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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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Analisis Pembiayaan pada Program Kesehatan Ibu dan Anak Melalui Metode Health Account di Kabupaten Jember Armahedi, Geofani; Witcahyo, Eri
Jurnal Ekonomi Kesehatan Indonesia Vol. 5, No. 1
Publisher : UI Scholars Hub

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Abstract

Maternal and Child Health (MCH) is unresolved health problems in Indonesia. Mother and child are family members who need attention and priority in delivery of health. In 2012, there were six provinces that were focus of government in resolve problems of maternal mortality, one of them was East Java. Jember District is one of district in East Java that is still having problems with MCH. The addition of the budget in increasing maternal and child health has not been running optimally in Jember. Therefore, it is necessary to research with Health Account approach related to MCH in Jember District. This type of research was descriptive research. The unit of analysis in this research was the institution that carried out direct or indirect activities on the MCH program in 2018 with an appropriate budget focus at the regional level. The results of research showed that expenditure patterns on every program were widely used for investment expenditure and the budget was prioritized for investment expenditure in indirect activities. The advice given is that Jember District Government develops policies directed at healthy paradigm development and builds an integrated financial management information system, and must also create a legal protection to institutionalize implementation of Health Accounts at distrcit level.
Analisis Biaya Satuan (Unit Cost) dengan Metode Activity Based Costing (ABC) di Poliklinik Jantung RSU dr. H. Koesnadi Bondowoso Sumiati, Sumiati; Witcahyo, Eri; Ramani, Andrei
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 2
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Abstract

Determination of rate calculated based on unit cost, based on Bondowoso Regent Regulation Number 62 of 2017, RSU dr. H. Koesnadi Bondowoso unit cost calculates using the Double Distribution method. Double Distribution (DD) method is not appropriate to be applied because it does not reflect activity, method based on activity, precise and accurate so that it can provide the right information is Activity Based Costing (ABC) method. RSU Dr. H. Koesnadi Bondowoso has not made unit cost calculation using Activity Based Costing (ABC) method, especially for outpatient installation. The purpose of this research is unit cost analysis with Activity Based Costing method in the heart polyclinic of RSU Dr. H. Koesnadi Bondowoso. The research method based on Activity Based Costing (ABC) calculation method. The unit of analysis was heart poyclinic at RSU Dr. H. Koesnadi Bondowoso. Unit cost calculated with Activity Based Costing (ABC) method. Based on the calculation result with 2017 data a unit cost obtained, electrocardiogram is Rp. 47,689, echocardiography Rp. 113,212 and treadmill is Rp. 221,547. The conclusion shown that the unit cost is lower than the specified rate.
Kajian Literatur Sistematis: Skema Pengendalian Biaya dalam Asuransi Kesehatan Nasional di Beberapa Negara Pujiyanti, Eka; Setiawan, Ery; Sari, Euis Ratna; Suwandi, Indah Pratiwi
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 2
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Abstract

Cost-containment is one of several strategies to ensure the financial sustainability of the National Health Insurance scheme. Several cost-containment models were commonly globally, such as cost-sharing, capping, and others. This review aims to determine the costs and impacts of implemented policy schemes as cost-containment instruments in various countries. We performed a systematic review from several primary databases (Proquest, Pubmed, and Cochrane Library) with the primary intervention are the cost-sharing methods. The results of our review focused on the cost containment scheme from the government perspective, in which the context of social insurance can be a modification of payment systems, cost-sharing, capping/quota, and waiting period. From one of the studies in Canada, we can see that the result has a significant impact on the health system, reducing the expenditure and the use of drugs that are not essential, and also indirectly improve the technical efficiency of the drug market through the care of participants in drug utilisation. In this research, it can be concluded that the implementation of cost containment schemes can reduce the moral hazard risk from the perspective of participants with additional contributions to the utilisation of healthcare services.
Kinerja Rumah Sakit Swasta dengan Pembayaran INA CBGs di Era Jaminan Kesehatan Nasional: Casemix, Casemix Index, Hospital Base Rate Nurwahyuni, Atik; Setiawan, Ery
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 2
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Abstract

