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Melviani
Universitas Sari Mulia
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Journal : Borneo Journal Of Pharmascientech

 1 
Perbandingan pengukuran nilai willingness to pay per quality adjusted life year terapi penyakit moderate berdasarkan pendapatan masyarakat di kota Banjarmasin Melviani; Onny Ziasti Fricilia; Felix Imanuel Rachman; Munawarah
BORNEO JOURNAL OF PHARMASCIENTECH Vol 5 No 1 (2021): Borneo Journal of Pharmascientech
Publisher : Sekolah Tinggi Ilmu Kesehatan Borneo Lestari Banjarbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51817/bjp.v5i1.371

Abstract

The health services in Indonesia have not been maximal in fulfilling the needs of the patients with terminal illnesses. Cost utility analysis (CUA) is a pharmacoeconomic approach recommended in order to control the quality and cost of health programs. The costeffectiveness threshold is needed for the interpretation of the value of the cost-effectiveness ratio in determining whether a health technology is costeffective or not. One approach that can be used is to estimate the value of willingness to pay per quality adjusted life years (WTP per QALY).The purpose of this study was to determine the comparative measurement of the estimated value of willingness to pay per quality adjusted life year (WTP per QALY) for moderate disease in the community of Banjarmasin by their income. The design of this study uses a cross-sectional approach. The stated preference method with a contingent valuation approach was used in a survey conducted on the general population in the City of Banjarmasin. The number of samples is 100 respondents and 64 respondents are willing to pay. The research instrument is a questionnaire consisting of measuring the value of willingness to pay (WTP) using the dichotomous bidding game method, measuring utility using the visual analogscale (VAS) and EuroQoL 5-Dimensions (EQ-5D) based on a hypothetical scenario of utility value in moderate disease. WTP measurement per QALY used the formula of comparison between the maximum WTP and QALY gained. The results showed that of only 64 of 100 respondents were willing to pay. The utility gained EQ-5D was 0.544 and the utility gained VAS was 0.169. Based on the income of the people in Banjarmasin, the comparison of measurement of willingness to pay per quality adjusted life year is IDR 23,594,155 for low income and IDR 79,265,583 for high income. This result is expected to give more information to CE-Threshold based on community income preferences.
PENGUKURAN NILAI WILLINGNESS TO PAY PER QUALITY ADJUSTED LIFE YEAR (WTP PER QALY) UNTUK TERAPI PENYAKIT MODERATE PADA MASYARAKAT DI KOTA YOGYAKARTA MEASUREMENT OF WILLINGNESS TO PAY PerQUALITY ADJUSTED LIFE YEAR(WTPPerQALY)VALUES FOR MODERATE DISEASE TREATMENT AT YOGYAKARTA MUNICIPALITY COMMUNITY Melviani Melviani; Tri Murti Andayani; Dwi Endarti
BORNEO JOURNAL OF PHARMASCIENTECH Vol 3 No 1 (2019): Borneo Journal of Pharmascientech
Publisher : Sekolah Tinggi Ilmu Kesehatan Borneo Lestari Banjarbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Pemerintah mengamanatkan penerapan kajian teknologi kesehatan atau health technology assessment (HTA) untuk melakukan kendali mutu dan kendali biaya, dimana salah satu upaya adalah dengan mengetahui nilai WTP per QALY untuk terapi penyakit moderate, karena harapan seseorang untuk sembuh pada terapi moderate ini tinggi. Tujuan dari penelitian ini adalah untuk mengetahui nilai willingness to pay per quality-adjusted life year (WTP per QALY) untuk terapi penyakit moderate pada masyarakat di Kota Yogyakarta. Penelitian ini menggunakan rancangan penelitian observasional dengan pendekatan cross-sectional. Estimasi nilai WTP per QALY menggunakan metode stated preference dengan pendekatan contingent valuation. Instrumen penelitian berupa kuesioner yang berisi skenario hipotetik yang dikembangkan dari dua jenis instrumen yaitu kuesioner untuk mengukur quality-adjusted life year (QALY) dan kuesioner untuk mengukur willingness to pay (WTP). Data dianalisis secara deskriptif dan analitik untuk mengetahui nilai estimasi WTP per QALY secara kuantitatif. Peneltian dengan 100 responden dalam penelitian ini 97% bersedia membayar dengan alasan ingin sembuh secepatnya. Nilai utility EQ-5D-5L adalah 0,904 dan nilai EQ-VAS utility adalah 0,823. Nilai rata-rata WTP adalah Rp 13.587.629 dan nilai rata-rata WTP per QALY yaitu Rp 44.827.474. Kata kunci: willingness to pay per quality-adjusted life year, penyakit moderate ABSTRACT The government suggests an application of health technology assessment (HTA) in order to do the quality control and funding control, where one of the effortsis to know the value of WTP per QALY for moderate illness, because the expectancy of someone cured from moderate illness is high. The purpose of this research is to know the value of the willingness to pay per quality-adjusted life year (WTP per QALY) for moderate illness’ therapy among Yogyakarta Citizens This research is using observational research design with cross-sectional approach. The estimation of WTP per QALY value is counted using stated preference method with contingent valuation approach. The research instrument used is questionnaire to measure the willingness to pay (WTP). Data are analyzed in a descriptive and analytical manner in order to know the estimation of WTP per QALY in quantitative manner and to know factors that might affect by using bivariate and multivariate statistic analysis. Out of 100 respondents in this research, 97% are willing to pay with the reason of want to get cured as soon as possible. The utility value of EQ-5D-5L is 0,904 and EQ-Vas utility is 0,823. The mean of WTP and WTP per QALY are Rp13.587,692 and Rp 44.827,474 respectively. Keywords: willingness to pay per quality-adjusted life year, moderate illness
ANALISIS NILAI WILLINGNESS TO PAY PER QUALITY ADJUSTED LIFE YEAR TERAPI PENYAKIT MODERATE MASYARAKAT DI KOTA BANJARMASIN TAHUN 2019 Melviani; Setia Budi
BORNEO JOURNAL OF PHARMASCIENTECH Vol 4 No 1 (2020): Borneo Journal of Pharmascientech
Publisher : Sekolah Tinggi Ilmu Kesehatan Borneo Lestari Banjarbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51817/bjp.v4i1.272

