ANALISIS KESESUAIAN BIAYA RIIL TERHADAP TARIF INA-CBGs PADA PROSEDUR PENYAKIT APENDIKS PASIEN JKN 2014 DI RSD MADANI DAN RSUD UNDATA PALU

Nur, Muh. (2014) ANALISIS KESESUAIAN BIAYA RIIL TERHADAP TARIF INA-CBGs PADA PROSEDUR PENYAKIT APENDIKS PASIEN JKN 2014 DI RSD MADANI DAN RSUD UNDATA PALU. Tesis thesis, Universitas Setia Budi Surakarta.

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Abstract

The problem frequently found in JKN (National Health Security) is the difference of real cost and the INA-CBGs package tariff for JKN patients in inpatient installation. The objective of research was to find out the compatibility of real cost with INA-CBGs package tariff, the relationship of treatment class, LOS, and severity to real cost and the compatibility of procedure with ICD-9 CM, hospital formulary in appendix procedure of JKN inpatients in Madani Local Hospital and Undata Local General Hospital in Palu. This research was conducted retrospectively. The sample was taken using purposive sampling, consisting 75 JKN patients of appendix procedure during January-June 2014 with code INA-CBGs K-1-13. The data was analyzed using one sample t-test. to compare the average of the real cost to the tarif INA - CBGs , the relationship between class care , LOS , severity of the charge carried by the real test correlation person , picture appropriateness of therapy with ICD - 9 CM and hospital formulary is done by calculating the percentage that corresponds to that do not fit. The results showed that there were discrepancies between the real cost to the INA - CBGs rates on first -class care p 0.663 p> 0.005 as are class II treatment of mild severity where p 0.523 > 0.005 p . The severity was found significant results in which 0.290 p < 0.005 p , class III treatment found significant results in mild severity p 0.207 < p 0.005 and p 0.190 severity is < p 0.005. There was a relationship between LOS and real cost in Madani Local Hospital of Palu (p = 0.000). in Palu Local General Hospital, there was a relationship of LOS and treatment class to real cost (p = 0.000). The therapy for JKN patient with appendix procedure in Madani Local Hospital and Undata Local General Hospital in Palu had been consistent with ICD-9 CM and hospital formulary. Conclusion The study found correspondence between the real cost to the INA - CBGs rate at RSD Madani and hospitals Undata Palu for all classes except the treatment and the severity of the treatment of class I and II to mild severity . Keywords: INA-CBGs, appendix procedure, real cost, therapeutic compatibility

Item Type: Thesis (Tesis)
Uncontrolled Keywords: INA-CBGs, appendix procedure, real cost, therapeutic compatibility
Subjects: H Social Sciences > HJ Public Finance
R Medicine > R Medicine (General)
Divisions: Fakultas Farmasi > Prodi S2 Farmasi
Depositing User: magdalena kartika ningsih
Date Deposited: 21 Feb 2020 03:01
Last Modified: 21 Feb 2020 03:01
URI: http://repository.setiabudi.ac.id/id/eprint/2578

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