Private hospitals must monitor their performance using indicators commonly used in DRG payment systems: casemix, casemix index and hospital base rate. This study aims to analyze the performance of private hospitals including casemix, casemix index and hospital base rate. This cross sectional study was conducted with a sample of 7 hospitals selected purposively representing private hospital type B, C, and D in 6 provinces. Casemix and CMI RS are strongly influenced by the hospital capacity, which the hospitals class B have higher casemix and CMI than class C and D hospitals. There is a phenomenon, CMI in class C hospitals smaller than class D which is probably caused by coding accuracy. The completeness and accuracy of diagnosis and procedures coding predominating affect the casemix and CMI. Almost all hospitals have HBR which are higher than National HBR except RSC3. It definitely will trigger profit from the implementation of INA-CBGs. Hospitals should monitor casemix, CMI and HBR regularly. The Ministry of Health is expected to publish the Cost Weight and National HBR as well as the average of casemix and CMI according to class of hospital, for a benchmark by hospitals.
Kemampuan dan Kemauan Pasien Umum Rawat Inap Dalam Membayar Pelayanan Kesehatan Rawat Inap di Rumah Sakit Umum Kaliwates Kabupaten Jember Anafia, Yanuar; Witcahyo, Eri
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 2
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Abstract

testRational rates were determined by calculating unit costs into account characteristics of product as information related ability and willingness to pay. Ability and willingness were calculated for quality control and cost at the hospital. Community satisfaction index in Kaliwates General hospital released number of customer satisfaction that hasn’t met the standard was rate of inpatient services. Results of preliminary study on general inpatients were 70% having an estimated rate of less than rate set by the hospital, 20% said rates were less affordable and 10% couldn’t estimate rates, then this study was calculate ability and willingness to pay for inpatient health services at the Kaliwates General Hospital. This study was an analytical study conducted on 91 general inpatients at Kaliwates General Hospital with total population sampling technique. The real value of ATP obtained has an average of IDR 438,101 with largest ability category was high ability at intervals ≥ IDR 409,375 and estimation of willingness to pay,WTP1 has an average of 256,923 and WTP2 has an average of 300,714,- The advice is calculation of unit cost with due regard ability and willingness to pay, development of inpatient rooms according to community needs,improvement of medical personnel,and development of information delivery innovations.
Analysis Of Risk for Class Shifting And Determinants of BPJS Kesehatan Membership Using Generalized Ordered Logit-Unconstrained Partial Proportional Odds Model Oktora, Siskarossa Ika; Wulansari, Ika Yuni; Ermawan, Geri Yesa
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 2
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Abstract

The main source of funding of BPJS Kesehatan comes from the different premium class in which the participant registered. The medical benefits among classes are equivalent, except inpatient facilities. But when the improvement health degree is not linear with the incurred costs, problem would arise. This study aims to analyze class shifting and determinants of BPJS Kesehatan membership. Around 1.53 percent of participants access higher classes, while 5.62 percent access lower classes. Class III participants with inpatient status severity level 2 and 3, reaching 41% and 43%, respectively. In addition, 60% of non-PBI participants are Class II premium participants; most of them are male, productive age, and workers. This research using Generalized Ordered Log- it Unconstrained Partial Proportional Odds Model concludes that participants who are married tend to choose higher premium class. Whereas productive age participants and a worker is in the lower premium class. The recommendation is the evaluation of membership based on class premium contributions considering potential participants (productive age and workers) who tend should be conducted in a lower class. Although mutual assistance is the principle of National Health Insurance, specific mechanisms should be established to examine the relation of age and health status to each participant regarding the difference in the registered class, besides their economic factors
Determinan Cakupan Imunisasi Dasar Lengkap pada Penerima Program Keluarga Harapan Wulansari, Wulansari; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
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Abstract

