ABSTRAKLatar belakang. Masalah yang sering dihadapi pada pelayanan pasien Jaminan
Kesehatan Nasional adalah kesenjangan biaya perawatan pasien stroke dengan
tarif INA-CBGs. Hal ini terkait dengan biaya perawatan dan Clinical Pathway.
Tujuan. Mengetahui biaya perawatan pasien stroke di Rumah Sakit Pusat Otak
Nasional.
Metoda. Penelitian kuantitatif deskriptif mengikutsertakan 277 subjek penyakit
stroke yang diperoleh di Rumah Sakit Pusat Otak Nasional Jakarta selama Januari
? Juni 2015. Biaya perawatan stroke dihitung berdasarkan biaya satuan (unit cost)
dengan menggunakan metode activity based costing dan Clinical Pathway.
Hasil. Biaya satuan perawatan stroke iskemik dan stroke hemoragik berdasarkan
Clinical Pathway, dengan memperhitungkan biaya investasi dan biaya gaji, tanpa
memperhitungkan jasa medis berturut-turut adalah Rp 311,860,860.83 dan Rp
585,083,610.01; dengan memperhitungkan biaya investasi, biaya gaji, dan jasa
medis berdasarkan tarif rumah sakit adalah Rp 321,682,940.73 dan
Rp598,929,450.01; dengan memperhitungkan biaya investasi, biaya gaji, dan jasa
medis berdasarkan tarif IDI adalah Rp 318,360,860.73 dan Rp 594,333,610.01;
tanpa memperhitungkan biaya investasi, biaya gaji, dan jasa medis adalah
Rp30,361,681.00 dan Rp25,698,199.46; tanpa memperhitungkan biaya investasi
dan biaya gaji, tetapi memperhitungkan jasa medis berdasarkan tarif rumah sakit
adalah Rp 40,183,761.00 dan Rp 39,544,199.46; tanpa memperhitungkan biaya
investasi dan biaya gaji, tetapi memperhitungkan jasa medis berdasarkan IDI
adalah Rp 36,861,681.00 dan Rp 34,948,199.46.
Simpulan: Dijumpai selisih biaya perawatan berdasarkan biaya satuan dan
Clinical Pathway, baik yang memperhitungkan biaya investasi, gaji, dan jasa
medis, maupun tanpa memperhitungkan biaya investasi, gaji, dan jasa medis,
dengan tarif layanan existing dan tarif INA-CBGs
ABSTRACTBackground. Problem often encountered in patient care National Health
Insurance is the gap between the cost of stroke treatment with INA-CBGs tariff.
This is related to the cost of treatment and the Clinical Pathway.
Aim. Knowing the cost of stroke treatment in the National Brain Center Hospital
Jakarta.
Methods. Descriptive quantitative study involving 277 subjects stroke obtained at
the National Brain Center Hospital Jakarta during January - June 2015. The cost
of stroke treatment are calculated based on the unit cost using activity-based
costing method and Clinical Pathway.
Results. The unit cost of ischemic stroke and hemorrhagic stroke treatment by
Clinical Pathway, taking into account investment costs and salary costs, regardless
of medical services is IDR 311,860,860.83 and IDR 585,083,610.01; taking into
account investment cost, salary cost, and medical services tariff based hospital is
IDR 321,682,940.73 and IDR 598,929,450.01; taking into account investment
cost, salary cost, and medical services tariff based IDI is IDR 318,360,860.73 and
IDR 594,333,610.01; without taking into account investment cost, salary cost, and
medical services are IDR 30,361,681.00 and IDR 25,698,199.46; without taking
into account the investment cost and salary cost, but taking into account medical
services tariff based hospital is IDR 40,183,761.00 and IDR 39,544,199.46;
without taking into account the investment cost and salary cost, but taking into
account medical services tariff based IDI is IDR 36,861,681.00 and IDR
34,948,199.46.
Conclusion. Found difference in the cost of stroke treatment is based on unit cost
and Clinical Pathway, both of which take into account the investment, salaries,
and medical services cost, and without taking into account investment, salaries,
and medical services cost, with existing services and tariff rates INA-CBGs
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