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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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Penghitungan Biaya Satuan pada Instalasi Rawat Jalan di Rumah Sakit X Jambi menggunakan Metode Step Down Wulan, Susilo; Direja, Ade Herman Surya; Reflisiani, Dian
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
Publisher : UI Scholars Hub

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Abstract

Hospital has a responsibility to provide quality and affordable health care to the community. Therefore, determining tariffs by calcu lating the actual cost is very important, especially for internal stakeholders in undergoing cost analysis, performance evaluation and decision making, including tariff negotiation with external stakeholders. This research objective is to calculate unit costs and compar atively analyzing costs between units in an outpatient installation using the step-down method. This research used a partial economic evaluation which only portrays the description of cost object without comparing the output from the analyzed unit. The stages of data analysis include identifying the resource of cost center by firstly determining the final cost, intermediate cost and indirect cost, the second stage is identifying and calculating investment cost, operational cost, and maintenance costs, the third stage is determining the allocation basis, and the fourth stage is calculating the total cost. The highest unit cost occurs in dental poly at Rp.621.100,99/visit, while the lowest unit cost is in internal medicine which is Rp.241.307,51/visit. It is hoped that the results of this study can be taken into consideration in the changes made by service rates and making evaluation materials on outpatient care so that they are more efficient in their management.
Increasing Cigarette Excise Tax Prevents Smoking Initiation in Children and Finances National Health Insurance in Indonesia Purnamasari, Ayu Tyas; Pujiyanto, Pujiyanto; Thabrany, Hasbullah; Nurhasana, Renny; Satrya, Aryana; Dartanto, Teguh
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Indonesia has ranked third among countries with the highest number of smokers in Asia because the price of cigarettes in those countries is still affordable. The strategy to make the price of cigarettes is not affordable is increasing cigarette excise tax. This instrument is considered the most effective way to control cigarette consumption. The purpose of this study was to find out how the public perceive the increase of the cigarette excise tax to cover the National Health Insurance (NHI) deficit and to identify the factors which affect such perception. This study used mobile phone survey and the sample were 1000 respondents. The list of potential respondent’s mobile phone numbers was selected using the systematic random sampling method with an interval of 100,000 to 200,000. The result showed that 87.9% respondents agree to increase cigarette price so that the children do not start to smoke. The majority of respondents (86.2%) also agree to increase the price of cigarettes to finance the JKN deficit. Perceptions of respondents who agreed to increase the price of cigarettes to prevent smoking initiation in children also tended to accede the increase in cigarette prices for financing the JKN deficit.
Determinan Sosial Ekonomi Rumah Tangga dari Balita Stunting di Indonesia: Analisis Data Indonesia Family Life Survey (IFLS) 2014 Indrastuty, Dini; Pujiyanto, Pujiyanto
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Stunting is a chronic nutritional problem in infants characterized by shorter stature compared to their age. Stunting in toddlers has risk at the level of intelligence, vulnerability to disease, lowering productivity which in the long run can hamper economic growth. When adults, children who suffer from stunting are prone to non-communicable diseases. This causes government spending in terms of financing national health insurance to continue to increase. This study aims to analyze the determinants of household socioeconomic factors of stunting toddlers. It used the secondary data of the Indonesian Family Life Survey (IFLS) in 2014 with cross-sectional study design and the application of an econometric logit model. The number of observations as a sample in this study amounted to 3,794 toddlers on a national scale. The results showed the incidence of stunting toddlers had a significant relationship with the employment status of mothers, shelter, sanitation and economic status. Mothers who spend more time and pay attention to child nutrition, toddlers who can reach health care facilities, access to good sanitation, family economic status, proper government intervention, and the role of cross-sector and community order have an impact on the handling of stunting problems in Indonesia
Evaluasi Ekonomi Penggunaan Antibiotika Profilaksis Cefotaxime dan Ceftriaxone pada Pasien Operasi Seksio Sesarea di Rumah Sakit X Aisyah, Echa; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

