Analisis Biaya Perawatan Pasien Stroke di Rumah Sakit Royal Prima Tahun 2020
Abstract
This study aims to determine the cost of illness stroke in patients treated at RSU Royal Prima Medan—this partial economic evaluation research with a retrospective approach using secondary data. The results of this study indicate that the direct medical cost of a stroke at RSU Royal Prima Medan reached IDR 2,403,132,163, and the direct non-medical price reached IDR 809,484,699, with a range of charges billed to patients between IDR 3,832,436 to IDR 142,986,392 and duration of hospitalization between 1 and 25 days of hospitalization. In conclusion, the average cost of illness for stroke at RSU Royal Prima Medan reached Rp. 20,861,148 ± Rp. 22,880,177 per episode per patient with an average stay of 6.45 ± 3.40 days.
Keywords: Cost of Illness, Direct Cost, Hospitalization, Stroke
References
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Zhang, H., Yin, Y., Zhang, C., & Zhang, D. (2019). Costs of Hospitalization for Stroke from Two Urban Health Insurance Claims Data in Guangzhou City, Southern China. BMC Health Services Research, 19(1), 671. https://doi.org/10.1186/s12913-019-4530-2
BPJS. (2021). Penyakit Katastropik Berbiaya Mahal Tetap Dijamin Program JKN. Media Info.BPJS Kesehatan. 104th ed, p. 6. https://bpjs-kesehatan.go.id/bpjs/dmdocuments/ae3544d7f3382ebb639eba99192b5c76.pdf
Camacho, S., Maldonado, N., Bustamante, J., Llorente, B., Cueto, E., Cardona, F., & Arango, C. (2018). How Much for a Broken Heart? Costs of Cardiovascular Disease in Colombia Using a Person-Based Approach. PloS one, 13(12), e0208513. https://doi.org/10.1371/journal.pone.0208513
Chetrine, H., Nugraheni, D. A., Rugiarti, N. D., & Tetuko, A. (2022). Perbandingan Tarif Indonesian-Case Based Groups pada Penyakit Stroke Iskemik Rawat Inap di Rs Pemerintah. Pharmacy Medical Journal, 5(1), 1–6. https://ejournal.unsrat.ac.id/index.php/pmj/article/view/41193/37070
GBD 2019 Stroke Collaborator (2021) “Global, Regional, and National Burden of Stroke and Its Risk Factors, 1990 – 2019 : A Systematic Analysis for the Global Burden of Disease Study 2019,†The Lancet, 20(October), pp. 795–820. doi: 10.1016/S1474-4422(21)00252-0
Gonzalez-Aquines, A., Martinez-Roque, D., Baltazar Trevino-Herrera, A., Chavez-Luevanos, B. E., Guerrero-Campos, F., & Gongora-Rivera, F. (2019). Obstructive Sleep Apnea Syndrome and Its Relationship with Ischaemic stroke. Revista de Neurologia, 69(6), 255–260. https://doi.org/10.33588/rn.6906.2019061
Gopi, B., Sushmita, C., Nikitha, K. S. V., & Monika, M. (2017). Cost Effectiveness Analysis in the Management of Stroke. Asian Journal of Pharmaceutical and Clinical Research, 10(7), 127-130. http://dx.doi.org/10.22159/ajpcr.2017.v10i7.18318
Hemphill, J. C., 3rd, Greenberg, S. M., Anderson, C. S., Becker, K., Bendok, B. R., Cushman, M., Fung, G. L., Goldstein, J. N., Macdonald, R. L., Mitchell, P. H., Scott, P. A., Selim, M. H., Woo, D., American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, & Council on Clinical Cardiology. (2015). Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 46(7), 2032–2060. https://doi.org/10.1161/STR.0000000000000069
İçağasıoğlu, A., Baklacıoğlu, H. Ş., Mesci, E., Yumuşakhuylu, Y., Murat,S., & Mesci, N. (2017). Economic Burden of Stroke. Turkish Journal of Physical Medicine and Rehabilitation, 63(2), 155–159. https://doi.org/10.5606%2Ftftrd.2017.183
Institute for Health Metrics and Evaluation (2018) Global Burden of Disease Study 2017. Seattle: IHME. https://www.healthdata.org/sites/default/files/files/policy_report/2019/GBD_2017_Booklet.pdf
Khariri, R., & Saraswati, R. D. (2021). Transisi Epidemiologi Stroke sebagai Penyebab Kematian pada Semua Kelompok Usia di Indonesia. Seminar Nasional Riset Kedokteran, 2(1), 81–86. https://conference.upnvj.ac.id/index.php/sensorik/article/view/1001
