ABSTRAK
Bedah paru merupakan layanan unggulan RSUP Persahabatan. Metodepembayaran memiliki efek yang berbeda terhadap kendali kualitas dan kendalibiaya.Belum diketahuinya perbandingan kendali kualitas dan kendali biaya padapasien rawat inap dengan tindakan bedah paru maka perlu dilakukanperbandingan tiga jenis metode pembayaran yaitu Paket dan Fee For Service, FeeFor Service, dan INA-CBG’s terhadap kendali kualitas meliputi utilisasipelayanan dan jumlah visit dokter, serta kendali biaya meliputi besaranpembayaran dan lama hari rawat.Dilakukan penelitian kuantitatif dengan metode survey untuk mengetahuiutilisasi pelayanan, jumlah visit dokter, besaran pembayaran, dan lama hari rawatdari data sekunder berupa catatan rekam medic, billing, dan luaran SIM RS.Untuk menjelaskan hasil yang diperoleh pada penelitian kuantitatif, dilakukanpenelitian kualitatif dengan desain deskriptif evaluative terhadap penentukebijakan; koordinator dan pemantau profesi; pusat pencatatan, pelaporan, danpengklaiman; dan pemberi pelayanan.Diperoleh hasil terdapat item Laboratorium, Radiodiagnostik,Elektromedik, Paru, Konsultasi dan Rehabilitasi Medik, Akomodasi, Tindakan,Labu Darah, dan obat-obatan yang rata-rata pemeriksaan atau penggunaannyasama dan ada yang berbeda diantara ketiga metode pembayaran. Untuk jumlahvisit dokter, tidak terdapat perbedaan akan tetapi terdapat perbedaan untukbesaran pembayaran dan lama hari rawat diantara ketiga metode pembayaran.Diperoleh kesimpulan bahwa belum dapat disimpulkan perbandinganantara metode pembayaran Paket dan Fee For Service, metode pembayaran FeeFor Service, dan metode pembayaran INA-CBG’s dalam hal kendali kualitas dankendali biaya karena adanya keterbatasan variabel selama penelitian untukmencapai perbandingan apple to apple dari ketiga metode pembayaran tersebut.
ABSTRACT
Pulmonary Surgery is the main service in RSUP Persahabatan. ThePayment methods has different effect on quality control and cost control.The comparison of quality control and cost control on inpatient withpulmonary surgery is unknown yet. Three types of payment methods i.e packageand fee for service, fee for service, and INA-CBG’s will be comparized againstquality control includes services utilization and number of physician visits, aswell as cost control for cost payment, and length of stay.Quantitative research is conducted by survey methods to find out servicesutilization, number of physician visits, cost payment, and length of stay fromsecondary data of medical record, billing, and data SIM RS. To explain theresults in quantitative research, qualitative research conducted by evaluativedescriptive design against policy, coordinators and profession supervisor; loggingcentre, reporting, and claim; and physician service.The obtained result such as laboratory, Radio diagnostic, electro medic,pulmonary, consultation and medical rehabilitation, accommodation, medicaltreatment, blood SAC, and medicine, has equal average on examination orutilization with minor differentiation between the three method. There are nodifference for physicians visit but there are some difference for cost payment andlength of stay between the three types of the payment method.As for conclusion, it could not be inferred comparison between package andfee for service, fee for service, and INA-CBG’s payment method in terms ofquality control and cost control due to the limitation of the variables during theresearch to reach apple to apple comparison of three types of payment method. |
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