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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Sistem Kesehatan Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health Jurnal Kesehatan Islam : Islamic Health Journal
Didik Tamtomo, Didik
Bagian Anatomi, Fakultas Kedokteran, Universitas Sebelas Maret
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Public Health

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Hubungan Aktifitas Fisik, Kepatuhan Mengkonsumsi Obat Anti Diabetik Dengan Kadar Gula Darah Pasien Diabetes Mellitus di Fasyankes Primer Klaten Widodo, Cahyono; Tamtomo, Didik; Prabandari, Ari Natalia
Jurnal Sistem Kesehatan Vol 2, No 2 (2016): Volume 2 Nomor 2 Desember 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.723 KB) | DOI: 10.24198/jsk.v2i2.11237

Abstract

Diabetes mellitus (DM) merupakan sekelompok penyakit metabolik  berkarakteristik hiperglikemia karena adanya kelainan sekresi insulin. Selain kematian, DM juga menyebabkan kecacatan pasien. 30% pasien DM mengalami kebutaan akibat komplikasi retinopati dan 10% amputasi tungkai kaki, sehingga penatalaksanaan DM sangatlah penting. Keberhasilan pengelolaan DM dapat dicapai melalui kepatuhan mengkonsumsi obat anti diabetik dan aktifitas fisik. Tujuan menganalisis hubungan aktifitas fisik, kepatuhan mengkonsumsi obat anti diabetik, dengan kadar gula darah penderita DM tipe 2 rawat jalan di Fasyankes Primer Klaten. Metode Jenis penelitian adalah analitik observasional dengan desain cross sectional. Populasi adalah pasien DM yang berkunjung di Fasyankes Primer Klaten. Sampel 86 pasein, ditarik secara random sampling. Pengumpulan data menggunakan kuesioner dan dokumentasi. Teknik analisa data menggunakan uji Chi Square dan regresi logistik ganda.Hasil Aktifitas fisik berkategori tinggi berhubungan dengan kadar gula darah (p = 0,021), kategori rendah dan sedang tidak berhubungan dengan kadar gula darah (p=0,061 ). Kepatuhan mengkonsumsi obat anti diabetik berkategori  tinggi, berhubungan dengan kadar gula darah (p = 0,002 ), berkategori rendah dan sedang tidak berhubungan dengan kadar gula darah (p= 0,066). Secara simultan,  kepatuhan mengkonsumsi obat anti diabetik dan aktifitas fisik  berhubungan dengan  kadar gula darah. Kesimpulan kepatuhan mengkonsumsi obat anti diabetik dan aktifitas fisik  berhubungan dengan  kadar gula darah (p=0.001).Kata kunci: Aktifitas fisik, Gula Darah, Kepatuhan
Relationship between Knowledge and Family Support regarding Hypertension with Blood Pressure Control in Elderly Kusumawardana, Iin; Tamtomo, Didik; -, Sugiarto
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is one of the degenerative diseases that have frequently been found among the group of elderly. If hypertension goes uncontrolled, then it might escalate and cause complication. The level of knowledge for both of patients and their families in terms of preventive actions toward hypertension complication is expected to be able to control blood pressure. Among the hypertension patients, the role of family support is very important in order to maintain and to control that the blood pressure will not increase and to return it to the normal state. In relation to this background, the objective in conducting this study was to analyze the relationship between knowledge and family support regarding hypertension with blood pressure control among the elderly with hypertension in the Sangkrah Center of Public Health, City of Surakarta.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted in Sangkrah Community Health Center in the City of Surakarta on November 2016. A total sample of 147 elderly were selected for this study by purposive sampling. The dependent variables in this study was blood pressure and was measured by sphygnomanometer. The independent variables were knowledge and family support and were collected by a set of questionnaire. The data analyzed by logistic regression.Results: Family knowledge (OR= 0.38; 95% CI= 0.13 to 1.08; p= 0.070) increased the likelihood of blood pressure control. Elderly who came from family with good knowledge regarding hypertension had 0.4 times better blood pressure control in comparison to those who came from family with poor knowledge regarding hypertension. Family support (OR= 0.43; 95% CI= 0.18 to 1.02; p= 0.046) increased the likelihood of blood pressure control. Elderly with good family support had 0.4 times better blood pressure than those who had poor family support.Conclusion: Family knowledge and family support increase the probability of blood pressure control among elderly with hypertension.Keywords: knowledge, family support, blood pressure control, elderlyCorrespondence: Iin Kusumawardana. Masters Program in Family Medicine, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: iinkusuma90@gmail.comIndonesian Journal of Medicine (2017), 2(1): 1-9https://doi.org/10.26911/theijmed.2017.02.01.01
