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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 130 Documents
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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
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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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Abstract

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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Abstract

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.
Dampak Faktor Ekonomi dan Non Ekonomi Terhadap Jumlah Anak di Indonesia: Analisis Data Demographic Health Survey 2017 Munthe, MaySarah Qonita; Salsabila, Nasywa Nayifa; Kautsar, Achmad
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 2
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Indonesia has a large population, with a declining annual growth trend. Economic and non-economic factors contribute to the desired number of children. This study uses the latest data from the 2017 Demographic and Health Survey (DHS) to analyze the relationship between these factors and the desired number of children. A logit model is employed to evaluate the probability of having more than two children.The findings indicate that higher economic status is associated with a lower likelihood of having more than two children. Women in the middle economic group are 7.1% less likely to have more than two children compared to women in the low-income group. Additionally, non-economic factors, such as education level, show significant associations. Women with higher education are 21.1% less likely to have more than two children compared to women with lower education levels. This highlights the importance of women's education as a key non-economic factor in managing population growth. The government could consider expanding access to education, such as providing scholarships specifically for women, to help them achieve higher education levels. This, in turn, could indirectly contribute to population control in Indonesia.
Evaluasi Ekonomi Total Hip Arthroplasty Protokol Enhance Recovery After Surgery Dibandingkan Konvensional di RSUP Fatmawati Jakarta Lumbangaol, Hanna Elisabet; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 2
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Total hip arthroplasty (THA) is a common orthopedic procedure performed to replace damaged hip joints with prostheses. The demand for this procedure is expected to rise in the future. Enhanced Recovery After Surgery (ERAS) has been introduced as an evidence-based, multidisciplinary approach aimed at optimizing postoperative recovery and reducing hospital length of stay. This study aims to evaluate the costs and effectiveness, including hospital stay duration and surgical success rates, of THA using the ERAS protocol compared to conventional approaches. This cross-sectional study involved data collection from healthcare providers between January 2020 and May 2023. The analysis showed that both protocols achieved a 100% success rate in surgery, while a length of stay of ≤5 days was recorded in 88% of ERAS cases and 75% of conventional cases. The average costs were IDR 41,525,202 for the ERAS protocol and IDR 40,845,242 for the conventional protocol. Although no statistically significant differences were found in the direct medical costs or effectiveness between the two approaches, the primary cost differences were attributed to physician consultation and diagnostic examinations. This study was limited to cost and effectiveness analyses, without a comprehensive cost-effectiveness evaluation, such as calculating cost-effectiveness ratios. These findings provide initial insights into the economic implications of the ERAS protocol in Indonesian hospital settings.
Faktor yang Memengaruhi Kinerja Verifikasi Dokter Verifikator Internal Medis dalam Proses Klaim Pasien Jaminan Kesehatan Nasional di Rumah Sakit Cipto Mangunkusumo Tarigan, Immanuel Natanael; Oktamianti, Puput; Darmawan, Ede Surya
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 2
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Abstract

Since the implementation of the National Health Insurance, hospitals must be able to manage JKN claims properly. One way to properly manage the situation is by employing a medical internal verification doctor. This study aims to determine the factors that influence the performance of medical internal verification doctor based on the percentage of claim eligibility that has been verified. The research was conducted using a case study method with a qualitative and quantitative approach. The study was conducted on 16 medical internal verification doctors using questionnaires and in-depth interviews. The results of the study found that the performance of medical internal verification doctors in January-June 2022 was 81.45%, lower than other hospital owned by the ministry of health (85-94%). This study also found that the factors related to the verification performance of medical internal verification doctors were demographic in the form of years of service as medical internal verification doctors and other workloads, knowledge, job satisfaction in general, satisfaction with salary, benefits and rewards for work, satisfaction with the nature of work, as well as satisfaction with the operational situation of work and colleagues. Other factors in medical internal verification doctors verification performance is organizational support, such as standard operating procedures, training and education opportunities and opportunities for communication with external parties. Other factors related to the verification performance of VIM doctors are the passion as a medical internal verification doctor, tasks assignment, feedback on performance and criteria or standards for becoming a medical internal verification doctors.
Efisiensi Biaya dalam Perawatan Stroke Non-Hemoragik: Studi Kasus di Rumah Sakit Islam Sunan Kudus Mubarok, Chusnul; Suryawati, Chriswardani; Harto, Puji
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 2
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Abstract

Stroke is one of the leading causes of morbidity and mortality globally, with over 12 million new cases each year. In Indonesia, the prevalence of stroke increased from 8.3% in 2007 to 12.1% in 2013, with the age group of 55-64 years recording the highest prevalence. This study aims to analyse the actual costs of non-hemorrhagic stroke care for patients under the National Health Insurance (JKN) at the Islamic Hospital of Sunan Kudus using the Activity-Based Costing (ABC) method. A descriptive quantitative method was applied, collecting data from hospitalised non-hemorrhagic stroke patients during 2023. The results showed a discrepancy between actual costs and INA-CBGs tariffs, with the average actual cost reaching Rp3.146.184, which is lower than the hospital tariff of Rp5.762.965 and the INA-CBGs tariff of class iii Rp4.036.200. CRR1 reaching 183.13% indicates that the hospital tariff includes unit costs with a significant surplus. Meanwhile, CRR2 at 128.30% shows that the INA-CBGs tariff also covers actual costs, but with a smaller margin. This discrepancy financially burdens the hospital, especially for class 3 patients. This study recommends evaluating the hospital's tariff structure and improving compliance with clinical pathways to enhance cost efficiency and service quality. Thus, applying the ABC method is expected to provide more accurate cost information and support more effective management of BPJS claims.

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