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Journal : Medical Technology and Public Health Journal

Description Of Characteristics, Diagnosis And Financing Of BPJS Patients In ENT Poly Health Service Facility Level 2 Roesbiantoro, Andi; Budhi Setianto; Adriansyah, Agus Aan; Pulih Asih, Akas Yekti; Setiyowati, Eppy; Bistara, Difran Nobel; Sa'adah, Nikmatus
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 6 No 2 (2022): Medical Technology and Public Health Journal September 2022
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v6i2.3081

Abstract

The application of tariff applied in handling BPJS patients references the INA- CBGs and the payment model used by BPJS Kesehatan to replace the total bill by the hospital. Hospitals receive payments based on the INA- CBGs rate, which is the average cost spent by a group of diagnoses. It is expected to improve the quality and efficiency of hospitals. The benefit of implementing INA -CBGs in JKN is the tariffs in the form of packages cover all components of hospital costs. Cost efficiency efforts must be made. That is no deficit from the applicable INA-CBGS tariff. Quality and cost control efforts are very important in the implementation of ENT specialist poly services. This study aims to analyze the demographic characteristics of the patient, the patient's diagnosis, the difference in rates between INA CBGS payments and RSIS rates, the composition of financing and the Unit Cost of ENT Polyclinics. The research type is quantitative observational with cross-sectional design. The research location is at the Surabaya Islamic Hospital with BPJS TXT data, processing in January-December 2019. The results showed, the demographic characteristics of most patients were > 50 years old, and most of them were diagnosed with minor chronic diseases. The difference between Ina-CBGS payments and RSIS rates is Rp. 60,174 which means that each patient contributes a profit of Rp. 60,174. The composition of the financing for implementation of the ENT Polyclinic is the cost of consulting services. The unit cost of ENT Polyclinic patients is Rp. 132,774 per patient.
Co-Authors Abd Ghafar, Siti Aisyah Afina, Rizka Dany Agus Aan Adriansyah Ahda Mas Ulah Ahda Mas Ulah Aizatun Nisa Akas Yekti Pulih Asih Andi Roesbiantoro Anggarwati, Fauziah Rizki Annisa Putri Arifah, Ika Fahraeni Arindis, Pinky Ayu Marsela Asmarani, Yolanda Kartika Asri, Arilis Larasati Ode Bagus Soebadi Binti MU’AROFAH Budhi Setianto Budhi Setianto Chasanah, Niswatun Dany Afina, Rizka Diffran Nobel Bistara Difran Nobel Bistara Dwi Indah Pertami, Sawitri Effendi Effendi Effendi Effendi Effendi Effendy Effendy Eka Putri Pertiwi Eka Resti Efrata Elyana Asnar Endah Kusumastuti Eppy Setiyoati Eppy Setiyowati Evy Afifah Syagran Evy Afiyah Syagran Evy Afiyah Syagran Fasya, Abdul Hakim Zakkiy Gustina, Mara Hartatiek Nila Karmila Hartatik Nila Karmila Hening Tuti Hendarti Herlambang Prehananto Herlambang Prehananto Herlambang Prehananto, Herlambang Indah Lestari Indah Lestari Indah Lestari, Indah Iqbal Firdaus Iqbal Firdaus Istiati, Istiati Karmila, Hartatiek Nila Karmila, Hartatik Nila Kombih, Muhammad Fifin Kusumawati, Diah Retno Lailatul Arofah, Nur Lukis, Prima Agusti Makki Makki Mashudi, Thoifur Maya Purnia Sari Merry Susantri Moelok, Iqbal Moch Muhammad Afwan Romdloni Muhammad Zahid Abdillah Multia Ranum Sari Nailah Tri Iswira Nashifah, Nur Sa'adah Nathalya Dwi Kartika Sari Nila Karmila, Hartatiek Niswatun Chasanah Niswatun Chasanah Nur Dianawati Nurul Jannatul Firdausi Pertami, Sawitri Dwi Indah Pinky Ayu Marsela Arindis Pinky Ayu Marsela Arindis Pulih Asih, Akas Yekti Puspa Dila Rohmaniar Puspa Dila Rohmaniar Puspitasari, Megaratri Ricky Ramadhan Rizka Dany Afina Rizki Astri A Rizqullah, Widaad Roesbiantoro, Andi Rohmaniar, Puspa Dila Rudi Irawan Rusdianingsih Rusdianingsih Sanila, Halimatus Sari, Ernita Sari, Gadis Meinar Sawitri Dwi Indah Pertami Sawitri Dwi Indah Pertami Sawitri Dwi Indah Pertami Sholihah, Mufidatus Silvia Veronica, Silvia Siti Mutmainah Soendoro, Mahayatma Sulistianah, Renjani Susantri, Mery Suyitno Suyitno Syagran, Evy Triana, Dita Eri Tuti Hendrarti, Hening Ulah, Ahda Mas Umi Hanik Umi Hanik Wahyu Eka Kurniawan Wahyuningsih, Ida Wisnu Abiarto N Yauwan Tobing Lukiyono Yuliani, Kartika