The Effectiveness of Chronic Disease Management Program in Blood Pressure Control among Hypertensive Patients Dyanneza, Frieska; Tamtomo, Didik; -, Sugiarto
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevention and management of hypertension are major public health challenges for Indonesia and the rest of the world. If the rise in blood pressure with age could be prevented or diminished, much of hypertension, cardiovascular and renal disease, and stroke might be prevented. In Indonesia, the Social Security Administration Agency (BPJS) has administered a government program to control chronic diseases, including hypertension, namely Prolanis (chronic disease management program). This study aimed to determine the effectiveness of chronic disease management program in controlling systolic blood pressure in hypertensive patients.Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Pratama Griya Husada Clinic 2 Tasikmadu, Karanganyar, Central Java, in April 2017. A sample of 120 hypertensive patients, consisting of 60 controlled hypertensive patients and 60 uncontrolled hypertension patients, were selected for this study using fixed disease sampling. The dependent variable was systolic blood pressure. The independent variable was chronic disease management program for systolic blood pressure control, consisting of health status monitoring, reminder, club activity, home visit, dietary education, and physical activity education. Data on diet were collected by Food Frequency Questionnaire (FFQ) based on the DASH eating plan. Physical activity data were collected by short-form International Physical Activity Questionnaire (IPAQ). The other data were collected using questionnaires. Multiple linear regression was used to analyze the data.Results: Blood pressure of hypertensive patients was reduced by chronic disease management program, including monitoring health status (ƅ= -6.34; 95% CI= -12.42 to -0.26; p= 0.041), reminder (b= -6.22; 95% CI = -13.30 to -0.87; p= 0.085), club activity (b= -3.46; 95% CI= -6.40 to -0.53; p= 0.021), home visit (b= -22.01; 95% CI= -41.85 to -2.17; p= 0.030), dietary education (b= -3.61; 95% CI= -6.66 to -0.57; p = 0.020), and physical activity education (b= -0.40; 95% CI= -0.79 to -0.01; p= 0.001).Conclusion: Chronic disease management program is effective to control blood pressure of hypertensive patients. The program’s components including monitoring health status, reminder, club activity, home visit, dietary education, and physical activity education, are effective in reducing blood pressure in hypertensive patients.Keywords: hypertension, chronic disease management programCorrespondence: Frieska Dyanneza. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: frieskadyanneza@yahoo.co.id. Mobile: +6285741667850Indonesian Journal of Medicine (2017), 2(1): 52-62https://doi.org/10.26911/theijmed.2016.01.03.06
The Relationship Between Parenting Style, Development Stimulation, and Gross Motoric and Language Ability in Children Under Five Wigati, Dhiyan Nany; Tamtomo, Didik; Retno Dewi, Yulia Lanti
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Children progress through growth and development process according to age. Child growth and development are influenced by genetic and environmental factors during antenatal, intranatal, and postnatal periods. Child development is optimalized if there is social interaction that fulfill the need of the child at different stages of development. This study investigated the relationship between parenting style, development stimulation, and gross motoric and language ability in children under five in Grobogan, Central Java.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted in Toroh I Health Center, Grobogan sub-district, Central Java, from  September, 17 to October, 17 2016. A total sample of 100 mothers and their children aged 1-5 years were selected for this study by cluster sampling. The dependent variable was gross motoric and language ability. The independent variables were parenting style and development stimulation. Gross motoric and language ability was measured by Denver II. Parenting style and development stimulation were collected by a set of questionnaire. The data were analyzed by multiple logistic regression.Results: There were positive and statistically significant relationships between democratic parenting style (OR= 3.73; 95% CI=1.16 to 12.00; p=0.027), development stimulation (OR= 5.37; 95% CI=1.75 to 16.47; p= 0.003), and better gross motoric ability. There were positive and statistically significant relationships between democratic parenting style (OR= 3.50; 95% CI=1.18 to 10.35; p=0.023), development stimulation (OR= 3.49; 95% CI=1.24 to 9.84; p= 0.018), and better language ability.Conclusion: Democratic parenting style and development stimulation are associated with both better gross motoric ability and better language ability.Keywords: parenting style, development stimulation, gross motoric ability, language abilityCorrespondence: Dhiyan Nany Wigati. An-Nur Midwifery Academy, Purwodadi, Central Java. Email: dhiyanwigati@gmail.comIndonesian Journal of Medicine (2016), 1(3): 169-174https://doi.org/10.26911/theijmed.2016.01.03.04
