[ABSTRAK
Tesis ini membahas implementasi kebijakan efisiensi di Rumah Sakit IslamArafah Jambi. Penelitian ini menggunakan pendekatan kuantitatif dengan desainpotong lintang dan pendekatan kualitatif dengan wawancara mendalam. Kebijakanefisiensi yang dibuat rumah sakit terdiri dari pelaksanaan tindakan apendiktomitanpa berdasarkan clinical pathway, pembuatan standar obat khusus danperubahan pola pembayaran jasa medis. Penelitian dilakukan terhadap berkasberkaspasien peserta JKN dengan tindakan apendiktomi tanpa komplikasi yangmemenuhi kriteria inklusi. Hasil penelitan memperlihatkan bahwa pelaksanaantindakan apendiktomi tanpa komplikasi sudah berjalan sesuai clinical pathwaydan biaya untuk tindakan operasi khususnya apendiktomi tanpa komplikasi sudahada efisiensi, proporsi dari biaya ini yang terbesar adalah dibayarkan untuk jasamedis, diikuti dengan akomodasi lalu biaya farmasi dan tindakan penunjang.Rumah sakit sebaiknya melengkapi diagnosa dan tindakan terbanyak di rumahsakit dengan clinical pathway untuk mempermudah menghitung biaya perawatandan membuat pola jasa medis yang sesuai dengan pola pembiayaan INA CBG?s.
ABSTRACT
This thesis discusses the efficiency of policy implementation in Arafah IslamicHospital,Jambi. The study uses a quantitative approach with a cross-sectionaldesign and a qualitative approach with in-depth interviews. Efficiency policiescreated by hospital consists of the implementation of the appendectomy based onclinical pathways, creation of specialized drug standards and changing patterns ofmedical service payments. Research conducted on the files participant JKNpatients with uncomplicated apendiktomi that met the inclusion criteria. Researchresults show that the implementation of the action without complicationsapendiktomi is going according to clinical pathways and costs for particularsurgery existing efficiency, the proportion of these costs are paid for most medicalservices, followed by accommodation and pharmacy costs and supporting actions.Hospital diagnosis and action should complement most in hospitals with clinicalpathways to facilitate calculating the cost of care and make medical servicespattern that matches the pattern of financing INA CBGKey Words : Efficiency, INA CBG?s, Claim, Clinical Pathway , JKN's.;This thesis discusses the efficiency of policy implementation in Arafah IslamicHospital,Jambi. The study uses a quantitative approach with a cross-sectionaldesign and a qualitative approach with in-depth interviews. Efficiency policiescreated by hospital consists of the implementation of the appendectomy based onclinical pathways, creation of specialized drug standards and changing patterns ofmedical service payments. Research conducted on the files participant JKNpatients with uncomplicated apendiktomi that met the inclusion criteria. Researchresults show that the implementation of the action without complicationsapendiktomi is going according to clinical pathways and costs for particularsurgery existing efficiency, the proportion of these costs are paid for most medicalservices, followed by accommodation and pharmacy costs and supporting actions.Hospital diagnosis and action should complement most in hospitals with clinicalpathways to facilitate calculating the cost of care and make medical servicespattern that matches the pattern of financing INA CBGKey Words : Efficiency, INA CBG’s, Claim, Clinical Pathway , JKN's., This thesis discusses the efficiency of policy implementation in Arafah IslamicHospital,Jambi. The study uses a quantitative approach with a cross-sectionaldesign and a qualitative approach with in-depth interviews. Efficiency policiescreated by hospital consists of the implementation of the appendectomy based onclinical pathways, creation of specialized drug standards and changing patterns ofmedical service payments. Research conducted on the files participant JKNpatients with uncomplicated apendiktomi that met the inclusion criteria. Researchresults show that the implementation of the action without complicationsapendiktomi is going according to clinical pathways and costs for particularsurgery existing efficiency, the proportion of these costs are paid for most medicalservices, followed by accommodation and pharmacy costs and supporting actions.Hospital diagnosis and action should complement most in hospitals with clinicalpathways to facilitate calculating the cost of care and make medical servicespattern that matches the pattern of financing INA CBGKey Words : Efficiency, INA CBG’s, Claim, Clinical Pathway , JKN's.] |
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