Dampak penyalahgunaan narkoba antara lain adalah peningkatan
prevalensi HIV/AIDS di kalangan pengguna narkoba suntik. Program Terapi
Rumatan Metadon merupakan salah satu cara penanganan yang kini belum
mempunyai alur klinis yang berfungsi menjamin standar kualitas pelayanan.
Di samping itu, belum ada ketentuan yang dapat dijadikan acuan biaya
pengobatan. Tujuan penelitian ini adalah membuat alur klinis dan biaya
pengobatan rumatan metadon dan casemix di Rumah Sakit
Ketergantungan Obat (RSKO) Jakarta. Metode penelitian merujuk INA-
DRG yang berbasis evidence dengan diskusi kelompok, tenaga medis dan
tenaga non medis serta profesi dan manajemen RSKO. Berdasarkan jum-
lah dan jenis utilisasi dalam alur klinis maka biaya pengobatan dilakukan
dengan metode activity based costing dan simple distribution methode. Alur
klinis yang diperoleh menunjukkan lama rumatan metadon 338 hari dengan
casemix TBC, Hepatitis dan HIV/AIDS atau kombinasi. Biaya pengobatan
rumatan metadon Rp.66.024.016, dengan casemix penyakit penyulit berk-
isar antara Rp. 70.156.705 hingga Rp.211.863.018 dan Rp. 84.875.621
hingga Rp. 226.988.354. dengan kombinasi penyakit penyulit dan penyer-
ta.
The drug abuse implicated in increasing HIV/AIDS prevalence among in-
jection drug users. As an alternative treatment, Methadone Maintenance
Treatment (MMT) have not yet equipped with clinical pathway that function
as a tool for assuring the standard quality of services. Beside that, treatment
cost as average standard cost of health care services. The purpose of this
study were to design and apply clinical pathway and treatment cost of MMT
along with its casemix in Drugs Dependence Hospital Jakarta (DDHJ).
Method used were INA-DRG based on evidence from medical record and
focus group discussion involving medical and non-medical staff, related
professional organization and hospital management. Based on numbers
and types of treatment utilizated in clinical pathway, treatment cost was cal-
culated by using activity based costing with simple distribution method. This
study found that the length of stay for MMTP was 338 days, casemix con-
sisted of TB, Hepatitis, HIV/AIDS and its combination. Treatment cost for
MMTP was IDR 66.024.016, casemix for complicating disease ranging from
IDR 70.156.705 to IDR 211.863.018, and IDR 84.875.621 to IDR
226.988.354 for casemix combination of complicating and comorbidity di-
seases.