Effect of Socio-Demographic Factor and Democratic Leadership on Village Midwife Performance in IUD Contraceptive Service in Jombang District, East Java Permatasari, Ratna Dewi; Budihastuti, Uki Retno; Tamtomo, Didik
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The threat of population explosion in Indonesia is real. Long-term contraception program is an alternative strategy for controlling population growth rate. The slowering achieve­ment of IUD contraceptive target for the last two years has become a central concern at the District Health Office Jombang, East Java. Sub-optimal quality of IUD contraceptive service, high drop-out rate, high unmet-need, and unsystematic family planning reporting and recording, are assumed to be the causes of the under-achievement. This study aimed to examine the effect of socio-demographic factor and democratic leadership on village midwife performance in IUD contraceptive service in Jombang District, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. It was conducted in 12 community health centers in Jombang District, East Java, from March to May 2017. A sample of 120 women of reproductive age was selected for this study by simple random sampling. The dependent variable was village midwife performance. The inde­pen­dent variables were knowledge, self-efficacy, compensation, democratic leadership, and work motivation. The data were collected by a pre-tested questionnaire, and were analyzed by path analysis model.Results: Midwife performance was positively affected by higher education (b=5.19; SE=0.53; p<0.001), stronger work motivation (b=0.48; SE=0.07; p<0.001), better knowledge (b=0.21; SE=0.08; p=0.006), stronger self-efficacy (b=0.18; SE=0.08; p=0.023), and democratic leadership (b=0.14; SE=0.05; p=0.008). Self-efficacy was affected by education (b=1.16; SE=0.62; p=0.063), knowledge (b=0.35; SE=0.08; p<0.001), democratic leadership (b=0.23; SE=0.04; p<0.001). Work motivation was affected by compensation (b=0.65; SE=0.16; p<0.001), democratic leadership (b=0.31; SE=0.07; p<0.001), knowledge (b=0.29; SE=0.09; p<0.001), and self-efficacy (b=0.17; SE=0.09; p=0.058).Conclusion: Midwife performance was positively affected by education, work motivation, education, self efficacy, and democratic leadership.Keywords: midwife performance, socio-demographic factor, democratic leadership, IUD contra-ceptive, family planning.Correspondence: Ratna Dewi Permatasari. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: wahib.rifai81@gmail.com. Mobile: +6281334059159.Journal of Health Policy and Management (2017), 2(1): 16-27https://doi.org/10.26911/thejhpm.2017.02.01.02 
Factors Affecting Quality of Health Service and Patient Satisfaction in Community Health Centers in North Lampung, Sumatera Widayati, Mulia Yuli; Tamtomo, Didik; Adriani, Rita Benya
Journal of Health Policy and Management Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Quality of health service and patient satisfaction are an important element in providing a health service. Assessing and evaluating a health service based on user perceptions are important for continuous improvement of health services. This study aimed to examine the factors affecting the quality of health service and patient satisfaction in community health centers in North Lampung, Sumatera, Indonesia.Subjects and Method: This was an analytic observational study with a cross-sectional design. This study was conducted in 25 community health centers in North Lampung, Sumatera, in January 2017. A total sample of 200 out-patients was selected for this study by simple random sampling and stratified random sampling for community health center. The dependent variables were quality of service and patient satisfaction. The independent variables were education, income, a frequency of visit, and accreditation status of community health center. The contextual effect was measured by accreditation status of community health center. The data were collected by questionnaire and analyzed by linear regression multilevel model.Results: Factors