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All Journal SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Jurnal Pharmacopoeia
Yulianto, Rivai Endra Dwi
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Health Professions Medicine & Pharmacology Public Health Social Sciences

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Analisis Perbedaan Tarif Rumah Sakit dan Tarif INA-CBG’s Pelayanan Rawat Inap Salah Satu Rumah Sakit Pemerintah Tipe C Tahun 2021 Melviani; Yulianto, Rivai Endra Dwi; Ruslan, Riswati
Jurnal Pharmacopoeia Vol 4 No 2 (2025): September 2025
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jp.v4i2.1086

Abstract

Indonesian Case Base Groups (INA-CBG) become a reference for the Social Security Administering Body (BPJS) in payment of claims at advanced health facilities. From the article search, 20 articles were found that compare the real rates with the INA CBGs rates. Five articles yield higher INA CBG rates than hospital rates and another 15 articles provide higher real rates than INA CBG rates. RS. X is one of the hospitals located outside Java. This study aims to obtain an overview of the comparison between real rates and INA CBGs rates in hospitals. X, diseases with catastrophic or non-catastrophic categories that are widely used in hospitals. X and the comparison of costs and the effect of length of stay on real costs. This study is a cross-sectional study using secondary data, namely BPJS claim data for inpatients at the hospital. X in Southeast Sulawesi in 2021. The distribution normality test uses the Kolmogorov Smirnov normality test. Data with normal distribution were tested for significance using an independent t-test. Data that were not normally distributed were tested for significance with Mann Whitney. There are 2,534 data claimed by RS. X to BPJS in 2021. Claims consist of 209 types of disease descriptions where claims for non-catastrophic diseases are more than claims for catastrophic diseases. The biggest claim was cesarean section (mild) which was 209 claims (8.2%) which was included in the non-catastrophic category. RS. X must spend IDR 1,411,298,920,- to cover the difference between the INA CBGs tariff and the real rate for the non-catastrophic category and IDR 6,878,400 for catastrophic diseases. A stronger correlation between length of stay and real rates indicates that length of stay is one of the factors that cause real rates to be higher than INA CBG rates. The results of the t-test on non-catastrophic diseases showed that nine out of 10 disease descriptions had significant differences for real rates and INA CBG rates, while for catastrophic diseases there were no significant differences. There is only one disease description that has no significant difference, namely a disease with a description of Antepartum Disorder (Mild). The non-catastrophic disease is the most common in hospitalized patients. X in Southeast Sulawesi. The cost of hospital claims is greater than the cost of claims for INA CBGs in non-catastrophic and catastrophic diseases. Length of hospitalization has a significant correlation in hospitalized patients with catastrophic and non-catastrophic diseases. The correlation between length of stay was greater in patients with the catastrophic disease.
Determinan Dan Pola Konsumsi Antibiotik Pada Balita Dengan Diare di Indonesia: Analisis Data Demographic Health Survey 2017 Maylinda, Tashya Dhela; Yulianto, Rivai Endra Dwi
SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Vol 10, No 2 (2025)
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/scpij.v10i2.9258

Abstract

Diarrhea is still the second leading cause of death for children under five years of age. Deaths of children under five years due to diarrhea are caused by unsafe water, inadequate sanitation, and hygiene. Socio-demographic characteristics, environment, behavior, and parenting practices are factors associated with diarrhea in children under five years in Indonesia. The use of antibiotics in the treatment of diarrhea needs more attention. Antibiotic resistance can occur if its use is not based on a proper diagnosis. This study was conducted to examine the factors that influence the incidence of diarrhea in children under five years of age. This study also looked at the prevalence of treatment centers for diarrhea patients and the use of antibiotics for the treatment of diarrhea in children under five years of age. The data used is cross-sectional data on children under five living in households in Indonesia taken from the 2017 DHS survey through data collections and survey reports. Descriptive analyzes were performed on survey reports and datasets related to demographics, the prevalence of diarrheal diseases, and the use of antibiotics for the treatment of diarrhea. Significance analysis was conducted to see whether the selected variables had an effect on the incidence of diarrhea in children under five years of age. Gender, age, location of residence (urban or rural), wealth level, mother's education level and the main material of the house floor are significant factors influencing the incidence of diarrhea in children under five years. Puskesmas is a place to seek treatment for diarrhea which is most frequently visited by children under five years old (20.99%). 10.9% of pediatric patients with diarrhea visited more than one health facility. Private hospitals are the places that most often give antibiotics to children under five years of age who have diarrhea (25%). Antibiotics were given not only by licensed health care facilities but also by other places visited by respondents, namely traditional birth attendants, grocery stores, and other sources.
Co-Authors Maylinda, Tashya Dhela Melviani Ruslan, Riswati