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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. 8, No. 1" : 7 Documents clear
KORELASI FAKTOR RISIKO USIA PASIEN DENGAN KASUS DAN BIAYA RAWAT INAP PENYAKIT JANTUNG DI INDONESIA (ANALISIS SERIAL WAKTU PROGRAM JAMINAN KESEHATAN NASIONAL 2015-2021) Hasibuan, Syarif Rahman; Prasetyo, Sabarinah; Darmawan, Ede Surya
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

This study analyzes the correlation between patient age with hospitalization cases and cost in Indonesia. The design of this study was cross-sectional quantitative using open sources data from Indonesia National Health Insurance Agency (BPJS Kesehatan). The sample units in this study were hospitalization cases from 2015-2021 of National Health Insurance program member. Sample size of this study are 43,921 that weighted to get 3,901,373 hospitalization cases. This study show an uptrend in cases and the total cost of cardiovascular disease hospitalization in 2015-2019, while it show downtrend during the Covid-19 pandemic. The average cost of cardiovascular disease hospitalization per case is 7.5 million rupiah (495.15 USD) per year. The highest average cost per case is 185.47 million rupiah (12,244.62 USD) per year; the lowest is 1.5million rupiah (99.03 USD) per year; and the average total cost is 3.99 trillion rupiah (263,417.41 USD) per year. The accumulated costs for 2015-2021 is 27.94 trillion rupiah (1,844,582.04 USD). Spearman's test shows there is a correlation between age and cases, average and total costs of cardiovascular disease hospitalization. Only correlation between age and average cost that show a negative pattern, which means that the higher the age, the lower the hospitalization average cost.
THE POTENTIAL OF ECONOMIC LOSS DUE TO STUNTING IN INDONESIA Suryana, Esty Asriyana
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Stunting cases continue to increase, along with the high risk of undernutrition, the increasing prevalence of malnutrition, and decreasing productivity. If this condition is not handled correctly, it can affect Indonesia's development performance, inequality, and poverty. Stunting can hinder economic growth and labor productivity, affecting 11% of GDP (gross domestic product) and reducing the income of adult workers by up to 20%. Based on this, it is necessary to make prevention and control efforts in nutrition intervention activities an economic investment. Therefore, this study estimates the economic potential lost due to stunting in children under five. This descriptive study is based on processing secondary data from various related agencies. We employed Konig's formula and correction factors from Horton's study. The results of this study show that the incidence of stunting in children under five in Indonesia in 2021 was 24.4%. Nationally, Indonesia has the potential for economic loss due to stunting in toddlers, which ranges from IDR 15,062 to IDR 67,780 billion. These are equivalent to a range of 0.89-3.99% of the total GDP in 2021 (IDR 16,970.8 trillion).
FAKTOR YANG BERKONTRIBUSI PADA KEIKUSERTAAN SEKTOR FORMAL DALAM SKEMA ASURANSI KESEHATAN SOSIAL: NARRATIVE REVIEW Idris, Haerawati
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
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Countries worldwide have been working towards achieving universal health coverage target, including countries with low and middle incomes. Even though it is mandatory, the formal sector does not automatically become a participant in social health insurance. This study describes the factors contributing to formal sector participation in social health insurance. This study uses a narrative review approach. This study focuses on the factors that contribute to the participation of the formal sector in social health insurance schemes. We identified articles selected according to the inclusion criteria covering the formal sector, English and Indonesian, adopting social insurance, and open access articles. We then collect selected articles and synthesize the factors that contribute to formal sector participation in social health insurance schemes. We found that the formal sector's participation in social health insurance is related to the following factors: the mandatory scheme, knowledge of the business sector/company, company finances, type of company, risks that the company may experience, and perceptions of the quality of health services provided. This study found several factors that contribute to the participation of the business sector in social health insurance. Factors that are structural/policy in nature, knowledge of social insurance policies, and service quality from the supply side need to be of concern to the government in efforts to expand to this group
ANALISIS KINERJA FKTP PEMERINTAH DI ERA JKN DENGAN METODE BALANCED SCORECARD: STUDI KASUS DI PUSKESMAS BANDAR BARU TAHUN 2022 Hasnur, Hanifah
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
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Abstract

