[ABSTRAK
Guna membuktikan, apakah terjadi efisiensi dalam pembiayaan kesehatan, maka dilakukan analisa terhadap hubungan sistem pembayaran dengan besaran klaimpada pasien Rawai Inap kasus Demam Berdarah Dengue dan Apendiktomi di 4 (empat) RSUD di DKI Jakarta. Penelitian ini, berupa penelitian evaluasi, denganmembandingkan hasil statistik besaran klaim kasus DBD dan Apendiktomi Program KJS dan Program JPK Gakin. Penelitian menggunakan 928 sampel, terdiri dari 329 sampel Program JPK Gakin, dan sisanya sebanyak 599 sampel. Total kasus Apendiktomi sebanyak 454 sampel, terbagi menjadi sistem PPE sebanyak 201, dan sistem INA CBG?s sebanyak 253 sampel. Sedangkan pada kasus Demam Berdarah Dengue sebanyak 474 sampel, yang terdiri dari 128 sampel menggunakan sistem PPE, dan sisanya sebanyak 346 sampel menggunakan sistem INA CBG?s. Penelitian dilakukan di UP Jamkesda dengan menggunakan data sekunder, berupa rekapan klaim Rawat Inap kasus DBD danApendiktomi yang diajukan oleh 4 (empat) Rumah Sakit Umum Daerah. Adapun nama ? nama 4 (empat) RSUD tersebut yaitu RSUD Budhi Asih, RSUD Koja, RSUD Cengkareng, dan RSUD Tarakan. Dari hasil analisa bivariat didapatkan terjadi penurunan rata ? rata besaran klaimkasus Apendiktomi pada sistem INA CBG?s, hasil uji T Independen menyatakan ada perbedaan signifikan rata ? rata besaran klaim antara sistem PPE dan INA CBG?s. Sedangkan pada kasus Demam Berdarah Dengue, dari hasil uji statistik didapatkan nilai p = 0,692, berarti pada alpha 5 % terlihat tidak ada perbedaan yang signifikan antara sistem PPE dan INA CBG?s. Berarti pada kasus DBD,sistem INA CBG?s tidak lebih efektif dibandingkan dengan sistem PPE.
ABSTRACT
To prove the efficiency in health financing, then analyzed the relation of payment system, with the amount claims in patients of hospitalization of DHF case andApendiktomi at four hospitals in Jakarta. This research is a study to compare the results of statistical evaluation of the amount claims of DHF case andApendictomy between KJS Programme and JPK Gakin program. This study used 928 samples, which are 329 samples of JPK Gakin program, and leftover 599 samples. Total cases of Apendictomy are 454 samples, wich are 201 of PPEsystem, 253 samples of INA CBG?s. Meanwhile, in cases of Dengue Haemorragic Fever are 474 samples, wich are 128 samples of PPE system, and 346 samples of the INA CBG?s. The study was conducted in UP Jamkesda used secondary data, such as recap of inpatient claims and Apendiktomi dengue cases filed by four Regional Public Hospital. The Regional General Hospitals are Budhi Asih Hospital, Koja Hospital, Cengkareng Hospital and Tarakan Hospital.From the analysis results of bivariate statistical, founded the decline in average amount of claims in the Apendictomy case of the INA CBG's system, but theresult of the Independent T test revealed, there are significant difference in the average amount of claims between the PPE system and the INA CBG's. Meanwhile in the case of DHF Fever based on the results of statistical test, pvalue = 0.692. It means that at 5% alpha there are no significant difference between the PPE system and the INA CBG?s. Therefore, in the case of dengue High fever, the INA CBG?s is not more effective than PPE system.;To prove the efficiency in health financing, then analyzed the relation of payment system, with the amount claims in patients of hospitalization of DHF case andApendiktomi at four hospitals in Jakarta. This research is a study to compare the results of statistical evaluation of the amount claims of DHF case andApendictomy between KJS Programme and JPK Gakin program. This study used 928 samples, which are 329 samples of JPK Gakin program, and leftover 599 samples. Total cases of Apendictomy are 454 samples, wich are 201 of PPEsystem, 253 samples of INA CBG’s. Meanwhile, in cases of Dengue Haemorragic Fever are 474 samples, wich are 128 samples of PPE system, and 346 samples of the INA CBG’s. The study was conducted in UP Jamkesda used secondary data, such as recap of inpatient claims and Apendiktomi dengue cases filed by four Regional Public Hospital. The Regional General Hospitals are Budhi Asih Hospital, Koja Hospital, Cengkareng Hospital and Tarakan Hospital.From the analysis results of bivariate statistical, founded the decline in average amount of claims in the Apendictomy case of the INA CBG's system, but theresult of the Independent T test revealed, there are significant difference in the average amount of claims between the PPE system and the INA CBG's. Meanwhile in the case of DHF Fever based on the results of statistical test, pvalue = 0.692. It means that at 5% alpha there are no significant difference between the PPE system and the INA CBG’s. Therefore, in the case of dengue High fever, the INA CBG’s is not more effective than PPE system., To prove the efficiency in health financing, then analyzed the relation of payment system, with the amount claims in patients of hospitalization of DHF case andApendiktomi at four hospitals in Jakarta. This research is a study to compare the results of statistical evaluation of the amount claims of DHF case andApendictomy between KJS Programme and JPK Gakin program. This study used 928 samples, which are 329 samples of JPK Gakin program, and leftover 599 samples. Total cases of Apendictomy are 454 samples, wich are 201 of PPEsystem, 253 samples of INA CBG’s. Meanwhile, in cases of Dengue Haemorragic Fever are 474 samples, wich are 128 samples of PPE system, and 346 samples of the INA CBG’s. The study was conducted in UP Jamkesda used secondary data, such as recap of inpatient claims and Apendiktomi dengue cases filed by four Regional Public Hospital. The Regional General Hospitals are Budhi Asih Hospital, Koja Hospital, Cengkareng Hospital and Tarakan Hospital.From the analysis results of bivariate statistical, founded the decline in average amount of claims in the Apendictomy case of the INA CBG's system, but theresult of the Independent T test revealed, there are significant difference in the average amount of claims between the PPE system and the INA CBG's. Meanwhile in the case of DHF Fever based on the results of statistical test, pvalue = 0.692. It means that at 5% alpha there are no significant difference between the PPE system and the INA CBG’s. Therefore, in the case of dengue High fever, the INA CBG’s is not more effective than PPE system.] |
T41490-Evi Marni Nasril.pdf :: Unduh