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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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HUBUNGAN KARAKTERISTIK PASIEN, PROSEDUR, DAN PENYAKIT PENYERTA DENGAN BIAYA LANGSUNG MEDIS PADA PASIEN RAWAT INAP JANTUNG KORONER Wahyuni, Rita Tri; Witcahyo, Eri; Herawati, Yennike Tri
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Coronary heart disease is a catastrophic disease that causes a high burden of medical costs. At Dr.Iskak Tulungagung hospital, coronary heart disease is the disease with the highest cost. The number of coronary heart patients who are hospitalized is also increasing every year. Several Previous studies have shown that the amount of direct medical costs of coronary heart patients reach more than 50% of the total costs of treatment. Therefore, it is necessary to do research on the factors associated with the increasing direct medical costs of coronary heart patients. The purpose of this study was to analyze the factors that influence the amount of direct medical costs in coronary heart inpatients which include: relationship between patient characteristics, medical procedures, and comorbidities with direct medical costs in coronary heart inpatients. This analytical study used a cross sectional design. The research sample was a coronary heart inpatient at Dr.Iskak Tulungagung Hospital who met the inclusion and exclusion criteria, namely 125 samples. Sampling with systematic random sampling. Data were analyzed using Spearman Rho test and Eta test. The results showed that most of the patients were aged 56-65 years, the majority were men with the length of hospitalization mostly for ≤ 3 days. The majority underwent invasive procedures and most had comorbidity. The average direct medical cost in 2020 is IDR 26,788,964 while in 2021 it is IDR 31,553,045. The three biggest costs of cath lab costs, drugs, and doctor and nursing actions. Medical procedures and comorbidity are factors related to that affect the amount of direct medical costs.
Analisis Biaya Akibat Sakit serta Kualitas Hidup Pasien Diabetes Mellitus Tipe 2 dengan Penyakit Jantung Sari, Lusiani Septika
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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Abstract

Indonesia is the fourth most deaths due diabetes mellitus and heart disease among south Asia countries. Cost of illness from diabetes mellitus with heart disease is the highest cost if it is compared with combination of diabetes mellitus with other chronic disease. This study with 110 patients as samples is aiming to describing the cost of illness and quality of life of patients with type 2 diabetes mellitus with heart disease in X public hospital. With cross sectional research design, primary data is collected with survey technique that uses structured questionnaire and secondary data is obtained through medical record document review along with another supporting document. This research has been done from March until May in 2014. The population is all type 2 diabetes mellitus patient with heart disease who was doing in-patient visit in X Bengkulu, the number of sample was 110 patients. The annual cost of illness due to type 2 diabetes mellitus with heart disease per patient was Rp. 6,081,572, with direct cost is reached (81.54%) and indirect cost (18.46%). The largest proportion of the cost was drug (37.05%). Factors that affect COI were Length of Stay (LOS) and the type of work, and factor affect quality of life was duration of illness. It is recommended that X Public Hospital Bengkulu should prepare clinical pathways and hospital formulary. The central government needs to revise national formulary with considering variability of country situation and develop program to improve quality of DM patient.
DAMPAK GUNCANGAN KESEHATAN TERHADAP KONSUMSI RUMAH TANGGA DI INDONESIA: ADAKAH PERAN ASURANSI KESEHATAN DAN KREDIT MIKRO? Umaroh, Rodhiah; Listiono, Listiono
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

This paper aims to analyze the impact of health shock on household consumption and estimate the role of health insurance and microcredit in tackling the shock impact. The primary variable used in this study as a proxy for health shock is the impairment of activity in daily living (ADL) experienced by household heads. The impact evaluation method of Propensity Score Matching (PSM) was employed to estimate the impact of health shock on Indonesian household consumption using data from Indonesian Family Life Survey (IFLS-5). This study's result reveals that health shock significantly reduces household consumption of both food and non-food consumption. Another important finding from this study is health insurance and microcredit can help the household to mitigate the negative impact of health shock. Health insurance and microcredit can be concluded to have an important role as a coping risk mechanism for households in the middle crisis of health shock.
Analisis Minimisasi Biaya Amlodipin Generik dan Bermerk pada Pengobatan Hipertensi di RS X Pekanbaru Tahun 2015 Merliana, Hanny; Sjaaf, Amal Chalik
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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Abstract