The health efforts at health facilities have entered a new phase in the current era of Indonesian National Health Insurance (NHI). The Bandar Baru Health Center (Puskesmas), one of the largest Puskesmas in Pidie Regency with the most significant income from the NHI, is required to have quality health services, which at the same time also needs to be efficient in using its resources. This study uses the Balanced Scorecard method to determine the performance of the government's FKTP, in this case, the Bandar Baru Health Center, in the current NHI era. This quantitative descriptive research collects primary and secondary data to analyze the financial, customer, internal business, and development perspectives. The results of the study show that the Bandar Baru Health Center, from a financial perspective, is still lacking in growth due to the expansion of the sub-health center below it, however; the Puskesmas has made savings, which can be seen from the Balanced Economic Level Value is economical (Tec < 100%; 2019-2020) and less economical in 2021 (Tec=100%), the value of the Effectiveness Level is not effective (Tev < 100%; 2019-2021), and the value of the Efficient level is not efficient (Tef =100%; 2019-2020) and efficient in 2021 (Tef < 100%). From the customer's perspective, the lowest satisfaction index is on the facilities and infrastructure of the Bandar Baru Puskesmas. Meanwhile, from an internal business perspective, employee turnover is low even though employee training still needs to be improved. Efforts are needed to increase innovative health programs that can improve the performance of the Puskesmas and increase the number of patients registered to increase the financial growth of the Bandar Baru Health Center.
EVALUASI PENERAPAN PILOT PROJECT GLOBAL BUDGET SEBAGAI SISTEM PEMBAYARAN KLAIM PADA RSUD WATES Handayani, Mega; Ilmi, Laili Rahmatul; Mubarrok, Zennul Mubarrok1
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
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Abstract

Claims payment for health services is one of the factors that affect the financial health of a hospital. Indonesia itself has experienced several changes to the existing payment system. BPJS-K started an operational study on the implementation of the INA-CBGs and the Global Budget mixed-method payment system since 2018 with three stages in five districts/city in Indonesia. This study aims to evaluate the implementation of the Global Budget system at RSUD Wates in Kulon Progo Regency that appointed as a BPJS-K pilot project. This research is qualitative research and data collection was carried out by studying documents and interviews. As a result, it is known that in 2021 RSUD Wates experienced a budget surplus and on the contrary, in 2022 the hospital experienced a significant deficit. However, the efficiency of health service financing at RSUD Wates cannot be evaluated as a whole in the implementation of the global budget trial. The implementation of the global budget at RSUD Wates was carried out under uncommon conditions where the COVID-19 pandemic occurred in 2020-2022 so that the data on the number of patients became less relevant as a reference for budget calculations. In addition, all stages in the trial have not been fully implemented. Coordination and the role of policy makers are expected to be improved so that the competence and efficiency of hospital health services can be optimized.
HUBUNGAN KARAKTERISTIK PASIEN, PROSEDUR, DAN PENYAKIT PENYERTA DENGAN BIAYA LANGSUNG MEDIS PADA PASIEN RAWAT INAP JANTUNG KORONER Wahyuni, Rita Tri; Witcahyo, Eri; Herawati, Yennike Tri
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
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Abstract

Coronary heart disease is a catastrophic disease that causes a high burden of medical costs. At Dr.Iskak Tulungagung hospital, coronary heart disease is the disease with the highest cost. The number of coronary heart patients who are hospitalized is also increasing every year. Several Previous studies have shown that the amount of direct medical costs of coronary heart patients reach more than 50% of the total costs of treatment. Therefore, it is necessary to do research on the factors associated with the increasing direct medical costs of coronary heart patients. The purpose of this study was to analyze the factors that influence the amount of direct medical costs in coronary heart inpatients which include: relationship between patient characteristics, medical procedures, and comorbidities with direct medical costs in coronary heart inpatients. This analytical study used a cross sectional design. The research sample was a coronary heart inpatient at Dr.Iskak Tulungagung Hospital who met the inclusion and exclusion criteria, namely 125 samples. Sampling with systematic random sampling. Data were analyzed using Spearman Rho test and Eta test. The results showed that most of the patients were aged 56-65 years, the majority were men with the length of hospitalization mostly for ≤ 3 days. The majority underwent invasive procedures and most had comorbidity. The average direct medical cost in 2020 is IDR 26,788,964 while in 2021 it is IDR 31,553,045. The three biggest costs of cath lab costs, drugs, and doctor and nursing actions. Medical procedures and comorbidity are factors related to that affect the amount of direct medical costs.
DAMPAK GUNCANGAN KESEHATAN TERHADAP KONSUMSI RUMAH TANGGA DI INDONESIA: ADAKAH PERAN ASURANSI KESEHATAN DAN KREDIT MIKRO? Umaroh, Rodhiah; Listiono, Listiono
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
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This paper aims to analyze the impact of health shock on household consumption and estimate the role of health insurance and microcredit in tackling the shock impact. The primary variable used in this study as a proxy for health shock is the impairment of activity in daily living (ADL) experienced by household heads. The impact evaluation method of Propensity Score Matching (PSM) was employed to estimate the impact of health shock on Indonesian household consumption using data from Indonesian Family Life Survey (IFLS-5). This study's result reveals that health shock significantly reduces household consumption of both food and non-food consumption. Another important finding from this study is health insurance and microcredit can help the household to mitigate the negative impact of health shock. Health insurance and microcredit can be concluded to have an important role as a coping risk mechanism for households in the middle crisis of health shock.

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