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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. 9, No. 1" : 7 Documents clear
Analisis Penerapan Activity-Based Costing Tindakan Debridemen Bedah pada Diagnosis Tunggal di Kamar Operasi RSKD Duren Sawit Tahun 2022 Zakaria, Reynaldi Fattah; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

In 2022, RSKD Duren Sawit has officially held operating room services. The demand for more comprehensive operating room services increased rapidly. The temporary operating room rates were set by adapting the rates of other regional hospitals and the Governor of DKI Jakarta's regulations. There is a huge difference in costs between the hospital rates and the INA-CBGs claim rates, especially for surgical debridement performed in the operating room. One of the factors causing the difference is the undetermined cost for debridement based on the unit cost component. Knowing the unit-cost debridement in the operating room according to the cost per activity. The study design was a retrospective cohort. Debridement action activities were collected through direct observation and patient operation reports. Then perform unit cost calculations based on activity-based costing. The unit cost of debridement with spinal anesthesia is Rp2.841.511,00. The unit cost calculation results are lower than hospital rates for neck debridement and mediastinitis. However, for debridement by general surgery and oral surgery, the unit cost is higher.
Dampak Program Bantuan Sosial sebagai Intervensi Gizi Sensitif terhadap Status Stunting pada Balita Sahara, Nasa Milta; Arianto, Dwini; Santoso, Mahar
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Stunting is a significant issue for nations, affecting both public health and economic development. It results from a combination of direct and indirect causes. The government addresses stunting through specific nutritional interventions targeting direct causes and sensitive nutritional interventions for indirect causes. Given the strong link between stunting and poverty, social assistance programs (BANSOS) such as the Family Hope Program (PKH) and Rice for the Poor (RASKIN) are crucial in combating stunting by improving socioeconomic conditions. This study analyzes the impact of these social assistance programs on stunting in children under five, using data from the 2007 and 2014 Indonesian Family Life Surveys (IFLS) and focusing on children aged 12-59 months. A logit model is employed to estimate the relationship between social assistance and stunting. Additionally, the study uses a combination of Propensity Score Matching (PSM) and Difference-in-Differences (DID) to evaluate the effects of these programs, ensuring comparability between groups by matching characteristics of recipients and non-recipients. The results of the PSM-DID analysis indicate that social assistance programs increase the likelihood of stunting by 4.8% (99% CI). These findings suggest that improvements in program design are necessary to ensure income effect effectively drive behavioral changes that help reduce stunting.
Analisis Klaim Rawat Inap RSUD Kebayoran Baru November 2022 – April 2023: Pendekatan Sistem Rabiulyati, May; Nurwahyuni, Atik; Pujiyanto, Pujiyanto
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
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Abstract

Hospitals receive payments through claim submissions with complete documents to the Social Security Administering Agency (BPJS) Health. However, not all inpatient claims have been submitted to BPJS Health, and there are still 16.97% pending inpatient claims. In claims that are not approved, claims can be resubmitted, but time constraints for the claim process have resulted in 2.64% of inpatient cases in 2022 not resubmitted. Qualitative research through in-depth interviews with 15 respondents aims to analyze the management of inpatient claims for BPJS Kesehatan Kebayoran Baru Hospital from November 2022 to April 2023. The study results showed that not all printed Participant Eligibility Letters (SEP) have been submitted for inpatient claims. There were 10.97% pending claims, with the cause being incomplete doctor's medical resumes for 59 inpatient files (32.2%) and inconsistencies in submitting claim files for 81 inpatient files (44.3%). This is due to the suboptimal feedback and monitoring, so it is necessary to establish a claim management monitoring flow. Hospitals must also establish Standard Operating Procedures (SOP) for integrated claim management. This study is expected to be a strategic guide to improve BPJS Kesehatan claim management with Focus Group Discussion (FGD) efforts for collaboration between agencies/units/teams and better cooperation between hospitals and BPJS Kesehatan. All solutions implemented are expected to improve the quality of hospital claims.
Analisis Pembiayaan berdasarkan Lama Rawat Pasien BPJS Diabetes Melitus Tipe II Komplikasi Sirkulasi Perifer di RSU PKU Muhammadiyah Bantul Firman, Firman; Lestari, Kartika
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
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Length of stay (LOS) can increase hospital rates and become a cost issue for patients, potentially resulting in a discrepancy between hospital rates and INA-CBGs rates at the hospital. This study aims to determine the difference between the actual costs and BPJS claim costs for diabetic patients based on the length of stay and class level. The research method is observational with a descriptive approach. The data collection technique used retrospective medical record data from 50 patients. The results showed that the largest average difference between hospital costs and BPJS claim costs was for patients with a length of stay >5 days in the VIP class, amounting to IDR 9,562,850.00 with an average claim of IDR 6,146,000.00. The highest cost was for patients with a length of stay of 1-5 days in Class III, amounting to IDR 110,718,506.00 with a total claim of IDR 107,948,500.00. The discrepancy between hospital rates and INA-CBGs rates was caused by factors such as control, excessive use of drugs, and disease complications. Therefore, measures to control these cost discrepancies include cross-subsidies, adherence to the BPJS E-catalog, medication based on appropriate duration of administration, Clinical Pathway, referral management, as well as financial collaboration with social funds from the Muhammadiyah Zakat Infaq and Shadaqah Institution (Lazismu). The length of hospitalization for diabetes mellitus patients can increase the hospital rates to be paid and have implications for reducing the effectiveness and efficiency of services. Thus, hospital managers need to implement quality control and cost control for hospital services.
Gambaran Klaim Pelayanan Dialisis di Rumah Sakit dan Rekomendasi Kebijakan di Level Daerah: Studi Kasus Kota Pematangsiantar Hasibuan, Syarif Rahman; Prasetyo, Chandra Istanti; Darmawan, Ede Surya; Permanasari, Vetty Yulianty
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
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Abstract