Hypertension in a big challenge in Indonesia, proven by its prevalence that reached 25% in 2013 and conditions that mostly found in primary health care. In addition, hypertension management is considered to be suboptimal despite the availability of effective drugs. Amlodipine is one of anti-hypertensive that is commonly prescribed by X Hospital, Pekan Baru. Therefore, it is important to do cost minimization analysis to compare both generic and branded Amlodipine as an implementation of cost and quality control. This retrospective study involved early and medium stage of hypertensive patients that have at least a month period of treatment from January to December 2015 using provider’s perspectives of CMA (Cost Minimization Analysis). The result showed that generic form of Amlodipine is the most common anti-hypertensive drugs prescribed in Cardiology and Internal Medicine Clinic, X Hospital. It was suggested that average cost of generic form of Amlodipine was IDR 68.660 while branded one was IDR 374.844 or approximately 5.4 times higher. Both generic and branded Amlodipine significantly reduced blood pressure, but there was not any distinguish effect between them. It was concluded that generic form of Amlodipine was a less expensive and efficient choice in reducing blood pressure.
Cost Effectiveness Analysis Between Hemodialysis and Peritoneal Dialysis Novelia, Elsa; Nugraha, Ryan Rachmad; Thabrany, Hasbullah
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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Abstract

The number of patients with End Stage Renal Disease (ESRD) in Indonesia is growing. Increasing prevalence of hypertension and diabetes mellitus contributes to higher prevalence of ESRD. The majority of patients (94%) with ESRD are undertaking hemodialysis (HD) at public and private hospitals. However, continuous ambulatory Peritoneal Dialysis (PD) has been prescribed to small portion of patients with ESRD. The aim of this study was to examine the cost effectiveness between HD and PD on ESRD patients. This study compared 78 HD patients at Hospital X in Bogor and 10 PD patients at Hospital Y in Jakarta. Patient’s quality of life (QoL) was measured using SF 36 questionnaires. The costs were measured by direct medical costs using CBGs prices, direct non-medical costs (transportation, food for patient and family), and indirect medical costs (opportunity costs). The study found that the HD cost per year per patient was IDR 133.4 million and the comparative cost for PD was IDR 81.7 million. The study found lower QoL of HD patients (46.2%) compared to QoL of PD patients (90%). In addition, PD patients had significant better quality of physical activities, emotional states, social function, and sanity. The study found the incremental costs for to HD to reach similar emotional states was IDR 2.0 million compared to PD and IDR 1.8 million for extra physical role gained. It is concluded that PD was more cost-effective than HD in achieving a certain level of quality of life among patients with ESRD in two hospitals in Indonesia.
Biaya Satuan dan Pemulihan Biaya (Cost Recovery Rate) Layanan Pasien Acute Coronary Syndrome dengan Rawat Inap di Rumah Sakit X Tahun 2015 Aurelia, Anna; Pujiyanti, Eka
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
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Abstract

X Hospital is a Class C Hospital in South Jakarta, which experiencing a substantial increased number of patients since the BPJS has implemented the referral system. Acute Coronary Syndrome (ACS) patient is a patient with a medical emergency require intensive treatment in the ICU. The purpose of this study was to analyze the cost for hospitalized ACS patients at X Hospital in 2015 using activity based costing. The study revealed that the unit cost of hospitalized ACS patients at X Hospital in 2015 was Rp 6.083.444,-. The Cost Recovery Rate for patients with fee-for-service was 227.98% and for BPJS patient was 71.38%. This study suggested the hospital to develop clinical pathway for ACS guidance, as well as recruiting full time doctors.
Analisis Implementasi Kebijakan Rujuk Balik Diabetes Melitus di Puskesmas X Kota Tangerang Selatan Hamzah, Aries; Sulistiadi, Wahyu
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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Abstract

The Increasing of Prevalence of Diabetes Mellitus will increase health expenditure in Universal Health Coverage (JKN). The role of health primary care as the front side in health services on back referral for Diabetes disease becomes very important. The purpose of this study was to determine the effectiveness of policy implementation in Diabetes Mellitus back referral behind PHC X 2014. This study used a qualitative approach to the study design content analysis and triangulation methods. Primary data obtained by in-depth interviews, focus groups, and observations in the field. Secondary data were obtained from policy documents and literature. The results showed ineffectiveness of policy implementation in Diabetes Mellitus back referral in X Primary Health Care. This study recommends to revise and make the existing regulations comprehensive in order to the implementation can be effective and further, there is no gap in Diabetes back referral policy implementation
PENUNDAAN PEMBAYARAN KLAIM JAMINAN KESEHATAN NASIONAL OLEH BPJS KESEHATAN DI INDONESIA: SEBUAH SCOPING REVIEW Tarigan, Immanuel Natanael; Lestari, Feni Dwi
Jurnal Ekonomi Kesehatan Indonesia Vol. 7, No. 2
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Abstract

