[ABSTRAK
Latar belakang: Penyakit Jantung Koroner merupakan penyebab utama kematian. Sejaktahun 1993, Penyakit Jantung Koroner merupakan penyebab kematian utama padamasyarakat Indonesia. Salah satu faktor yang dapat menurunkan tingkat kematian PJKadalah faktor jaminan pembayaran asuransi kesehatan. Penelitian ini dilaksanakan untukmengetahui pengaruh jaminan pembayaran asuransi kesehatan (ASKES danASKESKIN) terhadap ketahanan hidup pada penderita PJK yang dirawat diCardivascular Care Unit (CVCU) Rumah Sakit M. Djamil Padang.Metodologi : Jenis penelitian dengan disain Kohort Retrospektif dengan survivalanalysis dengan menggunakan data sekunder yaitu catatan medis penderita PJK yangdirawat di CVCU Rumah Sakit M. Djamil Padang tahun 2007. Populasi penelitianadalah semua penderita PJK yang dirawat di CVCU Rumah Sakit M.Djamil Padangtahun 2007. Jumlah sampel penelitian adalah sebesar 398 orang penderita PJK.Hasil Penelitian : Ketahanan hidup penderita PJK dengan jaminan pembayaran asuransikesehatan (ASKES dan ASKESKIN) lebih lama daripada penderita PJK dengan jaminanKetahanan hidu..., Desilina, FKM UI, 2008pembayaran pribadi. Setelah dikendalikan pengaruh variabel kovariat, maka didapatkannilai HR = 0,75 ( 95% CI 0,42 ? 1,36 ) untuk penderita PJK dengan jaminan pembayaranASKES dan nilai HR = 0,48 ( 95% CI 0,25 ? 0,91) untuk penderita PJK dengan jaminanpembayaran ASKESKIN.Kesimpulan dan Saran : Kesimpulan penelitian ini adalah ada perbedaan ketahananhidup penderita PJK dengan jaminan pembayaran asuransi kesehatan dengan penderitaPJK dengan jaminan pembayaran pribadi, dimana Ketahanan hidup penderita PJKdengan jaminan pembayaran asuransi kesehatan lebih lama daripada penderita PJKdengan jaminan pembayaran pribadi. Lebih lamanya ketahanan hidup penderita PJKdengan jaminan pembayaran asuransi kesehatan ASKESKIN daripada ASKESdisebabkan adanya perbedaan obat standar yang dijamin oleh pihak asuransi.Untuk itudisarankan kepada pihak asuransi membuat kebijakan tentang persamaan jaminanpengobatan bagi peserta ASKES dan ASKESKIN. Bagi peserta asuransi agar dapatmemanfaatkan jasa asuransi dengan melakukan kontrol kesehatan secara teratur.
ABSTRACT
Background : Coronary Heart Disease is a leading cause of death, and in Indonesia, it isa leading cause of death since 1993. Health insurance is one of the factors that candecrease the mortality rate due to this disease. This research was conducted to explorethe effects of health insurance payment security (ASKES and ASKESKIN) on thesurvival of coronary heart disease client cared in Cardiovascular Care Unit (CVCU) ofM.Djamil Hospital Padang.Methods : This research was retrospective cohort design with survival analysis usingsecondary data obtained from coronary heart disease client medical records in CVCU ofM.Djamil Hospital Padang in 2007. Research population were all coronary heart diseaseclients cared in CVCU M.Djamil Hospital Padang in 2007, and 398 samples wereobtained for this study.Results : Survival of coronary heart disease client with health insurance paymentSecurity (ASKES and ASKESKIN) was longer than coronary heart disease client without pocket payment. After controlled by covariate variable effect, the results revealedKetahanan hidu..., Desilina, FKM UI, 2008HR value were 0.75 (95% CI 0.42 ? 1.36) and 0.48 (95% CI 0.25 ? 0.91) for coronaryheart disease client with ASKES insurance payment and for coronary heart disease clientwith ASKESKIN payment security respectively.Conclusion and Suggestion : It is concluded that Survival of coronary heart diseaseclient with health insurance payment security was difference than coronary heart diseaseclient with out pocket payment, however survival of coronary heart disease client withhealth insurance payment security was longer than coronary heart disease client with outpocket payment. The longer of the survival of coronary heart disease client withASKESKIN insurance payment compared to ASKES is due to the difference ofstandard drugs that are guaranteed by insurance company, therefore it is recommendedfor insurance company to make policy about equality of treatment security for ASKESand ASKESKIN member. Insurance members are suggested to use the insurance