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All Journal Jurnal Keterapian Fisik Jurnal Ekonomi Kesehatan Indonesia
Santoso, Mahar
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Physics Public Health

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Cost of Illness: Stroke Patients with Medical Rehabilitation Santoso, Mahar; Adisasmito, Wiku BB; Hasibuan, Syarif Rahman
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 9 Issue 1 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v9i1.422

Abstract

Background: Cerebrovascular disease (ICD 10: I60–I69), is a medical condition that leads to limitations such as limited mobility and cognitive impairment. It is the most fatal disease in Indonesia. Medical rehabilitation has been clinically proven to be an effective strategy to minimize disability in stroke patients. Methods: This research is a quantitative study with a cross-sectional design. The data source was obtained from BPJS Kesehatan sample data for 2022. The sample units for this study were all patients with a diagnosis of cerebrovascular disease. This study examined 3,528 patients, representative of a larger population of 339,707 patients. Results: In 2022, healthcare costs for stroke patients in Indonesia, covered by BPJS Kesehatan, varied widely from Rp 1,937,400 to Rp 207,675,700, averaging Rp 8,487,531 per person. BPJS Kesehatan's total spending on stroke treatment and rehab in 2022 was Rp 2,883,269,825,972. The productive age group constitutes the majority of stroke cases, comprising 68.9% of the total, with males representing the predominant gender at 54.5%. The biggest group benefiting from this were those receiving Beneficiary Contribution Assistance (PBI), making up 46.5% of all National Health Insurance participants. Conclusion: This study indicates that providing medical rehabilitation during the golden period yields greater efficiency compared to its absence. This recommendation extends beyond cost-saving measures, emphasizing a strategic investment in national welfare through the enhancement of individuals' quality of life. Therefore, policymakers, BPJS Kesehatan, hospitals, and healthcare professionals are encouraged to factor this insight into their decision-making processes.
Dampak Program Bantuan Sosial sebagai Intervensi Gizi Sensitif terhadap Status Stunting pada Balita Sahara, Nasa Milta; Arianto, Dwini; Santoso, Mahar
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Stunting is a significant issue for nations, affecting both public health and economic development. It results from a combination of direct and indirect causes. The government addresses stunting through specific nutritional interventions targeting direct causes and sensitive nutritional interventions for indirect causes. Given the strong link between stunting and poverty, social assistance programs (BANSOS) such as the Family Hope Program (PKH) and Rice for the Poor (RASKIN) are crucial in combating stunting by improving socioeconomic conditions. This study analyzes the impact of these social assistance programs on stunting in children under five, using data from the 2007 and 2014 Indonesian Family Life Surveys (IFLS) and focusing on children aged 12-59 months. A logit model is employed to estimate the relationship between social assistance and stunting. Additionally, the study uses a combination of Propensity Score Matching (PSM) and Difference-in-Differences (DID) to evaluate the effects of these programs, ensuring comparability between groups by matching characteristics of recipients and non-recipients. The results of the PSM-DID analysis indicate that social assistance programs increase the likelihood of stunting by 4.8% (99% CI). These findings suggest that improvements in program design are necessary to ensure income effect effectively drive behavioral changes that help reduce stunting.
Co-Authors Adisasmito, Wiku Bakti Bawono Arianto, Dwini Sahara, Nasa Milta Syarif Rahman Hasibuan