Mazidah, Z., Yasin, N. M., & Kristina, S. A. (2019). Analisis Biaya Penyakit Stroke Pasien Jaminan Kesehatan Nasional di RSUD Blambangan Banyuwangi. Jurnal Manajemen dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 9(2), 76–87. https://doi.org/10.22146/jmpf.41984
Menteri Kesehatan Republik Indonesia (2016) Peraturan Menteri Kesehatan Republik Indonesia Nomor 64 Tahun 2016. Jakarta: Kementerian Kesehatan Republik Indonesia
Movahed, M. S., Barghazan, S. H., Adel, A., & Rezapour, A. (2021). Economic Burden of Stroke in Iran: A Population-Based Study. Value in Health Regional Issues, 24, 77–81. https://doi.org/10.1016/j.vhri.2020.04.004
Mulyanti, M., Saputra, I., Syukri, M., Nurjannah, N., & Lestari, N. D. (2020). Comparison Analysis of Real Costs with Ina-CBG Rate’s Ischemic Stroke Disease in Installations in Regional Public Hospitals X in Banda Aceh 2019. Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences, 3(3), 2479–2493. https://doi.org/10.33258/birci.v3i3.1203
Munawwarah, A., Witcahyo, E., & Utami, S. (2021). Perhitungan Cost of Treatment pada Pasien Rawat Inap Penderita Stroke Peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo. Jurnal Ekonomi Kesehatan Indonesia, 6(1), 52–61. http://dx.doi.org/10.7454/eki.v6i1.3181
Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., Biller, J., Brown, M., Demaerschalk, B. M., Hoh, B., Jauch, E. C., Kidwell, C. S., Leslie-Mazwi, T. M., Ovbiagele, B., Scott, P. A., Sheth, K. N., Southerland, A. M., Summers, D. V., & Tirschwell, D. L. (2019). Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 50(12), e344–e418. https://doi.org/10.1161/STR.0000000000000211
Setiani, S., Rimba, I. R., & Dwinta, E. (2021). Analisis Perbandingan Biaya Perawatan (Cost of Illness Stroke Iskemik dan Stroke Hemoragik Pasien Rawat Inap di SUD Pannembahan Senopati. Pharmaceutical Journal of Indonesia, 7(1), 29–36. https://doi.org/10.21776/ub.pji.2021.007.01.5
Tandah, M. R., Mukaddas, A., Angriani, D., & Mangoting, G. N. A. (2021). Cost Evalution of Stroke Therapy Compared to INA-CBGs on Inpatients at Anutapura Hospital. The Indonesian Journal of Public Health, 6(1), 285-296. https://web.archive.org/web/20210903180027id_/https://ejournal.unair.ac.id/IJPH/article/download/23646/pdf
Utaminingrum, H., & Rukminingsih, F. (2020). Biaya Medik Langsung Pasien Stroke Non-Hemoragik Kelas Perawatan 3 RSUD K.R.M.T Wongsonegoro Semarang. Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan, 5(1), 165–170. https://doi.org/10.36387/jiis.v5i1.413
Vieira, L. G. D. R., Safanelli, J., Araujo, T., Schuch, H. A., Kuhlhoff, M. H. R., Nagel, V., Conforto, A. B., Silva, G. S., Mazin, S., & Cabral, N. L. (2019). The Cost of Stroke in Private Hospitals in Brazil: A One-Year Prospective Study. Arquivos De Neuro-Psiquiatria, 77(6), 393–403. https://doi.org/10.1590/0004-282X20190056
Wirastuti, K., Sulistyaningrum, I. H., Cahyono, E. B., Santoso, A., & Miftahudin, Z. (2019). Perbandingan Biaya Riil dengan Tarif Ina-Cbg’S Penyakit Stroke pada Era Jaminan Kesehatan Nasional di Rs Islam Sultan Agung. Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan, 4(1), 117–126. https://doi.org/10.36387/jiis.v4i1.244
World Health Organization (2020) The Top 10 Causes of Death, World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death/ (Accessed: February 10, 2022).
Zhang, H., Yin, Y., Zhang, C., & Zhang, D. (2019). Costs of Hospitalization for Stroke from Two Urban Health Insurance Claims Data in Guangzhou City, Southern China. BMC Health Services Research, 19(1), 671. https://doi.org/10.1186/s12913-019-4530-2
Published
2023-05-30
Section
Articles
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