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The Implementation Of Indonesian Case-Based Groups (Ina-Cbg) Of Cesarean Section Patients In Poor Family Health Payment Assurance In Undata Hospital Of Central Sulawesi, Indonesia

Yıl 2016, Cilt: 1 Sayı: 1, 57 - 68, 01.02.2016

Öz

Abstract - Indonesian case-based groups (INA-CBG’S ) was a payment system of health care for cesarean section patients indicative of pregnancy and laboring complication or case mix complication based on disease group. The payment system was in a package of fee for service and prospective payment system in which government provides those in poverty with health assurance.

The study aimed at finding out the patient action unit cost paid by government and the merit and the advantage and the implication of the policy of the implementation of Indonesian case-based groups (INA-CBG) in Indonesia. It used epidemiologic non-experimental design that examined the correlation of the risk factor and the effect of diseases in pregnancy with 62 respondents and its location was Undata Hospital of Central Sulawesi province. The results of the study showed that there were two indications of emergency type and effectiveness of cesarean section, viz.: 1) maternal indication and 2) infant indication. The biggest percentage of pregnant mother (66.7%) consisted of pre-eclampsia (43.5%) and placenta previa (26.7%) and the infant indication of transversal position (33.3%) and risky infant (66.7%). The ability of hospital to pay the cost for the patients because of the presence of the indication of emergency type and effective type at severe complication W/MCC affecting15 respondents with the action cost of $3285, and moderate complication W/CC affecting 20 respondents with the action cost of $3540, and light complication W/C affecting 24 respondents with the action cost of $3840. Thus, the total payment by the hospital for the 62 respondents of those in poverty was US$. The payment ability was classified into three disease groups, while the action cost was $11,145, and the mean action cost per patient was $180. The implementation of government policy of the implementation of INA-case-based groups in Indonesia would avoid over-utilization, unplanned and missed utilization so that the health cost for those in poverty would be more controlled and the quality of the health care for the health of mother and child would be higher in the future.

Keywords - cesarean section, Indonesian case-based groups, people health payment assurance.