Since it was first implemented, the utilization of the National Health Insurance (JKN) has been increasing each year. Currently, almost all hospitals accept JKN patients. However, the JKN claim payment process did not run as conveniently as expected, and there were frequent delays in payment. This delay becomes a major obstacle in hospitals, especially public hospital, which relies heavily upon JKN patients for its cashflow. This study aims to determine the magnitude of the delay in the payment of JKN claims and what factors are involved, especially in public hospitals. This study was conducted using the scoping method review with Arksey and O'Malley guidelines. The study was conducted by including publications from 2014 to 2022. A literature search was carried out on 3 electronic databases and additional searches, found a total of 530 articles. A total of 35 studies were analyzed in this study. This study found that the delay in the payment of JKN patient claims was around 2.5-47.7% per month. Several factors that were found to be closely related to the delay in payment of this claim were administrative completeness, the number of staff involved, the ability and accuracy of the coder, the completeness of the medical resume by the doctor in charge of the patient, good communication between the doctor in charge of the patient and coder, the use of internal verifiers, facility support. and infrastructure as well as the existence of standard operating procedures.
THE ANALYSIS OF DIABETES SELF-MANAGEMENT IMPLEMENTATION ON TYPE 2 DIABETES MELLITUS PATIENTS: A PROTOCOL FOR SYSTEMATIC REVIEW AND META-ANALYSIS Salsabila, Zhafirah; Sjaaf, Amal C
Jurnal Ekonomi Kesehatan Indonesia Vol. 7, No. 2
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Abstract

Diabetes is the fourth leading cause of death in the world. Ninety percent of the world's DM cases are dominated by type 2. International Diabetes Federation predicted the incidence and mortality rate of diabetes are increasing by 2045. Diabetes causes macrovascular complications that contribute to cardiovascular death, and microvascular which a risk factor for blindness, lower-extremity amputation, kidney failure, and death. One of the efforts to control complications from diabetes is done through diabetes self-management consists of education, medical nutrition therapy, pharmacological therapy, and physical exercise. The main purpose of implementing DSM is that patients can prevent or slow the onset of complications from diabetes itself. This study aims to summarize and systematically synthesize the clinical and non-clinical effectiveness and resume the cost-analysis of DSM implementation. Several electronic databases will be used: Medline via PubMed, and Embase. The complete evidence will be summarized and critically appraised using Cochrane guidelines and JBI Critical Appraisal Checklist for RCT and cohort studies. In terms of analysis, we will qualitative-quantitatively appraise and present the studies that meet our inclusion criteria. We are expected to summarize the quality and capture the valuable insights related to the study of effectiveness in implementing diabetes self-management of T2DM.
ANALISIS MANAJEMEN ANGGARAN PADA RUMAH SAKIT RUJUKAN DI MASA PANDEMI COVID-19 Turnip, Helena; Soewondo, Prastuti
Jurnal Ekonomi Kesehatan Indonesia Vol. 7, No. 2
Publisher : UI Scholars Hub

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Abstract

Budget management is a form of accountability for managing cash budgets distributed by the government to hospital agencies so that the budget provided by the central government can be used effectively, efficiently and on target. To examine and explore budget management at hospitals in Indonesia during the COVID-19 pandemic in relation to the budget for the procurement of Personal Protective Equipment (PPE) and infrastructure in hospitals as an effort to overcome the COVID-19 pandemic. PPE (Personal Protective Equipment) is one of the crucial instruments that must be used by all medical personnel in carrying out their duties, this triggers an increase in the PPE procurement budget. Literature Review method by reviewing relevant previous research. Budget management in hospitals has not been categorized as effective and efficient so that more mature planning and budget management are needed for hospitals to manage. As we know that the allocation of funds made to several hospitals in Indonesia was realized by purchasing tools and PPE equipment to add facilities and infrastructure used in tackling the COVID-19.

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