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All Journal Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) The International Journal of Medical Science and Health Research
Iin Widya Ningsi
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Unit Cost Of Inpatient And Outpatient Services In The JKN Era Aslina; Hermiaty Nasruddin; Iin Widya Ningsi
The International Journal of Medical Science and Health Research Vol. 13 No. 4 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/2yav7690

Abstract

Background: Since the implementation of the National Health Insurance (JKN) in 2014, Indonesia's healthcare financing system has undergone significant changes, introducing a capitation scheme for primary care and INA-CBG's for referral care. This study reviews literature from 2020 to 2025 concerning the calculation of unit costs for inpatient and outpatient services within the JKN framework. The primary focus is on the alignment between tariffs and the factors influencing cost variations among healthcare facilities. Methods: A narrative literature review was conducted by searching electronic databases using relevant keywords. Qualitative analysis synthesized comparisons between unit costs and JKN tariffs, as well as the determinants of cost variability. The THUMB approach (Time, Human Resources, Material, Budget) is also discussed as a costing method. Results: Inpatient unit costs generally tend to be higher than INA-CBG's tariffs, resulting in a cost gap that requires careful management. Activity-Based Costing (ABC) provides more accurate cost estimations compared to the less precise THUMB method. Demographic factors, operational efficiency, and clinical management contribute to differences in costs across facilities. Optimizing the role of case managers and conducting periodic tariff evaluations are recommended to ensure the sustainability of the system. Conclusion: Effective unit cost management and the application of appropriate costing methods are crucial for achieving efficiency, equity, and quality of care within the JKN era.
Karakteristik Pasien Geriatri dengan Osteoarthritis Genu yang Mendapatkan Terapi Rehabilitasi Medik di Rumah Sakit Ibnu Sina Pada Tahun 2024 Rifkah Tul Mukarramah Danial; Imran Safei; Iin Widya Ningsi; Fadil Mula Putra; Muh. Jabal Nur
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 5 No. 1 (2026): April: Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v5i1.8468

Abstract

Knee osteoarthritis is a degenerative joint disease that commonly affects older adults and causes pain and functional limitations. Age, obesity, a sedentary lifestyle, and comorbidities influence disease severity and response to medical rehabilitation. This study aimed to describe the characteristics of geriatric patients with knee osteoarthritis receiving medical rehabilitation therapy at Ibnu Sina Hospital, Makassar, in 2024. This was a quantitative descriptive study with a cross-sectional design. The results showed that most geriatric patients with knee osteoarthritis undergoing medical rehabilitation at Ibnu Sina Hospital in 2024 were in the 60–70 year age group and were predominantly female. The majority of patients had a body mass index in the overweight to obese category. Most patients had no history of smoking but had one or more comorbidities, particularly hypertension and diabetes mellitus. Medical rehabilitation therapy was generally provided as a combination of several modalities. In conclusion, geriatric patients with knee osteoarthritis receiving medical rehabilitation were predominantly aged 60–70 years, female, overweight or obese, and had comorbidities. These findings highlight the importance of individualized and multidisciplinary rehabilitation approaches based on patient characteristics
Co-Authors Aslina Fadil Mula Putra Hermiaty Nasruddin Imran Safei Nur, Muh Jabal Rifkah Tul Mukarramah Danial