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INDONESIA
Jurnal Ekonomi Kesehatan Indonesia
Published by Universitas Indonesia
ISSN : 25278878     EISSN : 25983849     DOI : https://doi.org/10.7454/eki
Core Subject : Economy, Health, Science,
Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health
This journal encompasses original research articles, case studies, conceptual fields, review-based studies (very limited, it will be strictly selected), and protocols. The journal publishes research from various topics in health economics, including but is not limited to the following topics: Economic Evaluation Health Financing Health Policy Health Insurance Pharmacoeconomics Health Technology Assessment (HTA) Tobacco Control Jaminan Kesehatan Nasional (JKN) Health and Econometric Article published in Jurnal Ekonomi Kesehatan Indonesia are determined through the blind review process conducted by the editor and reviewers. They provide evaluation and constructive suggestions for the authors. Prior to be accepted, they considers several factors such as whether the manuscript format is in accordance with the manuscript template and writing guidelines for authors, the relevance of the article with scopes, and its contribution to the development of health economics evaluation and accounting practices as well as the health policy.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 7 Documents
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Search results for , issue "Vol. 6, No. 2" : 7 Documents clear
Estimasi Biaya dan Evaluasi Program Intervensi Pemberian Pangan Olahan untuk Keperluan Medis Khusus (PKMK) untuk Perbaikan Status Gizi di Banyumas, Jawa Tengah Hasnur, Hanifah; Presilawati, Febyolla
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

The Government of Banyumas has implemented an intervention in the Provision of Processed Food for Special Medical Purposes (FSMP) with nutritional supplementation of 1.5 kcal/mL in 2019. However, there is no evaluation has been carried out, both of outcome and the cost of the intervention. So that, it is necessary to provide an initial picture of the resources needed for the formulation of future intervention plans. This study aims to determine the estimated cost required for FSMP intervention and to determine the outcome of the intervention. The economic evaluation was carried out partially by calculating costs from the perspective of the program implementing institution and the outcome of the intervention in the form of increasing weight and height. The research sample was 40 toddlers who had been selected based on nutritional screening of toddlers who were unable to consume existing foods and had inadequate nutritional intake. The results of the study showed that the total intervention cost was Rp.219.817.000 for 40 children (Rp.5.495.438 per child) where for nutritional supplementation of 1.5 kcal/mL per child was Rp.1.395.850. There was an increase in the average weight and height of children by 0.64-kilogram and 0.47-centimeter in 28 days after the program was completed. The estimated cost from the results of this study could be lower in subsequent interventions if the equipment is reused. This study can be used as a reference for FSMP interventions with the same subject coverage/criteria or on a wider scale.
Analisis Efisiensi Relatif di Unit Pelaksana Teknis Badan Pengawas Obat dan Makanan Tahun 2019 Widyastuti, Pantri; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

The challenge of drug and food supervision requires the BPOM Technical Implementation Unit (UPT) to work optimally in the midst of limited resources. The analysis of the relative efficiency of the BPOM Technical Implementation Unit in 2019 was carried out with the aim of improving BPOM's planning, budgeting, and strategic policies in an effort to improve performance at each UPT. Calculation of relative efficiency using the DEA (Data Envelopment Analysis) method. This study uses a mixed method with a cross sectional research design. The research sample was 31 UPT BPOM that met the requirements as DMU (Decision Making Unit), 10 informants in the deepening of the process to determine the factors that affect the efficiency of UPT with DEA. There are 3 inputs and 4 outputs analyzed by DEA. The results of the analysis there are 15 efficient UPT and 16 inefficient UPT. The results of the deepening of the process revealed that the efficient and inefficient UPT had implemented the internal efficiency strategy well. DEA is a relative efficiency analysis with the concept of maximizing the ratio of output and input. The use of the VRS (Variable Return to Scale) model that considers the process, is expected to eliminate the shortcomings contained in the calculation with DEA. DEA calculation is done mechanically, so it is necessary to deepen the process to explore efficiency factors that are not obtained from DEA calculations, especially for organizations that involve large external factors in the process.
Physicians’ Behavior in Referring National Health Insurance Patients to Hospital Natalia, Natalia
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

Physicians’ decision to refer patients in primary health care is vital in supporting the referral system. The increase of referral cases impacted the claims cost and hospital workload. This study aimed to analyze the physicians’ behavior in referring National Health Insurance (NHI) patients to hospitals. This study employed a qualitative method; 18 informants were selected using purposive sampling and analyzed using content analysis. The data were validated by triangulating method, source, and data. Physicians referred patients when the cases could not be handled; there were indications of severe disease and required further examination. The obstacles in the referral system were pressure from NHI patients that wanted to be referred and diagnosed differently from ICD 10. In referring NHI patients, physicians had followed referral procedures and criteria. High referrals were caused by patients being forced to be referred, coming with complaints of severe disease, having examined in a hospital, and some cases should not be referred to but still referred by entering a similar diagnosis into the ICD 10. It is expected that public health centers will educate NHI patients related to tiered referral procedures in health services.
Evaluasi Capaian Peta Jalan JKN di Provinsi Bengkulu Studi Kasus Sectio Caesarea Tahun 2014 Sampai 2019 Wulan, Susilo
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