Abstract

Health services in Indonesia have not been maximized to cover the needs of patients who have moderate disease. Furthermore, Pharmacoeconomics approach is most recommended for cost and quality control namely Cost utility analysis. The interpretation of the cost-effectiveness ratio requires a cost-effectiveness threshold to determine whether a health technology is cost-effective or not. One approach that can be used is by finding the estimation of willingness to pay per quality adjusted life years. The research objective was to determine the estimation of willingness to pay per quality adjusted life year for the moderate disease community in Banjarmasin and to find out the factors that influence it. The research method used a cross-sectional approach. The survey was conducted tothe community in Banjarmasin in 2019 by using stated preference methods with the contingent valuation approach. The samplewas 100 respondents. The research instrument was questionnaire which was consisted of measuring the value of WTP using the dichotomous bidding game method, the measurement of utility used EQ-5D based on a hypothetical scenario of moderate disease utility value. Analysis used bivariate correlation analysis spearman. The findings showed that the average of WTP per QALY EQ-5D-5L was Rp. 19,538,910 and the analysis of the variable characteristics of the respondents to the WTP per QALY obtained R square 0.397 (p = 0.026), which means that 39% of the dependent variable together will affect WTP. per QALY. This research is expected to provide input on the CE-Threshold based on community preferences.
Co-Authors Aisyah Inayati Angga Irawan Bai Abrar Dahlia Syahrina Dyah Sri Wulandari Dyan Fitri Nugraha Esti Yaundari Fajriannor.TM, M. Felix Imanuel Rachman Felix Imanuel Rachman Jason Merari Peranginangin Kunti Nastiti Maya Rezeki Angriani Miftahul Jannah Munawarah Munawarah Munawarah Nadya Novianty Nindi Kristiani Noval Noval Novia Novia Nurhayati Onny Ziasti Fricilia Onny Ziasti Fricilia Onny Ziasti Fricillia Patria Wana Rahmadani Rahmadani Rezeki, Yuliarti Rinda Fitrianor Rivai Endra Dwi Yulianto Rizkia Julianti Rohama Rohama Sarifah Laila Sarkiah Sarkiah Setia Budi Setia Budi Sismeri Dona Siti Nurintan Fakhriah Syafira Nabillah Tri Murti Andayani Tuti Alawiyah