A prophylactic antibiotic for patients with cesarean section surgery is highly recommended in the clinical guideline. The use of antibiotics is selected by using criteria safety and cost-effectiveness. This partial economic evaluation in the form of cost and outcome analysis was using alongside observational study method, prospective data were collected from April to May 2017 covering 60 patients with cesarean section surgery who received prophylaxis antibiotics, comparing cost-effectiveness between Cefotaxime and Ceftriaxone. The statistical test showed that there were no differences of characteristics in the 60 patients. The analysis based on the hospital perspective carried out in a public hospital in West Java. The Systematic Review showed that there was no difference in the efficacy of the drugs. This study confirmed that there was no difference in clinical outcome on surgical wound infections either in the patient who received Ceftriaxone prophylaxis or Cefotaxime. The greatest component of the cost was the operational cost (84.79%), followed by indirect cost (13.68%), investment cost (1.2%), and maintenance cost (0.32%). The analysis suggested the incremental cost was IDR342,535 in one episode of treatment. The hospital would save the cost of IDR317,529,945 a year by choosing Cefotaxime prophylactic antibiotics for patients with cesarean section surgery.
Determinan Sosial Ekonomi Kepemilikan Jaminan Kecelakaan Kerja pada Tenaga Kerja Informal di Indonesia: Analisis Data SUSENAS 2017 Madya, Sri Denti On; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

