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Dampak penyalahgunaan narkoba antara lain adalah peningkatanprevalensi HIV/AIDS di kalangan pengguna narkoba suntik. Program TerapiRumatan Metadon merupakan salah satu cara penanganan yang kini belummempunyai alur klinis yang berfungsi menjamin standar kualitas pelayanan.Di samping itu, belum ada ketentuan yang dapat dijadikan acuan biayapengobatan. Tujuan penelitian ini adalah membuat alur klinis dan biayapengobatan rumatan metadon dan casemix di Rumah SakitKetergantungan Obat (RSKO) Jakarta. Metode penelitian merujuk INA-DRG yang berbasis evidence dengan diskusi kelompok, tenaga medis dantenaga non medis serta profesi dan manajemen RSKO. Berdasarkan jum-lah dan jenis utilisasi dalam alur klinis maka biaya pengobatan dilakukandengan metode activity based costing dan simple distribution methode. Alurklinis yang diperoleh menunjukkan lama rumatan metadon 338 hari dengancasemix TBC, Hepatitis dan HIV/AIDS atau kombinasi. Biaya pengobatanrumatan metadon Rp.66.024.016, dengan casemix penyakit penyulit berk-isar antara Rp. 70.156.705 hingga Rp.211.863.018 dan Rp. 84.875.621hingga 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 MaintenanceTreatment (MMT) have not yet equipped with clinical pathway that functionas a tool for assuring the standard quality of services. Beside that, treatmentcost as average standard cost of health care services. The purpose of thisstudy were to design and apply clinical pathway and treatment cost of MMTalong with its casemix in Drugs Dependence Hospital Jakarta (DDHJ).Method used were INA-DRG based on evidence from medical record andfocus group discussion involving medical and non-medical staff, relatedprofessional organization and hospital management. Based on numbersand types of treatment utilizated in clinical pathway, treatment cost was cal-culated by using activity based costing with simple distribution method. Thisstudy found that the length of stay for MMTP was 338 days, casemix con-sisted of TB, Hepatitis, HIV/AIDS and its combination. Treatment cost forMMTP was IDR 66.024.016, casemix for complicating disease ranging fromIDR 70.156.705 to IDR 211.863.018, and IDR 84.875.621 to IDR226.988.354 for casemix combination of complicating and comorbidity di-seases. |