serviceby performing regular health control.;Background : Coronary Heart Disease is a leading cause of death, and in Indonesia, it isa leading cause of death since 1993. Health insurance is one of the factors that candecrease the mortality rate due to this disease. This research was conducted to explorethe effects of health insurance payment security (ASKES and ASKESKIN) on thesurvival of coronary heart disease client cared in Cardiovascular Care Unit (CVCU) ofM.Djamil Hospital Padang.Methods : This research was retrospective cohort design with survival analysis usingsecondary data obtained from coronary heart disease client medical records in CVCU ofM.Djamil Hospital Padang in 2007. Research population were all coronary heart diseaseclients cared in CVCU M.Djamil Hospital Padang in 2007, and 398 samples wereobtained for this study.Results : Survival of coronary heart disease client with health insurance paymentSecurity (ASKES and ASKESKIN) was longer than coronary heart disease client without pocket payment. After controlled by covariate variable effect, the results revealedKetahanan hidu..., Desilina, FKM UI, 2008HR value were 0.75 (95% CI 0.42 ? 1.36) and 0.48 (95% CI 0.25 ? 0.91) for coronaryheart disease client with ASKES insurance payment and for coronary heart disease clientwith ASKESKIN payment security respectively.Conclusion and Suggestion : It is concluded that Survival of coronary heart diseaseclient with health insurance payment security was difference than coronary heart diseaseclient with out pocket payment, however survival of coronary heart disease client withhealth insurance payment security was longer than coronary heart disease client with outpocket payment. The longer of the survival of coronary heart disease client withASKESKIN insurance payment compared to ASKES is due to the difference ofstandard drugs that are guaranteed by insurance company, therefore it is recommendedfor insurance company to make policy about equality of treatment security for ASKESand ASKESKIN member. Insurance members are suggested to use the insurance serviceby performing regular health control., Background : Coronary Heart Disease is a leading cause of death, and in Indonesia, it isa leading cause of death since 1993. Health insurance is one of the factors that candecrease the mortality rate due to this disease. This research was conducted to explorethe effects of health insurance payment security (ASKES and ASKESKIN) on thesurvival of coronary heart disease client cared in Cardiovascular Care Unit (CVCU) ofM.Djamil Hospital Padang.Methods : This research was retrospective cohort design with survival analysis usingsecondary data obtained from coronary heart disease client medical records in CVCU ofM.Djamil Hospital Padang in 2007. Research population were all coronary heart diseaseclients cared in CVCU M.Djamil Hospital Padang in 2007, and 398 samples wereobtained for this study.Results : Survival of coronary heart disease client with health insurance paymentSecurity (ASKES and ASKESKIN) was longer than coronary heart disease client without pocket payment. After controlled by covariate variable effect, the results revealedKetahanan hidu..., Desilina, FKM UI, 2008HR value were 0.75 (95% CI 0.42 – 1.36) and 0.48 (95% CI 0.25 – 0.91) for coronaryheart disease client with ASKES insurance payment and for coronary heart disease clientwith ASKESKIN payment security respectively.Conclusion and Suggestion : It is concluded that Survival of coronary heart diseaseclient with health insurance payment security was difference than coronary heart diseaseclient with out pocket payment, however survival of coronary heart disease client withhealth insurance payment security was longer than coronary heart disease client with outpocket payment. The longer of the survival of coronary heart disease client withASKESKIN insurance payment compared to ASKES is due to the difference ofstandard drugs that are guaranteed by insurance company, therefore it is recommendedfor insurance company to make policy about equality of treatment security for ASKESand ASKESKIN member. Insurance members are suggested to use the insurance serviceby performing regular health control.] |
