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BEBAN BIAYA RAWAT INAP DEMAM BERDARAH DI ASIA 2017-2022: TINJAUAN SISTEMATIK Alia, Dina Fatma; Prastowo, Muhammad Yogie; Pawallangi, Andi Nur’ainun Reskia
JFM (Jurnal Farmasi Malahayati) Vol 8, No 2 (2025)
Publisher : Jurnal Farmasi Malahayati (JFM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jfm.v8i2.21617

Abstract

Informasi tentang beban biaya ekonomi pada perawatan penyakit sangat penting untuk menginformasikan kepada pemangku kebijakan untuk menetapkan prioritas kebijakan kesehatan dan teknologi pengendalian penyakit. Untuk dapat mengkarakterisasi tren biaya rawat inap DBD di Asia, dilakukan tinjauan sistematis periode 2017-2022. Data base Scopus dan PubMed digunakan untuk pencarian artikel beban biaya rawat inap demam berdarah di Asia untuk periode 2017-2022. Studi yang dilakukan termasuk biaya rawat inap (biaya medis langsung, biaya non-medis langsung dan biaya tidak langsung). Data diringkas secara deskriptif dan dilaporkan mengikuti pedoman Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Sebanyak 715 artikel ditemukan (316 Pubmed dan 399 Scopus). Negara-negara yang termasuk dalam studi ini adalah Indonesia, India, Vietnam dan Sri Lanka. Analisis biaya rawat inap Demam Berdarah di Asia memiliki dua perspektif yakni dari provider dan societal. Biaya medis langsung terendah ditunjukkan oleh Sri Lanka dengan 16,2 USD dan tertinggi ditunjukkan di Indonesia pada rumah sakit tipe A/B dengan 372 USD. Data biaya rawat inap menunjukkan bahwa biaya rawat inap akibat demam berdarah masih tinggi dan berbahaya bagi masyarakat terutama masyarakat dengan tingkat ekonomi rendah.
COST OF ILLNESS STROKE TREATMENT: A SYSTEMATIC REVIEW Izzah, Raihana Nurul; Alia, Dina Fatma; Amalia, Annora Rizky; Sari, Yunita Dian Permata
Medical Journal of Nusantara Vol. 5 No. 1 (2026): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v5i1.1957

Abstract

Cardiovascular disease remains the leading cause of death worldwide, with stroke playing a significant role in increasing morbidity, mortality, and the global economic burden. This study aimed to systematically review the cost of illness and health expenditure associated with stroke across different countries. A systematic review was conducted using PubMed, ScienceDirect, and Springer databases for articles published between 2021 and 2026, following PRISMA guidelines. Studies included in the criteria were original research that reported direct and/or indirect costs due to stroke, both in primary health care facilities and in hospitals. Data extraction, screening, and quality assessment were performed using the CHEERS checklist. A total of 13 studies met the inclusion criteria. The findings showed that most studies (76%) applied the Cost Of Illness (COI) approach, while the rest used Health Expenditure (HE) methods. Direct medical costs, particularly those from inpatient care, constitute the largest component of stroke-related expenditures. Cost estimates show considerable variation between countries, with expenditures tending to be higher in high-income countries than in middle-income countries. Clinical severity, length of hospital stay, stroke subtype, and sociodemographic factors were identified as key determinants influencing total costs. Indirect cost components such as lost productivity and premature death also contribute significantly, but their reporting has not been consistent across studies. In conclusion, stroke imposes a substantial and heterogeneous economic burden influenced by methodological approaches, perspectives, and healthcare system differences. Comprehensive evaluation including both direct and indirect costs is essential to support effective health policy and resource allocation.
Cost of Illness Analysis in Total Knee Replacement at Public Hospital Jenderal Ahmad Yani, Lampung, Indonesia Alia, Dina Fatma; Endarti, Dwi; Andayani, Tri Murti
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Total knee replacement (TKR) is one of the most economical and frequently successful orthopedic procedures. Cost-of-illness studies of TKR in Indonesia are scarce and lack an analysis of the relationship between characteristics and costs. This study aims to examine the cost-of-illness of TKR from a social perspective and explore the relationship between the characteristics and the cost of TKR. This is an observational cross-sectional study of all patients who underwent TKR from 1st January 2022-31 st December 2023. The characteristics were collected from the medical records. Cost of illness was conducted from a social perspective with a bottom-up approach. Hospital cost on the JKN ECLAIM System was obtained as direct medical cost. Direct non-medical and indirect costs were collected through a phone interview with the patient or caregiver. Indirect cost was defined as income loss from the patient and caregiver. The relationship between characteristics and cost was analyzed bivariately using the Mann–Whitney U test and Kruskal–Wallis test. Of a total 54 patient were obtained. Median direct medical cost was 51,769,675 IDR; direct non-medical cost was 850,000 IDR; and indirect cost was 750,000 IDR. None of the characteristics had a direct relationship with medical cost. Age (p = 0.043), Caregiver (p <0.001), and distance traveled (p <0.001) were known as characteristic related to direct non-medical costs. Indirect cost was related to age (p = 0.053) and employment status (p = 0.005). This study only examined the cost of TKR in the hospital. Costs of post-surgery recovery steps, including costs for revisit consultations, wound care, and physiotherapy, need to be carried out in the future.