Poverty is a multidimensional social problem and related to the problems of health, education and other social welfare. National Basic Immunization Coverage (IDL) reached 57.9%, with 32.9% was incomplete and 9.2% were not immunized, while national coverage indicators were at least 90%. This study aims to determine the determinants that affects basic complete immunization coverage for babies receiving the Family Hope Program (PKH). The study design used was cross sectional. The research was located in 34 provinces. The total population is 9,205 respondents using secondary data from the National Socio-Economic Survey (Susenas) in 2017. The research shows that the achievement of complete basic immunization is 97.34% and 2.66% is incomplete. The results shows that age and marital status are positively related and significantly influence the basic immunization coverage, while education and employment variables are significantly associated but negatively related to basic immunization coverage. PKH has provided opportunities and access to poor households in implementing a complete basic immunization program. So it is necessary to intensify the supervision of young mothers, divorced mothers and working mothers to boost knowledge, build awareness, maintain and strengthen related behav ioral changes, health and care to increase the coverage of basic immunization in infants.
Determinan Sosial Ekonomi Konsumsi Minuman Berpemanis di Indonesia: Analisis Data Susenas 2017 Daeli, Widi Astutty Casimira; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
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Abstract

Sugar-Sweetened Beverages (SSBs) are added liquids with various of sugar. Consumption of SSBs contributes to Non-Communicable Diseases (NCDs) such as weight gain, increasing the risk of type 2 diabetes mellitus and cardiovascular diseases. NCDs can be prevent ed as early as possible by reducing the consumption of calories in sugar. WHO recommends adults and children to reduce sugar intake to less than 10% of total energy intake and continue to less than 5% of total energy intake. This study aims to determine the socio-eco nomic factors consumption of SSBs. We employed secondary data from the 2017 National Socio-Economic Survey (Susenas) with two-part models (OLS, Probit and Tobit). We found that internet access is consistently associated with lower household expenditure and consumption of SSBs. Therefore, it is necessary to increase the promotion of public health service advertising related to the danger of excessive consumption of SSBs and the inclusion of safe consumption of SSBs on packaging labels.
Ekuitas Layanan Rawat Inap Rumah Sakit di Indonesia Ariani, Devi Senja; Pujiyanto, Pujiyanto
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
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Abstract

In order to encourage the achievement of UHC in Indonesia, the government organized National Health Insurance (JKN) program. One of the objectives of the JKN program is the improvement of access and equity utilization of health services. This study aims to analyze Equity of Inpatient Utilization in Health Service in second and third year of JKN program implementation in 2015 and 2016. This study uses secondary data of SUSENAS in 2015 and 2016 with analysis using concentration curve and concentration index. The results showed that the Utilization of inpatient services in hospitals in the JKN group of participants increased in 2015 to 2016. The richer population utilizes more Health Service than the poor, as evidenced by concentration curves below the diagonal line (equity line) and the value of the positive concentration index of 0.0336 in 2015 and 0.0382 in 2016. There was an increase in inequity utilization in inpatient services in 2015 to 2016 which was seen from the difference of concentration index value of 0.0045. Pro-rich inequity caused by inequalities in age, income, education, regional residence and JKN ownership. While sex and job variables reduce inequality in inpatient service utilization in hospital by 2015 and 2016.
Perhitungan Biaya Satuan Pada Tindakan Intensive Unit Care di Rumah Sakit X di Jember Melalui Metode Activity Based Costing (ABC) Witcahyo, Eri
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
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Abstract

Hospital X in Jember is one of the government hospitals with C type status. In National Health Insurance (JKN) era, the payment scheme in hospital by using the INA CBG’s tariff package. Hospital could have profit or even loss, therefore health services effiency was needed. The objective of study was to identify service product and calculate of service product unit cost at Intensive Care Unit (ICU) in Hospital X in Jember. The type of this research was observational descriptive with cross sectional approach. The unit of analysis was ICU at Hospital X in Jember. The unit cost calculation method is using Acivity Based Costing. The result of the study shown that there were 21 service products that have various unit costs. The highest was Rp. 176,954, - (cardiac pulmonary resuscitation), the lowest was Rp. 27,061,- (intravena injection) and an average of Rp. 75,959, -. The conclusion shown that unit cost was strongly influenced by the resources used, the more efficient resources used for effective services, the smaller unit cost could get. Compared to INA CBG’s package tariff it will be able to create profit surplus for hospital.

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