Kaynakça

  • Bastian, I (2008), Akutansi Kesehatan Penerbit Erlangga.
  • Blesser, L.D, et al (2004). Classifyinf Clinical Pathway.
  • Carayol M, Zein A, Ghososn N, DU Mazaubrun C, Breat G (2008). Determinants of Cesarean Section Lebanon Geographical Differences. Journal Paediatric and Perinatal Epidemiology (2008); 22:136-144.
  • Cunningham,F.G, Gant N.F.Levano et al (1995). Williams Obstetrics New York : The Mc Graw-Hill Company :page 567-618.
  • Departemen Kesehatan RI, (2007). Direktorat Jenderal Bina Pelayanan Medik Indonesia DRG Buku Tarif INA-DRG Rumah Sakit Umum dan Khusus Kelas A.
  • Dinas Kesehatan Kota Palu, Provinsi Sulawesi Tengah 2009.
  • Girard,R.Perraud,M Pruss,A.,Savey,A.,Tikhomirov,E.Thuriaux,E., And Vanhems Edisi 2.(2000) Prevention hospital acquired infections: a Practical guide Ducel,G Fabry, J and Nicolle,L.(Ed).Department of Comunicable Disease, Surveillance and Response, World Health Organization.
  • Hakimi M. Experiencee with “ Village Midwife” Program to Reduce Neonatal Mortality in Indonesia. Paper presented at “Reducing Perinatal Mortality and Neonatal Mortality-Review of Potensial Interventions and Implications for Program and Research.” The John Hopkins School of Public Health,Batimore Maryland, USA, May 10-12, 1999.
  • International Statistical Classification of Diseases (ICD 9-10) and Related Health Problems Tenth Revision Volume 2 Instruction Manual. World Health Organization (WHO) Genewa 1993.
  • Khawaja, Marwan, Khasholian TK, Jurdi R, Determinants of Cesarean Section in Egypt : Evidence from the Demographic and Health Survey-Journal Health Policy no. 69 (2004) page 273-281.
  • Mills.A, Lee, K. (1993). Helath Economics Research in Developing Countries. Oxford New York University Press. Department of Public Health and Policy London School of Hygiene and Tropical Medicine, Department of Social Science and Administration London of Economics and Political Science.
  • Mukti, A.G. (2009).Konsep dan Implementasi INA-DRG dalam konteks Jamkesmas, Seminar dalam rangka Dies Natalis FK UGM ke -63 dan hari ulang tahun RSUP Dr.Sardjito ke-27 Pusat Pengembangan Sistem Pembiayaan dan Manajemen Asuransi Kesehatan Fakultas Kedokteran Universitas Gadjah mada Yogyakarta Indonesia.
  • Mukti, A. G. (2009). Reformasi Sistem Pembiayaan Kesehatan di Indonesia : Asuransi Kesehatan Sosial sebagai Pilihan. Bulak sumr Menggagas Kesejahtraan, Pemikiran 60 Guru Besar.
  • Najmi Rakhshan,S. Rehan, N. (2000).Prevalence and Determinants of Caesarean Section in a Teaching Hospital of Pakistan.Journal of Obstetrics and Gynecology, Vol 20 No.5,page 479-483, Department of Obstetrics & Gynecology and Pakistan Medical research Council, Fatima Jinnah Medical College Lahore Pakistan.
  • Prawirohardjo, S.(2002). Ilmu Kebidanan, Yayasan Bia Pustaka Jakarta.
  • Rivany, R. (2008). Implementasi INA DRG’s Tahun 2005-2006 Pusat kajian Ekonomi & Kebijakan Kesehatan Fakultas Kedokteran Masyarakat Universitas Indonesia.
  • Petrou, (2002). Cost of Alternative Model Delivery During the First two months Postpartum: Results from a Scottish Observational Study.BJOG; Journal International of Obstetrics and Gynecology, February Vol 109 Page.214-217.
  • Petrou, S.Vanderson, J. And Glazene, C (1999), Economic Aspects of Cesarea Section and Alternative Modes of Delivery, UK : Department of Health.
  • Lemeshow, (1996-1998). Sampel Size Determination in Health studies Version 2 A Practical Manual World Health Organization Genewa.
  • Rahmawati, Siti. Atjo, (2012). Clinical Pathway dan Aplikasi Activity Based Costing Bedah Sesar di Rumah Sakit Undata Provinsi Sulawesi Tengah Indonesia, Disertasi Fakultas Kedokteran dan Kesehatan Universitas Gadjah Mada Yogyakarta.
  • Statistic Report (2011 of the Minister of Health of the Republic of Indonesia Case Based Group’s (INA-DRG’s-INACBG’s) .
  • World Health Organization, (2001).Making Preqnancy Safer Paper for Discution WHO Genewa Juni tanggal 09-23.
  • Workshop Perhitungan Unit Cost Rumah Sakit Strategi Penyusunan Tarif Rumah Sakit; Dari Tarif Berbasis ABC (Activity Based Costing) Hingga Penyusunan Tarif dengan Sistem Biaya Paket DRG’s/ Casemix Hotel Pantai Gapura Jumat-Sabtu 17-18 Februari 2006.
  • World Health Organization , (1999). A Survey of the Prevalence Indication of Cesarean Section.
  • The Implementation Of Indonesian Case-Based Groups (Ina-Cbg) Of Cesarean Section Patients In Poor Family Health Payment Assurance In Undata Hospital Of Central Sulawesi, Indonesia
Yıl 2016, Cilt: 1 Sayı: 1, 57 - 68, 01.02.2016

