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All Journal Proceeding of International Conference Health, Science And Technology (ICOHETECH) EDUCARE: Jurnal Pendidikan dan Kesehatan
Miftakhul Jannah
Universitas Duta Bangsa Surakarta
Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Public Health

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Disparities in hospital cost and INA-CBGs tariff with unit cost analysis of inpatient services Warsi Maryati; Muhammad Faiz Othman; Siti Musyarofah; Puguh Ika Listyorini; Fhahrul Dwi Aryanti; Miftakhul Jannah
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.723 KB) | DOI: 10.47701/icohetech.v1i1.1097

Abstract

The National Health Insurance Program, a form of health insurance that has been implemented since 2014, which uses the Indonesian Case Based Groups (INA-CBGs) system. The implementation of this system ensures that patients get good service and hospitals get standard tariff. The intended tariff is in the form of a package which includes all components of hospital costs. This study aims to determine the relationship between the unit cost of all health service cost components and the INA-CBGs tariff and how the gap is. The research sample was taken from the INA-CBGs claim document in the second quarter of 2020 as many as 4,833. Data were analyzed using linear regression to find a relationship between hospital health service costs and the INA-CBGs tariff. Hospital service costs are calculated based on unit cost analysis. The average unit cost of laboratory was IDR 853,500 (7.91%), radiology IDR 366,198 (3.39%), treatment IDR 2,031,850 (18.82%), Examination IDR 4,205,745 (38.95%), Consumables IDR 345,092 (3.17%), and Drugs IDR 3,022,694 (27.76%). The results of the analysis showed Laboratory (b = 1.639; 95% CI = 1.177 to 2.100; p <0.001), Treatment (b = 0.915; 95% CI = 0.852 to 0.978; p <0.001), Examination and Accommodation (b = 1.211; 95% CI = 1.138 to 1.285; p <0.001), and Drug (b = 0.015; 95% CI = 0.007 to 0.024; p <0.001) had a significant relationship with the INA-CBGs tariff. Other variables such as Radiology (b = -0.141; 95% CI = -0.629 to 0.347; p <0.001) and Consumable Costs (b = -0.343; 95% CI = -696 to 0.009; p <0.001) had no significant relationship with INA-CBGs Tariff. However, all cost components have a significant effect (p <0.001) of 42.7% on the INA-CBG tariff with a strong influence category (R = 0.654). Hospitals must be wiser in managing finances with the INA-CBGs pattern, because the tariff may look small because there are some treatment that are not cost effective or there are still unnecessary treatment for patients taking a large portion of the cost of the package.
Hubungan Karakteristik Pasien Rawat Inap Dyspepsia dengan Lama Dirawat Eni Nur Rahmawati; Aloysius Ekawardaya; Miftakhul Jannah; Muhammad Wahid Humam
EDUCARE: Jurnal Pendidikan dan Kesehatan Vol. 4 No. 1 (2026): EDUCARE: Jurnal Pendidikan dan Kesehatan (Desember)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

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Abstract

Patient characteristics are specific attributes distinguishing one patient from another, including gender, age, occupation, income and economic status, education, and the source of treatment financing. Dyspepsia is a cluster of symptoms originating from the gastroduodenal region, such as epigastric pain or burning, a sense of fullness after eating, and early satiety. This study aims to determine the relationship between characteristics of inpatients’ dyspepsia and length of stay. It was an analytical study utilizing a cross-sectional design. The study population consisted of 232 inpatients diagnosed with dyspepsia, identified through disease indexing. Data were collected via interviews and observations and subsequently analyzed using the Chi-Square test. The results showed that the inpatient profile was dominated by the 45–65 age group, females, JKN (National Health Insurance) participants, patients discharged with a "recovered" status, Class III A care, internal medicine services, and patients from the Surakarta region. The Chi-Square test results indicated that the payment method was significantly associated with the length of stay (p=0.007), whereas age (p=0.080), gender (p=0.623), discharge status (p=0.584), care class (p=0.476), type of service (p=0.398), and region (p=0.542) did not show a significant relationship with the length of stay. Hospitals should monitor and evaluate the length of stay for dyspepsia patients, particularly in relation to payment methods. Enhance coordination among service units, medical records, and the administration or claims department, and improve documentation completeness to streamline service delivery.
Co-Authors Aloysius Ekawardaya Eni Nur Rahmawati Fhahrul Dwi Aryanti Maryati, Warsi Muhammad Faiz Othman Muhammad Wahid Humam Puguh Ika Listyorini Siti Musyarofah