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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 CASE MIX INDEX PELAYANAN RAWAT INAP RUMAH SAKIT YANG BEKERJA SAMA DENGAN BPJS KESEHATAN TAHUN 2019-2020 Ambarita, Anna Tirawani; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
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Abstract

BPJS Health experienced various challenges in achieving Universal Health Coverage / Jaminan Kesehatan Nasional (JKN), including a referral system. According to the 2018 National Health Account, curative spending costs reached 69.1%. The Case Mix Index (CMI) is a benchmark for hospital performance abroad, but Indonesian hospitals have not used it. In 2019, BPJS Health tested CMI in 30 hospitals. The research uses sample data from 2019-2020 based on province, hospital type and ownership. The methods used are anova test, independent T, linear regression and multiple linear regression. The research results show a decrease in cases in 2019-2020. The highest CMI was in region 1, hospital A, and the private sector. The beta coefficient value for the proportion of male gender, elderly age, PBI APBD participants, and class 1 is greater than for CMI. CMI inpatients in 2019 is related to region, type of hospital, hospital ownership, proportion of children, proportion of productive, proportion of elderly, proportion of BP, proportion of PBI APBN, proportion of PBI APBD, proportion of PBPU, and proportion of class 1. CMI of inpatients in 2020 related to region, type of hospital, hospital ownership, proportion of men, proportion of women, proportion of children, proportion of productive, proportion of elderly, proportion of BP, proportion of PBI APBN, proportion of class 1, and proportion of class 3. It is hoped that the government will accelerate the distribution of services health and BPJS Health monitor hospital CMI.
WHO MARRIES WHOM MATTERS: KESAMAAN PENDIDIKAN ORANGTUA DAN BERAT BADAN SAAT LAHIR DI INDONESIA Johanna, Mudya; Samosir, Omas Bulan
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
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Despite ongoing efforts and commitment to reducing Low Birth Weight (LBW) babies, globally, the incidence of LBW has stagnated. This study uses a combined factor of maternal and husband/partner education variables to analyze the complexity of LBW incidents. This research uses secondary data from the 2017 SDKI with a multilevel logistic regression analysis method to look at the relationship between the similarity of parental education and the baby's birth weight at the individual and community levels. The results of the research show that mothers who have husbands/partners with equivalent education and higher education (≥high school or equivalent) have a lower tendency to experience LBW than mothers who have partners with unequal education. In addition, mothers who have partners with equivalent education and low educational characteristics have a higher tendency to give birth to LBW compared to other groups of mothers. The variables, including village resident status, living in an environment or community with a high average percentage of extreme poverty, and experiencing problems related to distance to health facilities, were associated with the birth of babies with low birth weight. The importance of commitment related to education, emphasis on fulfilling the number of prenatal visits, and the intervention strategy of the Scaling Up Nutrition (SUN) Movement need to be increased to reduce the number of babies with low birth weights.
ESTIMASI BIAYA PRODUKTIVITAS YANG HILANG AKIBAT KEMATIAN DINI PASIEN COVID-19 DI RS PKU MUHAMMADIYAH GAMPING Andriani, Yuni; Sugiyono, Sugiyono
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
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Abstract

COVID-19 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The COVID-19 virus infection has had an impact on the global health and economic system, including in developing countries. This research is an observational study by estimating the indirect costs of lost productivity due to premature deaths in COVID-19 patients at PKU Muhammadiyah Gamping Hospital in 2021 and knowing the characteristics of the patients. This hospital was chosen as the research site because the percentage of Bed Occupancy Rate (BOR) was the highest in Sleman Regency in 2021, reaching 68.94%. The results of the research show that the characteristics of inpatient COVID-19 patients at PKU Muhammadiyah Gamping in 2021 are dominated by those aged over 60 years, 139 (52.26%) patients, with the largest gender being male, namely 146 (55%) patients. Patients had a mean hospitalization value of 7.56 with a median cost of 7 days, a minimum of 1 day, and a maximum of 32 days. The patient's comorbid status was 195 (73.3) patients who were diagnosed with COVID-19 and had comorbid diseases with the highest percentage being diabetes mellitus, 96 (36.1) patients. These results indicate that the cost of lost productivity due to premature death in COVID-19 cases at PKU Muhammadiyah Gamping Hospital for men is higher than for women. This is influenced by the death rate and average income which are predominantly higher in male subjects.
MENAKAR KESIAPAN PUSKESMAS DALAM PENUNTASAN PENANGANAN PENYAKIT: ANALISA DATA RISET FASILITAS KESEHATAN 2019 Hendarwan, Harimat; Suparmi, Suparmi
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
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Abstract

The completion of disease treatment at the health center was important for payment of Capitation Based on Fulfillment of Service Commitment (PCFSC/KBPKP) and the Non-Specialist Case Outpatient Referral (NSOR/RRNS) was one of the key indicators. This study aimed to assess public health center readiness in the completion of disease treatment for those stipulated in Ministerial Decree number 514 of the year 2015. This study used Health Facility Research (Rifaskes) data conducted in 2019 with a total of 9831 health centers as observations. Analysis was conducted by comparing the availability of equipment, laboratories, and medicines with existing regulations. Health center readiness in completion of disease treatment differs according to geographical aspects, accreditation status, and financial management. Health centers located in Java, accredited, and holding Regional Public Service Agency (BLUD) financial management had better readiness for disease treatment. Health center readiness for disease treatment still experiencing problems in terms of the availability and adequacy of equipment, supporting examinations, and medicines. Therefore, it is recommended to synchronize and strengthen regulations for determining the type of disease that must be completely treated at the health center; review the type of disease that can be treated; and complete the minimum requirements of equipment, laboratories, and medicines.
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
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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
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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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Abstract

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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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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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.
Strategi Pemasaran Pelayanan Continuous Ambulatory Peritoneal Dialysis di Klinik Khusus Ginjal X Batam Tahun 2016 Toha, Bertha; Permanasari, Vetty Y ulianty
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
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Currently only 53% of patients with end-stage renal disease that can access dialysis and mostly get Hemodialysis (HD), whereas the cost to Continous Ambulatory Peritoneal Dialysis (CAPD) cheaper than HD (Ministry of Health, 2016). Services of CAPD in Clinic for Kidney Disease X. Batam began since 2010, but the number of CAPD patients only 3% of the end stage renal disease patients there. The purpose of this study to analyze the Marketing Strategy of Continuous Ambulatory Peritoneal Dialysis Services at the Clinic for Kidney Disease X Batam Year 2016. The design of the study is an analytic descriptive with quantitative and qualitative approaches. Stages of analysis used Fred R. David strategies and followed by Segmenting, Targeting and Positioning, and then determine the marketing mix (Product, Promotion, Price, Place, People, Physical Evidence, Process, Customer Service). The Clinic has set tariffs adjusted rates INA-CBG’s package but has not calculated the cost of the unit. A Marketing strategy that good and proper with the analysis of the situation are: Market Penetration and Product Development. Product marketing services in Clinic for Kidney Disease X Batam can be advertised through various media such as radio talk shows, Local Batam station of television talk shows and leaflets; distribute leaflets in the service room of Medicine; sales promotion, and training for doctors in health primary care. In addition, promotion of CAPD can use online or social media. In order to avoid asimetric information, the doctors have responsible for giving a comprehensive education on CAPD therapy.

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