The number of informal workers is higher than the formal workforce in Indonesia. The coverage of working accident protection is still very low while the work accident rate still tends to be high. This study aims to determine the socio-economic determinants of employ ment accident insurance ownership in informal workers in Indonesia. This study used a cross sectional study design with bivariate analysis using the estimation method of maximum likelihood. The Susenas Data (National Socio-Economic Survey) in 2017 is ana lyzed using logistic/logit regression. The variables observed were age, sex, marital status, health, education, regional complaints, and socio-economic/informal labor income. The results of the study indicated a relationship between region (p=0,0005), age (p=0,0005), sex (p=0,0005), marital status (p=0,001), education (p=0,0005), and socio-economic/income (p=0,0005) in informal labor on em ployement accident insurance ownership in Indonesia. The econometric model show that the factors that most influence the owner ship of work accident insurance in the informal sector workforce are informal labor characteristics consisting of education (OR 1.94), Age (OR 1.09), region (OR 1.71), and income (OR 1.79).
Health Workforce Assessment in Jakarta for Effective HIV Policy Implementation: Challenges and Opportunities toward Epidemic Control Deussom, Rachel Hoy
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Strategic efforts are needed in Indonesia to implement the recently released human immunodeficiency virus (HIV) Test and Treat policy which promotes increased treatment uptake, known to have important economic benefits. Of Indonesia’s estimated 631,635 people living with HIV (PLHIV) in 2018, only 12% are on treatment. The USAID- and PEPFAR-funded Human Resources for Health in 2030 (HRH2030) Program undertook policy analysis and assessed the available health workforce and service delivery at select sites in Jakarta to identify and anticipate Test and Treat implementation gaps. A mixed methods concurrent triangulation design was used, including policy analysis, key informant interviews, and site-level tools to capture workforce availability, skills, quality, and performance. Results indicate priorities to: define and implement HIV standards of practice for the Test and Treat policy; improve relevance and coordination of pre-service and in-service training programs; and support managers to optimize task and workforce allocation, including allocating lower-skilled workers to routine testing. Additional site-level data are needed from rural and remote sites in Indonesia, where fewer health workers are distributed. Efficiencies can help sustain HIV programs and contribute to epidemic control.
Cost Benefit Analysis (CBA) Program Pemberian Makanan Tambahan (PMT) Susu Pada Karyawan di PT. Trisula Textile Industries Tbk Cimahi Tahun 2018 Rahmiyati, Ayu Laili
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Cost Benefit Analysis (CBA) for the process of identification , measurement,comparison social benefits and cost project or investment program to evaluate utilization of scarce economic resources so that it can be used efficiently .This research purposes are calculateing benefits and cost in rupiah from the milk supplementary feeding program (PMT) at PT. Trisula Textile Industries Tbk Year 2018 and deciding feasibility of program or policy sustainability from PMT milk. The research is using quantitative approach. Data collection is done through interviews, observations, and study documents. Calculation is using Payback Period (PP), Net Present Value (NPV), Internal Rate Of Return (IRR), and Benefit Cost Rate (BCR). The result showscalculation of NPV value on milk PMT program obtained results end Rp. 23,534,448,76, -. To conclude, the milk PMT program is acceptable because NPV> 0. Benefit-cost ratio , is 2.50 (≥ 1), meaning the milk PMT program is feasible. PT. Trisula Textile Industries Tbk is expected to continue the program of milk PMT. Basic research data could be used for preparing health program or health enhancement for employees through PMT or the other priority programs.
Analisis Kesiapan Pembiayaan Hipertensi, Diabetes Melitus dan Gangguan Jiwa dalam Mendukung Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) Tahun 2018-2020 Astuti, Trihardini Sri Rejeki; Soewondo, Prastuti
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 1
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Healthy Indonesia Program with Family Approach (PIS PK) is a way to expand Puskesmas reach and access to health services through family home visit Overcoming non-communicable diseases (NCD) is a national priority in achieving Healthy Indonesia because the prevalence of NCD continues to increase. Managing NCD specifically hypertension, Diabetes Mellitus and mental disorders are among the indicators of healthy families in achieving PIS PK.This research uses the qualitative method through in-depth interviews and related document. Analysis of readiness of financing for hypertension, Diabetes Mellitus and mental is calculated using costing methode of SPM. The results indicated health spending for PIS PK activities were utilized for socialization, education and data collection. Referring to SPM costing calculation, the City of Depok was able to implement SPM for hypertension, Diabetes Mellitus and Mental Disorder with using only 1.38% of the total APBD (non-salary). Depok City is not ready in implementing PIS PK, specifically in terms of commitment, human resources, and budget. Though already familiar with PIS PK, Depok City states due to its limited resources, PIS PK implementation depends on the availability of funding from Non-Physical DAK disbursement that tends to have a lengthy lag time between the proposal process and the realization of the disbursement. The financing of PIS PK requires a more optimal planning process and allocation of human resources as needed.
Risk Adjustment of Capitation Payment System: What Can Indonesia Adopt from other Countries? Zahroh, Asri Hikmatuz
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 1
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Capitation calculation in Indonesia is not adjusted by individual and aggregate risk. Without risk adjustment, capitation rates are likely to overpay or underpay primary care. This study aimed to review risk-adjusted capitation payment in other countries for evaluation of capitation payment system in Indonesia. The conduct and reporting of this systematic review followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This study used comprehensive electronic search in five databases: Pubmed, Proquest, Scopus, PMC, and EBSCOHost. Search results from five databases in April 2018, yielded a total 19 titles that will continue to review the full article and at the end, 4 articles included for systematic review. Based on risk adjustment of capitation payment system in UK, USA, Canada and Sweden, Indonesia may initiate the use of risk adjustment based on the distribution of age and sex. Then Indonesia can develop risk adjustment based on diagnosis and socioeconomic factors to create more fair and accurate capitation rates for primary care.
Efektivitas Biaya Strategi DOTS Program Tuberkulosis antara Puskesmas dan Rumah Sakit Swasta Kota Depok Ulya, Fikrotul; Thabrany, Hasbullah
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 1
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Global TB notification rate at 2016 was 77% and 46.5% in Southeast Asia. Indonesia last 5 years still remain at 32-33% where Depok City reached 58%. In Depok City, private sector contributed 18.7% of the notified TB case in 2016 although only 40% of private hospitals were involved. The aims of this study is to determine cost-effectiveness of DOTS strategy implementation at private hospital and Public Health Centre (PHC). Comparative study carried out for six months with cohort retrospective between PHC, DOTS and Non DOTS hospitals using 36 samples per group. The calculation of the societal perspective with microcosting based on tariffs, market prices and budget value. Output is Success Rate, where at PHC 86.1%, DOTS hospital 77.78% and Non DOTS hospital 63.89%. The addition cost providers especially person in charge at PHC and DOTS hospital increase success rate. The cost of TB treatment in PHC 42% of private hospital. ACER (Average Cost Effectiveness Ratio) is obtained that the hospital which carry out the DOTS strategy is cost effective. To increase 1% success rate of TB treatment costs Rp 10,084,572 with intervention DOTS programs into a private hospital. An Independen t test stated that cost-effectiveness societal perspectives on TB treatment has a significant difference between PHC, DOTS hospital and Non DOTS hospital .

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