affecting quality of health service were income (b= -1.09, 95% CI= -5.71 to 3.52, p = 0.641), education (b = -11.48, 95% CI= -16.07 to -6.88, p< 0.001), and frequency of visits (b=6.88, 95% CI= 2.53 to 11.23, p=0.002). Intraclass correlation= 6%. Factors affecting patient satisfaction were income (b= -1.07, 95% CI= -1.58 to -0.56, p<0.001), education (b= -0.77, 95% CI= -1.31 to -0.23, p=0.005), frequency of visits (b= 0.88, 95% CI= 0.39 to 1.38, p<0.001), and quality of service (b=0.04, 95% CI= 0.02 to 0.06, p<0.001). Intraclass corelation= 13.79% indicating considerable contextual effect of accreditation status of community health center.Conclusion: Quality of service is affected by income, education, and frequency of visits in community health center. Patient satisfaction is affected by income, education, a frequency of visits, and quality of service. Accreditation status of community health center has a considerable contextual effect on patient satisfaction.Keywords: quality of service, patient satisfaction, accreditation status, community health center, multilevel analysisCorrespondence: Mulia Yuli Widayati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A Surakarta. Email: muliayuli@yahoo.co.idJournal of Health Policy and Management (2017), 2(2): 165-175https://doi.org/10.26911/thejhpm.2017.02.02.08 
Patient Characteristics, Financing Type, Accreditation Status, and Quality of Health Services at Community Health Center, Surakarta Utami, Yeni Tri; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: An indicator of quality health service is the extent of patient expectation fulfilment. Perceived quality of health services may be influenced by various factors such as patient socio-demographic factors, financing type, and accreditation status. As statistics have shown, the number of patient visits at Surakarta Community Health Center has been decresing for the last few years. This study aimed to determine the associations between patient characteristics, financing type, accreditation status, and the quality of  health services at community health center.Subjects and Method: This was a quantitative study with cross-sectional design. It was conducted at Community Health Center, Surakarta, Central Java, from May to July 2017. A sample of 120 patients were selected for this study from 2 Community Health Centers selected at random from all 17 Community Health Centers existing in Surakarta. The independent variables were patient characteristics, financing type, and accreditation status of the Community Health Centers selected. The dependent variable was quality of health service. The data were collected using a set of questionnaire and  analyzed using multiple logistic regression.Results: Quality of service was negatively associated with patient education (OR = 0.27 ; 95% CI = 0.08 to 0.90; p = 0.033), being employed (OR = 0.15 ; 95% CI= 0.04 to 0.48; p = 0.002), higher patient income (OR = 0.28 ; 95% CI= 0.08 to 0.94; p = 0.039), being insured (OR = 3.06 ; 95% CI= 0.81 to 11.52; p = 0.099), and higher accreditation status of Community Health Care (OR = 2.96 ; 95% CI= 1.03-8.50; p = 0.044).Conclusion: Quality of service at Community Health Care is negatively associated with patient education, being employed, higher patient income, being insured, and higher accreditation status.Keywords: patient characteristic, financing type, accreditation status, quality of servicesCorrespondence: Yeni Tri Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yenie_03@yahoo.co.id. Mobile: +6285642339053.Journal of Health Policy and Management (2017), 2(1): 79-90https://doi.org/10.26911/thejhpm.2017.02.01.07 
Evaluation on the Implementation of Regional Mapping Referal System in the National Health Insurance Primary Care Services in Boyolali, Central Java Widyaningrum, Linda; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan finance preventive, promo­tive, curative, rehabilitative services. The referal system is needed to enhance services and to assure patient safety. The purpose of this study is to evaluate the implementation of regional mapping referal system of the national health insurance, at the primary care level.Subjects and Method: This was a qualitative study with fenomenology approach. This study was conducted at Wonosegoro I and Karanggede Community Health Centers, type C Boyolali Pandanarang district hospital, type D Boyolali Simo hospital, and Boyolali District Health Office. Data were collected by in-depth interview, direct observation, and document review.Results: Regional mapping referal system in Boyolali district was implemented under the head of the District Health Office regulation no 440/4214/15 /2014. The number of personal in charge of