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Puput Oktamianti
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Journal : Jurnal Ekonomi Kesehatan Indonesia

 1 
Analisis Penerapan Cost Containment pada Kasus Sectio Caesarea dengan Jaminan BPJS di RS Pemerintah XY di Kota Bogor Tahun 2016 Nazirah Istianisa, Nazirah Nazirah Istianisa; Oktamianti, Puput
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
Publisher : UI Scholars Hub

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Abstract

Prospective payment system with INA-CBG’s fare for cases using BPJS Insurance demands hospital to control their cost. This study aims to see the cost containment in XY Hospital through the implementation of clinical pathway, drug formulary, and incentive structure. The study looked into Sectio Caesarea cases from January to March 2016, using quantitative method, comparing BPJS claim with hospital billing and assesst the implementation of clinical pathway using qualitative method through in depth interview. Result shows there is deficit amount of Rp.1.014.125.684,00 and the average of deficit per case is Rp.4.899.157,89. Eighty four percent of cases have length of stay in accordance with clinical pathway. From those cases, 96% has concordant doctors visit, 21% has concordant drug usage, and 48% has concordant laboratory diagnostic test. The hospital formulary uses the national formulary. It is found that XY Hospital does not have an evaluation system for clinical pathway implementation and drug usage. The incentive structure that is used is fee-for-service system which is not suitable for prospective payment method.
Co-Authors Adang Bachtiar Adik Wibowo Adila Ramadhian, Elsa Agustina Rosita, Tri Almira Dova, Syarifah Andriani, Helen Ardhani, Putri Ascobat Gani Bacthiar, Adang Candi, Cicilya Cicilya Candi Dewi, Rizza Norta Villeny Rosita Djawa, Dolly Linneke Dumilah Ayuningtyas Dwi Sisca Kumala Putri Eka Yuliartiningsih Ferdiani, Syafira Annisa Fitra Hara, Jihan Gunardi, Felicia Hansen, Leonardo Hasan, Muhammad Arief Rosyid Ida Ayu Putu Sri Widnyani Indra Tiara Kusuma, Novrita Jus, Caslyn Kencana Sari Khaula Karima Kristee Grace Sormin Manurung, Novie Irawaty Laura Maranggi, Octavianus Mieska Despitasari Mizan, Syaiful Muliawati, Dian Nasution, Rizki Santy Nazhifah, Naurah Nazirah Istianisa, Nazirah Nazirah Istianisa Nella Savira Liani Ni Nyoman Tri Darmayanti Oka Wilsen Joung Paramitha, Nadya Cahya Permata3, Febrina Dwi Pertiwi, Revita Anisa PUJI LESTARI Putra, Erdiansyah Rachmawati, Esti Ramadhani, Gita Ramadia, Osi Rini Susanti Safar M, Awal Setyawati, Maya Simanjuntak, Haspeni Sjaaf, Amal Chalik Soebangil, Mas Aditya Soliah, Alvia Sormin, Kristee Grace Suhendra, Erik Sulistyanto, Adi Thomas, Parulian Tiara Amelia Tiara Innotata Tinurbaya, Afriani Wahidatul, Vilcka Wahyu Sulistiadi Widyantoro, Rolly Catur Yuliartiningsih, Eka