Öz

Kaynakça

  • Bastian, I (2008), Akutansi Kesehatan Penerbit Erlangga.
  • Blesser, L.D, et al (2004). Classifyinf Clinical Pathway.
  • Carayol M, Zein A, Ghososn N, DU Mazaubrun C, Breat G (2008). Determinants of Cesarean Section Lebanon Geographical Differences. Journal Paediatric and Perinatal Epidemiology (2008); 22:136-144.
  • Cunningham,F.G, Gant N.F.Levano et al (1995). Williams Obstetrics New York : The Mc Graw-Hill Company :page 567-618.
  • Departemen Kesehatan RI, (2007). Direktorat Jenderal Bina Pelayanan Medik Indonesia DRG Buku Tarif INA-DRG Rumah Sakit Umum dan Khusus Kelas A.
  • Dinas Kesehatan Kota Palu, Provinsi Sulawesi Tengah 2009.
  • Girard,R.Perraud,M Pruss,A.,Savey,A.,Tikhomirov,E.Thuriaux,E., And Vanhems Edisi 2.(2000) Prevention hospital acquired infections: a Practical guide Ducel,G Fabry, J and Nicolle,L.(Ed).Department of Comunicable Disease, Surveillance and Response, World Health Organization.
  • Hakimi M. Experiencee with “ Village Midwife” Program to Reduce Neonatal Mortality in Indonesia. Paper presented at “Reducing Perinatal Mortality and Neonatal Mortality-Review of Potensial Interventions and Implications for Program and Research.” The John Hopkins School of Public Health,Batimore Maryland, USA, May 10-12, 1999.
  • International Statistical Classification of Diseases (ICD 9-10) and Related Health Problems Tenth Revision Volume 2 Instruction Manual. World Health Organization (WHO) Genewa 1993.
  • Khawaja, Marwan, Khasholian TK, Jurdi R, Determinants of Cesarean Section in Egypt : Evidence from the Demographic and Health Survey-Journal Health Policy no. 69 (2004) page 273-281.
  • Mills.A, Lee, K. (1993). Helath Economics Research in Developing Countries. Oxford New York University Press. Department of Public Health and Policy London School of Hygiene and Tropical Medicine, Department of Social Science and Administration London of Economics and Political Science.
  • Mukti, A.G. (2009).Konsep dan Implementasi INA-DRG dalam konteks Jamkesmas, Seminar dalam rangka Dies Natalis FK UGM ke -63 dan hari ulang tahun RSUP Dr.Sardjito ke-27 Pusat Pengembangan Sistem Pembiayaan dan Manajemen Asuransi Kesehatan Fakultas Kedokteran Universitas Gadjah mada Yogyakarta Indonesia.
  • Mukti, A. G. (2009). Reformasi Sistem Pembiayaan Kesehatan di Indonesia : Asuransi Kesehatan Sosial sebagai Pilihan. Bulak sumr Menggagas Kesejahtraan, Pemikiran 60 Guru Besar.
  • Najmi Rakhshan,S. Rehan, N. (2000).Prevalence and Determinants of Caesarean Section in a Teaching Hospital of Pakistan.Journal of Obstetrics and Gynecology, Vol 20 No.5,page 479-483, Department of Obstetrics & Gynecology and Pakistan Medical research Council, Fatima Jinnah Medical College Lahore Pakistan.
  • Prawirohardjo, S.(2002). Ilmu Kebidanan, Yayasan Bia Pustaka Jakarta.
  • Rivany, R. (2008). Implementasi INA DRG’s Tahun 2005-2006 Pusat kajian Ekonomi & Kebijakan Kesehatan Fakultas Kedokteran Masyarakat Universitas Indonesia.
  • Petrou, (2002). Cost of Alternative Model Delivery During the First two months Postpartum: Results from a Scottish Observational Study.BJOG; Journal International of Obstetrics and Gynecology, February Vol 109 Page.214-217.
  • Petrou, S.Vanderson, J. And Glazene, C (1999), Economic Aspects of Cesarea Section and Alternative Modes of Delivery, UK : Department of Health.
  • Lemeshow, (1996-1998). Sampel Size Determination in Health studies Version 2 A Practical Manual World Health Organization Genewa.
  • Rahmawati, Siti. Atjo, (2012). Clinical Pathway dan Aplikasi Activity Based Costing Bedah Sesar di Rumah Sakit Undata Provinsi Sulawesi Tengah Indonesia, Disertasi Fakultas Kedokteran dan Kesehatan Universitas Gadjah Mada Yogyakarta.
  • Statistic Report (2011 of the Minister of Health of the Republic of Indonesia Case Based Group’s (INA-DRG’s-INACBG’s) .
  • World Health Organization, (2001).Making Preqnancy Safer Paper for Discution WHO Genewa Juni tanggal 09-23.
  • Workshop Perhitungan Unit Cost Rumah Sakit Strategi Penyusunan Tarif Rumah Sakit; Dari Tarif Berbasis ABC (Activity Based Costing) Hingga Penyusunan Tarif dengan Sistem Biaya Paket DRG’s/ Casemix Hotel Pantai Gapura Jumat-Sabtu 17-18 Februari 2006.
  • World Health Organization , (1999). A Survey of the Prevalence Indication of Cesarean Section.
  • The Implementation Of Indonesian Case-Based Groups (Ina-Cbg) Of Cesarean Section Patients In Poor Family Health Payment Assurance In Undata Hospital Of Central Sulawesi, Indonesia
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Bölüm Articles
Yazarlar

Siti Rahmawati

Yayımlanma Tarihi 1 Şubat 2016
Gönderilme Tarihi 12 Eylül 2015
Yayımlandığı Sayı Yıl 2016 Cilt: 1 Sayı: 1

Kaynak Göster

APA Rahmawati, S. (2016). The Implementation Of Indonesian Case-Based Groups (Ina-Cbg) Of Cesarean Section Patients In Poor Family Health Payment Assurance In Undata Hospital Of Central Sulawesi, Indonesia. International Journal of Health Management and Tourism, 1(1), 57-68.