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All Journal Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Jurnal Kesehatan Reproduksi Jurnal Kesehatan Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Journal of Health Policy and Management Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan Proceedings of the International Conference on Applied Science and Health Jurnal Ners jurnal syntax admiration Jurnal Manajemen Pendidikan dan Ilmu Sosial (JMPIS) Journal of Economics and Business UBS Jurnal Cahaya Mandalika JOURNAL SCIENTIFIC OF MANDALIKA (JSM) Community Medicine and Education Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Eduvest - Journal of Universal Studies Jurnal Ekonomi dan Pembangunan Indonesia Jurnal Ar Ro'is Mandalika (Armada) Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Prastuti Soewondo
Departemen Administrasi & Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Indonesia
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Journal : JOURNAL SCIENTIFIC OF MANDALIKA (JSM)

 1 
Analisis Efisiensi Biaya Operasi Bedah Umum Jaminan Kesehatan Nasional di Rumah Sakit Jakarta Tahun 2023 Mahardhika, Jeffrey Christian; Soewondo, Prastuti; Permanasari, Vetty Yulianty; Pramanto, Heru
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 9 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss9pp3600-3609

Abstract

The National Health Insurance (JKN) program has increased the volume and revenue of inpatient general surgery procedures. However, Jakarta Hospital experienced a profit decline in 2023 due to low Indonesian Case-Based Group (INACBG) tariffs and cost inefficiencies. This study aims to analyze the cost efficiency of JKN-covered inpatient general surgeries as a basis for hospital development strategies. A descriptive-analytic method was applied, using activity-based costing to calculate procedure costs. Cost efficiency was assessed by comparing actual costs to normative benchmarks from clinical pathways, and further analyzed using Data Envelopment Analysis (DEA). Results indicate that unit costs were inefficient compared to normative standards (efficiency score: 101.9%, average: IDR 3,488,115.59), driven by high expenditures on medical services, drugs, and disposable medical supplies. Total costs, including accommodation, were also inefficient (score: 108.1%, average: IDR 4,729,373.69), with accommodation accounting for 26.2%. DEA identified perianal abscess incision as the most efficient procedure, while hemorrhoidectomy, inguinal herniotomy, and breast tumor excision were relatively efficient. Overall, inpatient general surgery procedures remain cost-inefficient. Enhancing efficiency requires stricter clinical pathway adherence, optimized use of drugs and supplies, reduced length of stay, and revised physician payment models. Promoting efficient procedures is essential for hospital sustainability.
Co-Authors Ade Widyati Prastyani Amila Megraini Anakito Ekabela Khadijah Andardi, Biancha Anggun Kusumasari, Jorra Putri Ardi Adji, Ardi Astuti, Trihardini Sri rejeki Athiyah Athiyah Athiyah, Athiyah Atik Nurwahyuni Audita, Fatira Ratri Azhar, Rodiyah Azwar, Nurlie Biancha Andardi Carolinsia, Brenda Dian Kusumawardhani Dian Kusumawardhani Ditia Gilang Shah Putra Rahim Dwi Ayulestari Dwi Oktiana Irawati Emmy Ridhawaty Mangunsong Eureka, Agnes Nina Evelyn Hendarta Farianti, Yuli Farida Kusumaningrum Gilang Shah Putra Rahim, Ditia Halimah Halimah Halimah Halimah Hani, Ummu Hanis Fuad Hartono Tanto Helena Turnip Helena Turnip Helmi Wahyuningsih Hermansyah, Acep Arief Heydi Marizky Lisman Hidayati, Ira Rahma I Nyoman Gede Semarajana Ida Bagus N Maharjana Indriansyah, Fahlepi Jatnika, Viana Villamanda Johar, Meliyanni Kartika Dewi, Endah Kurnia Sari Kurnia Sari Mahardhika, Jeffrey Christian Mangunsong, Emmy Ridhawaty Mardiati Nadjib Martawinata, Sulaiman Mazda Novi Mukhlisa Megraini, Amila Meliyanni Johar Meliyanni Johar Moch Fathonil Aziz Muhammad Ade Armansyah Siregar Muhammad Hafiz Aini Mukhlisa, Mazda Novi Muliawati, Mutia Mursalin . Mursalin Mursalin Nadjib, Mardiati Novita Dwi Istanti Nur Fatimah Nurlie Azwar Nurul Maretia Rahmayanti Nurwahyuni, Atik Nurwahyuni, Atik Permanasari, Vetty Yulianty Pramanto, Heru Prastyani, Ade Widyati Pujisubekti, Retno Purbasari, Utami Rahmayanti, Nurul Maretia Retno Pujisubekti Retno Pujisubekti Retno Pujisubekti Risa De Apna Roslina, Trias Santoso, Anindita Satrio, Harsa Kunthara Sayekti, Sekar Arum Handarbeni Sekar Arum Handarbeni Sayekti Siregar, Muhammad Ade Armansyah Sugeng Winarno, Sugeng Taufik Dipa Sempana Trihardini Sri Rejeki Astuti Trihardini Srirejeki Astuti Wahyuningsih, Helmi Wibisono, Iqbal Dawam Wirastuti, Ida Ayu Wirawan, Handi Wirdah, Wirdah Yuli Farianti Yulius, Suci Kirana Yunita Yunita Yunita Yunita Yussi Damayanti Zainal Abidin