Bengkulu is one of the provinces in Indonesia where SC rate has increased significantly over the last five years after the implementation of JKN. Previous studies into SC trend in Indonesia indicate that both overutilization and underutilization of SC exist reflected inequality. SC is a public health concern since it absorbs a huge amount of JKN funds and is indicated to contribute to the BPJS deficit. This study evaluates the achievement of the SC case equity target in Bengkulu Province based on the 2014- 2019 JKN roadmap. Combining qualitative and quantitative approaches, analyzing secondary data from the BPJS routine data and government survey (SUSENAS) as well as interview with Local government and BPJS staff. This study found that despite the increase in coverage of JKN memberships, gap exists in the provision of health professionals, doctors and obstetrician distribution likely affected the utilization of SC. Currently, SC is enjoyed mostly by women residing in Bengkulu city and dominated by PPU and PBPU segment, which are 39 and 45% respectively. Improved monitoring and realization of compensation policy to provide equal distribution of doctors and obstetricians either by BPJS or local government.
Pengaruh Pembatasan Sosial dan Variabel Ekonomi Terhadap Prevalensi Pandemi Covid-19 di Provinsi Jawa Barat Aperdanaste, Jordi; Hasanah, Alfiah; Siregar, Adiatma Y. M.
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

There are numerous factors that might affect social restrictions regulation on the reduction of the number of Covid-19 cases in 27 cities and districts in West Java Province. This study aims to identify the effect of social restrictions and economic variables on Covid-19 pandemic in West Java Province. The investigation uses several data sourced from the Covid-19 Information & Coordination Center of West Java Province, and the Central Bureau of Statistics in West Java Province. The dependent variable in this study is the average increase in daily Covid-19 cases. Meanwhile, the independent variable in this study are dummy of social restrictions, population density, per capita GRDP, education level, mobility level, unemployment rate, number of health workers, percentage of the poor population, and life expectancy. All the information gathered in the period between March 2, 2020 and March 2, 2021, which consists of 17 periods based on the Decree of the Governor of West Java. A panel data analysis with the Feasible Generalized Least Square (FGLS) approach is applied using Stata MP-64 software. The results show that social restrictions, population density, unemployment rate, and the number of health workers have a positive and significant effect against the reduction of the Covid-19 cases in West Java Province. Per capita GRDP shows a positive effect against the reduction of the Covid-19 cases, however it is not significant. Level of education, level of mobility, percentage of the poor population, and life expectancy have a negative and significant effect against the reduction of the Covid-19 cases in West Java Province. Therefore, social restrictions are the right policies to reduce the Covid-19 pandemic in West Java Province.
Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko di Berbagai Negara Agustina, Aulia; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

Capitation is a payment method to primary health care providers. The application of capitation without considering risk adjustment could have a negative impact. There are several models of risk adjustment capitation payments. This study aims to review the development of the capitation payment system with risk adjustment for primary care in several countries. This study used the PRISMA method and got the articles from three online databases, namely Pubmed, EBSCOhost Medline, and Scopus. A total of 212 articles were collected, and 7 articles meet the criteria for further review. The review focuses on the risk-adjusted capitation payment system model. The results obtained that the risk-adjusted capitation payment system model is vary from simple to complex. The most frequently used risk factors were age and gender. The risk-adjusted capitation payment system model continues to develop, it is important to carry out periodic updates and adjustments. Various benefit from the implementation of the risk-adjusted capitation payment system model can be a reference for countries to get an appropriate risk-adjusted capitation policy formulation to be applied which proper to the conditions of each country
The Health Status of Labor Force in East Kalimantan Province: Effect of Individual Characteristics and Household Conditions Heizer, Jaka Eben
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

The aims of this research are first, to explore the factors that are associated with health status. Second, to address the individual characteristics and household conditions that affect the health status of labor force, taking into account the urban-rural differences. This research utilized data from SUSENAS Cor 2018, and employed a cross sectional - multinomial logistic regression analysis method. The dependent variable is the health conditions of the labor force. The findings show that, age and number of household members were significant for both sick and very sick health status in all two type of areas analyzed. In urban and rural areas simultaneously gender, expenditure per capita, and drinking water were only significant for sick health group while marital status, education, employment status, sanitation, house area was only significant for very sick health status group. In urban areas, the results indicated that gender, employment status, and drinking water were only significant for sick health status, while marital status, education, sanitation, and house area significant for very sick health status. Moreover, in rural areas, marital status was only significant for sick health status whereas, sanitation and house area were significant for the very sick health status.

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