referal system in Wonosegoro I and Karanggede Community Health Centers, which provided inpatient care was lacking. The infrastructure and equipment were insufficient to address common diseases that consist of 155 diagnoses. The information and communication system has not connected to the referal system facilities. Telephone was used to check about the hospital bed of availability. Therefore, patient information could not be sent to the hospital beforehand.Conclusion: The current infrastructure and equipment at Community Health Centers in Boyolali, Central Java are insufficient to support the regional mapping referal system.Keywords: mapping, referal system, BPJS Kesehatan, primary care.Correspondence: Linda Widyaningrum. School of Medical Records, APIKES Citra Medika, Surakarta, Central Java. Email: linda.ningrum@ymail.comJournal of Health Policy and Management 1(2): 95-101https://doi.org/10.26911/thejhpm.2016.01.02.04
The Asssociations between Accreditation Status, Patient Socio-Economic Factors, Insurance Type, Patient Perceived Quality of Service, and Satisfaction at Community Health Center Mirshanti, Farahdila; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Being one of the most important elements in healthcare system, Community Health Center has been promoted to improve its quality and capacity of services. Accreditation is a method that can be used to improve and measure the quality of health service. Quality service improvement is expected to enhance patient satisfaction. This study aimed to investigate the asssociations between accreditation status, patient socio-economic factors, insurance type, patient perceived quality of service, and satisfaction at Community Health Center.Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at Community Health Center in  Surakarta, Central Java from June to July 2017. A total of 8 Community Health Centers with different accreditation status (not accredited, lowest, medium, and highest) were selected for this study. A sample of  200 patients were selected from the 8 Comunity Health Centers by proportional random sampling. The independent variables were accreditation status, patient education level, family income, and insurance type. The dependent variables were perceived quality of service and patient satisfaction. The data were collected by a set of pre-tested questionnaires.  Accreditation status was identified from the record at District Health Office. Data were analyzed by path analysis.Results: Patient satisfaction was associated with Commuity Health Center acrreditation status (b=0.39; SE=0.22; p=0.069), perceived quality of service (b=0.05; SE=0.02; p=0.022), patient education level (b=-1.16; SE=0.48; p=0.017), and insurance type (b=0.61; SE=0.31; p=0.044). Perceived quality of health services was associated by accreditation status (b=2.22; SE=0.74; p=0.003), patient education level(b=-4.51; SE=1.68; p=0.007), and insurance type  (b=2.79; SE=1.06; p=0.008). Family income did not show statistically significant association with perceived quality of health service (b=-0.17; SE=0.11; p=0.123).Conclusion: Patient satisfaction is associated with Commuity Health Center acrreditation status, perceived quality of service, patient education level, and insurance type. Perceived quality of health services is associated with accreditation status, patient education level, and insurance type.Keywords: patient satisfaction, perceived quality of service, accreditation status, Commuity Health CenterCorrespondence: Farahdila Mirshanti. Masters Program of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: fmirshanti@gmail.com. Mobile: +628121534393.Journal of Health Policy and Management (2017), 1(1): 91-101https://doi.org/10.26911/thejhpm.2017.02.01.08
Comparison Between Hospital Inpatient Cost and INA-CBGs Tariff of Inpatient Care in the National Health Insurance Scheme in Solo, Boyolali and Karanganyar Districts, Central Java Rahayuningrum, Indriyati Oktaviano; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hospital has an important referral system role in the implementation on the National Health Insurance (NHI) Scheme. BPJS Kesehatan (NHI Implementing Agency) pays hospitals by Indonesian Case Based Groups (INA-CBGs) method. This payment method may potentially cause loss or profit to the hospital, when there is discrepancy between hospital inpatient cost and INA-CBGs tariff of inpatient care. This study aimed at investigating the discrepancy between hospital inpatient cost and INA-CBGs tarif of inpatient care and the determinants of hospital inpatient cost.Subjectsand Method: This was an analytic and observational study cross sectional approach. This study was conducted in 2 publichospitals and 2 private hospitals, from October to December 2016.  