Berita Kedokteran Masyarakat
Vol 39 No 11 (2023)

Outpatient service tariff determination based on unit cost analysis mixed with community ability and willingness to pay

Yuniantika (Unknown)
Hendrartini, Julita (Unknown)
Budiarto, Arif (Unknown)



Article Info

Publish Date
23 Nov 2023

Abstract

Purpose: The study aims to calculate the rational outpatient tariff based on unit cost analysis, ability and willingness to pay. Method: The research is an observational study with a qualitative approach. Secondary data are obtained retrospectively to calculate unit costs and tariffs. Primary data is collected through questionnaires to see the ability and willingness to pay (WTP). Result: The calculation using the step-down method obtained the unit cost for general practice IDR 79,337, dental care IDR 151,635, psychologist consultation IDR 115,283, and fitness center IDR 236,555. The respondent's ATP value is IDR 138,808, with an average examination fee of IDR 56,093. When coupled with an improvement in service and facility quality, 58.1% of respondents agreed to a 10% rate increase. With a 20% rate increase, the willingness to pay decreases to 40.6%. In the bivariate analysis using the chi-square test, the variables significantly affecting WTP are patient perceptions of the suitability of service costs (p = 0.000). In contrast, age, gender, occupation, education, income, number of family members, and insurance ownership do not significantly influence WTP. Conclusion: The service rate is lower than the unit cost calculation. By looking at the ability and willingness to pay, it is possible to evaluate the tariff.

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Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...