yang Menjalani Operasi Caesar dengan Sistem Pembayaran INA-CBG

Annisa Fitria; Andri Sofa Armani; Thinni Nurul Rochmah; Bangun Trapsila Purwaka; Widodo Jatim Pudjirahardjo

doi:10.31539/jks.v4i2.1546

Annisa Fitria Universitas Airlangga
Andri Sofa Armani Universitas Airlangga
Thinni Nurul Rochmah Universitas Airlangga
Bangun Trapsila Purwaka Dr. Soetomo Hospital Surabaya
Widodo Jatim Pudjirahardjo Universitas Airlangga

DOI: https://doi.org/10.31539/jks.v4i2.1546

Abstract

This study aims to determine the effect of using clinical pathways to control total actual hospital costs for BPJS patients who undergo a cesarean section. The method used in this research is action research. The results showed that the average actual hospital costs were significantly higher after the application of CP with p = 0.019. The average length of stay, service costs, and hospital costs were significantly lower in the entire CP form group with p = 0.012, p = 0.013, and p = 0.012. In conclusion, this study shows that the application of clinical pathways can reduce the length of hospitalization and actual hospital costs for cesarean section patients and indicates that clinical pathways can make services more efficient.

Keywords: Hospital Costs, Clinical Pathway, Caesarean Section

References

Astuti, D. Y., Dewi, A., & Arini, M. (2017). Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, 6(2). https://doi.org/10.18196/jmmr.6133

Bai, J., Bai, F., Zhu, H., & Xue, D. (2018). The Perceived and Objectively Measured Effects of Clinical Pathwaysâ€™ Implementation on Medical Care in China. PLoS ONE, 13(5), e0196776. https://doi.org/10.1371/journal.pone.0196776

Haninditya, B., Andayani, T. M., & Yasin, N. M. (2019). Analysis of Cesarean Section Clinical Pathway Compliance at a Private Hospital in Yogyakarta. Jurnal Manajemen Dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 9(1), 38. https://doi.org/10.22146/jmpf.42264

Komisi Akreditasi Rumah Sakit. (2017). Standar Nasional Akreditasi Rumah Sakit (1st.ed). Komisi Akreditasi Rumah Sakit. http://web90.opencloud.dssdi.ugm.ac.id/wpcontent/uploads/sites/644/2018/05/Snars-Edisi-1.pdf

Mutawalli, L. (2018). Sistem Audit Clinical Pathway di Rumah Sakit Islam Harapan Anda Kota Tegal. Universitas Islam Indonesia

Rezkiki, F., Dharma, S., & Yasmi, Y. (2018). Pengaruh Penerapan Nursing Clinical Pathway terhadap Lama Hari Rawat Pasien Stroke Non Hemoragik. Jurnal Ipteks Terapan, 12(1), 9â€“18. https://doi.org/https://doi.org/10.22216/jit.2018.v12i1.1158