A total sample of 100 inpatients was selected at random for this study. The dependent variables were hospital inpatient cost and INA-CBGs tariff. The independent variables included hospital type, inpatients class, disease severity, use of ICU, and length of stay. The data were analyzed by a multiple linear regression model.Results:Averagehospital inpatient cost (mean= Rp. 2,280,000; SD=1,690,000) was lower than average INA-CBGs (mean=Rp. 3,060,000). There were negative relationships between hospital type, inpatient class, disease severity, and hospital inpatient cost. Private hospital inpatient cost(b=-5.66;95% CI= -1.20 to 0.06; p= 0.078) was lower than public hospital inpatient cost. Class 2 inpatient care (b= -0.34; 95% CI=-1.09 to 0.41, p =0.371), class 3 inpatient care (b =-0.50; 95% CI =-1.23 to 0.23, p=0.177), had lower hospital inpatient cost than class 1 inpatient care.Severe disease (b=-0.12; 95% CI= -1.95 to 1.71; p= 0.894) had lower hospital inpatient cost than mild disease, although it was not statistically significant. There were positive relationships between use of ICU, disease severity, length of stay, and hospital inpatient cost. Using ICU (b= 1.58; 95% CI= 0.76 to 2.4; p= <0.001) had higher hospital inpatient cost than not using ICU. Moderate disease severity (b= 0.55; 95% CI = -0.20 to 1.30; p= 0.150) had higher hospital inpatient cost than mild disease. Longer stay (b= 0.27; 95% CI= 0.08 to 0.45; p= 0.005) had higher hospital inpatient cost than shorter stay. Conclusion:Average hospital inpatient cost was lower than average INA-CBGs tariff. Hospital type, use of ICU, and length of stay, are important determinants of hospital inpatient cost.Keywords: hospital inpatient cost, INA-CBGs tariff, determinantCorrespondence: Indriyati Oktaviano Rahayuningrum. Faculty of Medicine, Muhammadiyah University Surakarta. Email: indriyatioktaviano@yahoo.comJournal of Health Policy and Management 1(2): 102-112https://doi.org/10.26911/thejhpm.2016.01.02.05
Co-Authors -, Mardhatillah A.A. Ketut Agung Cahyawan W Abdiani, Baiq Tuhu Abdiani, Baiq Tuhu Agung Kurniawan Akhmad Azmiardi Alfiasari, Fadila Ali Djamhuri Ambar Mudigdo Anak Agung Istri Sri Wiadnyani Andreza Anggraini, Yeni Aprilia, Nafi?ah Argyo Demartoto, Argyo Ari Natalia Prabandari, Ari Natalia Ari Natalia Probandari Ari Probandari Arief Suryono Ariwati, Valentina Dili Ariwati, Valentina Dili Aryoseto, Lukman Aulia, Yusrin Bhisma Murti Burhannudin Ichsan Cahyandaru, Zella Cahyaningrum, Hapsari Cahyono Widodo, Cahyono Ch Novita Indriani, Ch Novita Damayanti, Ana Delimasari, Trisakti Halimah Dewi Martha Indria Dian Rahmawati Diana, Tutut Okta Doloh, Nureesa Dono Indarto Dyanneza, Frieska Endang Sutisna Sulaeman Eskawati, Maria Yeny Fahrezi, Chattrin Feny Tunjungsari Fuad, Lu’luatul Ghufroni, Afif Gusti, Titis Eka Hapsari, Fara Rizky Punjung Harinto Nur Seha Harsono Salimo Hastuti, Heni Hendra Dwi Kurniawan, Hendra Dwi Hermanu Joebagyo Hery Widijanto I Gusti Agung Ngurah Putra Pradnyantara Imtichan, Septian Najib Ismiana, Baiq Holisatul Jayanti, Nicky Danur Kartikasari, Mayriyana Kristiani, Yunita Kusumaningtiyas, Zonna Aditiya Kusumaningtyas, Mei Kusumasari, Rizka Agnes Kusumastuti, Nurry Ayuningtyas Kusumawardana, Iin Kusumawardani, Dyah Ayu Laksono Trisnantoro Lestari, Dinta Lilik Anggar Sri Rahayuningsih Linda Widyaningrum, Linda Mahendra Wijaya Mardiah, Adriana Maulana, Moh Mirshanti, Farahdila Nagaring, Sulaiman Putra Ni'mah, Siti Luluk Khamidahtun Ningtyas, Ayunda Prisilia Kusuma Nugroho, Septyan Dwi Nunuk Suryani Nurjanah, Ahmitta Laila Nurlaili, Helmi Nurul Hakim, Ruliany Yuni Nurul Jannah Pranoto, Hosea Puspitasari Prasetya, Hanung Pratama, Tegar Wahyu Yudha Pratiwi, Dinda Ika Purwati - Puspita, Rumeyda Chitra Putri, Farahdilla Aribowo Rahayuningrum, Indriyati Oktaviano Rahmah, Aulia Siti Nur Rahmawati, Leny Ratna Dewi Permatasari Rita Adriani Benya Adriani Rosyida, Muslihatin Khuril Sapja Anantanyu, Sapja Saraspuri, Niken Putri Eka Selvia Febrianti Setiyaningsih, Ratna Setiyaningsih, Ratna Silfia Angela N Halu Simarmata, Imelda Dearni Simarmata, Imelda Dearni Sitepu, Fransiska Siti Marfuah, Siti Siwi, Ratna Purwani Soemanto, RB SUGIARTO - Sukma, Sukma Sulistyo, Anita Sri Sulistyo, Siwi Anggraini Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Untari, Niken Yuliani Veftisia, Vistra Wardhani, Anindyah Tri Lhaksmi Kusuma Wardhani, Yeni Wibawa, Purwa Adrianta Widayati, Mulia Yuli Wigati, Dhiyan Nany Wijanto, Chrise Wijayanto, Masromi Hendria Winasandis, Brillia Firsti Wulandari, Ayu Novita Wulansari, Galuh Yeni Tri Utami yulia lanti retno dewi Yulia Lanti Retno Dewi Yuni Fitriani, Yuni Zaen, Nurussyifa Afiana Zulaikah, Rahayu