[ABSTRAK
Biaya pengobatan semakin meningkat akibat inflasi dan teknologi yang semakin maju, maka clinical pathway adalah alat yang tepat sebagai kendali mutu danbiaya. Adanya clinical pathway seksio sesarea di RS Awal Bros Tangerang tetap menimbulkan variasi terapi yang berakibat pada variasi tagihan, oleh karena ituclinical pathway yang ada perlu direvisi.Tesis ini membahas faktor ? faktor yang mempengaruhi variasi tagihan seksio sesarea selama bulan Desember 2013 ?Februari 2014 di Rumah Sakit Awal Bros Tangerang yang hasilnya digunakan untuk merevisi isi clinical pathway seksio sesarea yang sudah ada. Desain yang digunakan dalam penelitian ini adalah observasional dengan pengambilan data secara crosseksional dengan metode kuantitatif dilanjutkan kualitatif. Hasil penelitian mendapatkan clinical pathway baru yang sesuai dengan bukti praktek klinis terbaik dengan biaya paling efisien. Diperlukan dukungan semua pihak terutama dokter spesialis untuk mematuhi clinical pathway yang baru . Variasi tagihan seksio sesarea dipengaruhi jenis pembiayaan, kelas perawatan, tindakan tambahan selain seksio sesarea.

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ABSTRACT
Increased cost of treatment due to inflation and increasingly advanced technology, the clinical pathways is an appropriate tool as a quality control andcost. The presence of clinical pathways Caesarean section in Awal Bros Hospital Tangerang still cause variations in treatment that result in variations in the bill, therefore existing clinical pathways need ti revised.Tesis discusses factors that affect variation in cesarean bill during December 2013-February 2014 in AwalBros Hospital Tangerang the results are used to revise the content of clinical pathways existing Caesarean section. The design used in this study is observational data retrieval crossectional the continued qualitative quantitative methods. The results of the study to get a new clinical pathways according to the best evidence of clinical practice with the most efficient cost. Required the support of all multidisiciplin team, especially the obstetrician to comply with the new clinical pathway. Variation bill Caesarean section affected by types ofpatient financing, class of treatment, additional action other than section sesarea.;Increased cost of treatment due to inflation and increasingly advanced technology, the clinical pathways is an appropriate tool as a quality control andcost. The presence of clinical pathways Caesarean section in Awal Bros Hospital Tangerang still cause variations in treatment that result in variations in the bill, therefore existing clinical pathways need ti revised.Tesis discusses factors that affect variation in cesarean bill during December 2013-February 2014 in AwalBros Hospital Tangerang the results are used to revise the content of clinical pathways existing Caesarean section. The design used in this study is observational data retrieval crossectional the continued qualitative quantitative methods. The results of the study to get a new clinical pathways according to the best evidence of clinical practice with the most efficient cost. Required the support of all multidisiciplin team, especially the obstetrician to comply with the new clinical pathway. Variation bill Caesarean section affected by types ofpatient financing, class of treatment, additional action other than section sesarea., Increased cost of treatment due to inflation and increasingly advanced technology, the clinical pathways is an appropriate tool as a quality control andcost. The presence of clinical pathways Caesarean section in Awal Bros Hospital Tangerang still cause variations in treatment that result in variations in the bill, therefore existing clinical pathways need ti revised.Tesis discusses factors that affect variation in cesarean bill during December 2013-February 2014 in AwalBros Hospital Tangerang the results are used to revise the content of clinical pathways existing Caesarean section. The design used in this study is observational data retrieval crossectional the continued qualitative quantitative methods. The results of the study to get a new clinical pathways according to the best evidence of clinical practice with the most efficient cost. Required the support of all multidisiciplin team, especially the obstetrician to comply with the new clinical pathway. Variation bill Caesarean section affected by types ofpatient financing, class of treatment, additional action other than section sesarea.]