Chronic kidney disease is a global health issue affecting more than 10% of the world's population and poses a significant disease burden, especially in developing countries. In Indonesia, the National Health Insurance program (JKN) has enabled access to dialysis care for patients with chronic kidney failure, but it also presents challenges in sustaining financing. This study aims to analyze the trends in dialysis service claims in Pematangsiantar City during the period from 2017 to 2022 and project the service needs until 2025. The research design is descriptive-analytic, using claim data from BPJS Health related to dialysis procedures. Analysis is conducted using polynomial trends to identify historical patterns and future projections. The results show that the average annual cost of dialysis service claims in Pematangsiantar City is 85 billion rupiah. There was an annual increase in visits and claims costs by 25.56% and 23.52%, respectively. In 2021, dialysis visits surged by 91.6%, with claim costs reaching Rp128.2 billion. Projections up to 2025 indicate a significant upward trend, with an estimated number of visits approaching 350,000 in that year. The study's conclusions emphasize the importance of maintaining sustainable health financing through the JKN program and adjusting dialysis service capacity according to demand to prevent over- or undersupply. Additionally, primary prevention efforts through health education and early detection of kidney disease should be prioritized to reduce the number of new patients requiring dialysis.
Assessing the Impact of Tuberculosis on Economic Growth in ASEAN Countries: A Conceptual Framework and Panel Data Analysis Fitriangga, Agus; Alex, Alex
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
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Abstract

Tuberculosis (TB) remains a major global health issue, particularly in Southeast Asia, where its impact extends beyond public health to affect economic performance. This study evaluates the economic implications of TB incidence on gross domestic product (GDP) growth across eight ASEAN countries from 2000 to 2020. We employed a panel data regression approach, utilizing Common Effect Model (CEM), Fixed Effects Model (FEM), and Random Effects Model (REM) to analyze the relationship between TB incidence and economic growth. The dataset included annual GDP figures, TB incidence rates, foreign direct investment (FDI), labor force size, and trade openness, sourced from international databases. The most appropriate model was selected based on Chow and Hausman tests, with FEM being the preferred model for its ability to account for country-specific effects. The FEM analysis revealed a significant negative impact of TB incidence on GDP, with a reduction of approximately 6.69% in GDP growth for each unit increase in TB incidence. Simulations showed that countries with high TB prevalence, such as the Philippines and Cambodia, experienced substantial economic losses, while reductions in TB incidence could lead to notable economic gains, particularly in Indonesia and Thailand. The study highlights the considerable economic burden of TB on ASEAN countries and emphasizes the importance of integrating TB control measures into economic development strategies. Effective TB prevention and treatment could substantially mitigate economic losses and promote sustainable growth. Policymakers are encouraged to invest in TB healthcare infrastructure and consider the economic benefits of reducing TB incidence in their health policies.
Determinan Belanja Kesehatan Rumah Tangga di Pulau Jawa Menggunakan Geographically Weighted Regression Fadhila, Yaulanda; Projo, Nucke Widowati Kusumo
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
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The success of a country’s health development is marked by achieving fair access to healthcare and protecting the population from financial risks of health. Household spending on healthcare, or out-of-pocket (OOP) expenses, in Indonesia, remains far above the ideal limit set by the WHO. There is a noticeable disparity in OOP health expenditures across provinces in Indonesia. The five provinces with the highest per capita OOP expenses are on Java island. This high per capita OOP spending on Java indicates potential issues with access to healthcare services and financial protection in this region. This study aims to identify factors influencing household OOP health expenditures by considering regional effects in Java. The research utilizes secondary data from the 2022 National Socio-Economic Survey (Susenas) and data from BPS publications. The method used is spatial analysis with geographically weighted regression (GWR). The results indicate that all study variables affect household OOP health expenditures in Java’s districts and cities. Life expectancy, average years of schooling, transportation expenses to health facilities, the doctor-to-population ratio per 1,000 people, and the percentage of inpatient cases positively correlate with household OOP health spending. The variables of health insurance ownership percentage and poverty rate negatively correlate with household OOP health expenditures in each district and city in Java. However, the significance of local coefficients shows variation in the number of towns and neighborhoods for each variable. Thus, different variables influence each district and city on Java.

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