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Journal : Jurnal Kefarmasian Indonesia

Socioeconomic and Clinical Profile of Diabetic Foot Ulcer Patients with National Health Insurance during Pandemic COVID-19 in Indonesia Fitrianingsih, Fitrianingsih; Sauriasari, Rani; Yunir, Em; Banun Saptaningsih, Agusdini
Jurnal Kefarmasian Indonesia VOLUME 15, NUMBER 1, FEBRUARY 2025
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

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Abstract

During the COVID-19 pandemic, the mandatory lockdown and government policy in prioritizing COVID-19 patients affected patients with diabetic foot ulcers (DFU). Most DFU patients experienced difficulties visiting hospitals and covering the cost of treatment, which led to changes in patient characteristics, poor clinical outcomes, and higher total costs. This study aimed to determine the sociodemographic and clinical outcomes profile of DFU patients under National Health Insurance (NHI-DFU) during the COVID-19 pandemic and their effect on the total direct medical cost. This cross-sectional study enrolled all JKN-DFU hospitalized patients at the National Referral Hospital, Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia, during COVID-19 pandemic (March 2nd, 2020, to December 2022). We used electronic health records, electronic billing, and foot registry systems. Participants were over 18 years old in a single admission period. Statistical analysis used Mann-Whitney and Kruskal-Wallis; Post hoc used the Mann-Whitney test. There were 158 JKN-DFU patients with predominated criteria: female patients (55.1%), aged over 60 years old (55.1%) with a mean age of 59.3 ± 11.0 years, unemployed (63.9%), intermediate educated (41.8%), Jakarta residents (68.4%), and mostly severe infection (63.3%). The total cost was much higher than INA-CBG’s coverage. The occupation (p=0.048), length of stay (LOS) (p=0.001), and amputation status (p<0.001) significantly affected total cost. Civil servants, longer LOS, and major amputation status leading higher total costs.
Co-Authors A.A. Ketut Agung Cahyawan W Achmad Rudijanto Adeputri Tanesha Idhayu Aditya Wardhana Adna, Rury Maharani Agnes Stephanie Harahap Alvita Dewi S Amalina, Nida Amilya Agustina Andra Aswar, Andra Angela Sarumpaet Anggono, Rendi F. Anis Karuniawati Ardani, Yanuar Arini Setiawati Arshita Auliana Asir, Taufik Rizkian Astrid Sulistomo Aulia Rizka, Aulia Aziza, Yully Astika Nugrahayning Banun Saptaningsih, Agusdini Ceva W. Pitoyo Cleopas Martin Rumende Cosphiadi Irawan Dante S Harbuwono, Dante S Dante S. Harbuwono Dharmeizar Dharmeizar Diah Martina, Diah Dian Anindita Lubis Dian R. Sawitri, Dian R. Dono Antono E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Edwin Halim Eka Ginanjar Eka Susanto Elida Ilyas Endy Novianto, Endy Eni Iswati Erni Juwita Nelwan, Erni Juwita Erwin Danil Julian Esa, Dekta Filantropi Evy Yunihastuti Febriyanti febriyanti febriyanti Ferry Sandra Findy Prasetyawati, Findy Fitrianingsih Fitrianingsih Franciscus D. Suyatna Gurmeet Singh Hanif Assyarify Harahap, Agnes S. Hardigaloeh, Amanda Trixie Hari Hendarto, Hari Harry Isbagio Hendra Dwi Kurniawan, Hendra Dwi Henry Ratno Diono Silalahi, Henry Ratno Diono Heri Wibowo Idrus Alwi Idrus Alwi Ika Prasetya Wijaya Ikhwan Rinaldi Imam Subekti Indrapriyatna, Ahmad Syafruddin Ira Laurentika Irman Firmansyah Joedo Prihartono Juli Edi Tarigan, Tri Jusuf Rachmat Jusuf Rachmat Katarina, Matilda Khomimah Khomimah, Khomimah Kumala, Poppy Kumalawati, July Kuntjoro Harimurti Laurentius A Pramono, Laurentius A Laurentius A. Pramono Leonard Nainggolan Levina Chandra Khoe Lubis, Dian Anindita Lugyanti Sukrisman Luhuna, Muslimah Mandang, Veny VV Marbun, Maruhum Bonar Hasiholan Marcellus Simadibrata Masrul Masyur, Muhtaruddin Mirta Hediyati Reksodiputro Mirta Hediyati Reksodiputro Mudjiran Mudjiran Muhammad Hanif Nadhif Muhammad Irsyad Murdani Abdullah Najirman Najirman, Najirman Noorwati Sutandyo Prahasary, Adelia Nova Pringgodigdo Nugroho, Pringgodigdo Puteri, Happy HS Rahmad Mulyadi Rani Sauriasari, Rani Rasco Sandy Sihombing, Rasco Sandy Ratna Djuwita Reyhan Eddy Yunus Ricardo, William Rima Semiarty Robert Shinto Robert Sinto Ronald Winardi Kartika Rudi Putranto Rustam, Musfardi Saleha Sungkar Saptawati Bardosono Saptawati Bardosono Saraswati, Made R Sarwono Waspadji Sarwono Waspadji Sarwono Waspadji Sarwono, Sugeng J. Setyo Widi Nugroho Siti Setiati Siti Taqwa Fitria Lubis, Siti Taqwa Fitria Stella Ilone Sukamto Koesnoe Suzanna Immanuel Suzzana Immanuel Tahapary, Dicky Tahapary, Dicky L. Taufik Agung Tedjasaputra, Shirly Elisa Teguh Harjono Karjadi, Teguh Harjono Tjhin Wiguna Tjie Haming Setiadi Todung Silalahi Todung Silalahi Tri J.E. Tarigan Tri Juli Edi Tarigan Veronica, Raja Merlinda Widjajalaksmi Wijaya, Indra Yulia, Dwi