Ditemukan 36673 dokumen yang sesuai dengan query :: Simpan CSV
Lusiani Septika Sar; Pembimbing: Mardiati Nadjib; Penguji: David W. Dunlop, Merry Natalia, Vetty Yulianti Permanasari, Kurnia Sari
T-4241
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dien Kurtanty; Pembimbing: Vetty Yulianty Permansari; Penguji: Mardiati Najib, Alvina Rubianti, Doni Arianto
Abstrak:
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Penelitian ini bertujuan untuk menilai besarnya biaya akibat stroke pada penderita stroke yang mengalami kejadian stroke pertama kalinya pada periode 1 Januari – 31 Maret 2011 di Rumah Sakit Umum Pusat Fatmawati Jakarta. Penelitian ini merupakan penelitian dengan desain studi cost of illness crosssectional retrospektif, menggunakan pendekatan insiden kasus dan metode estimasi biaya dengan pendekatan ”bottom up”. Sampel populasi penderita stroke diambil berdasarkan purposive sampling sebanyak 100 responden. Untuk melihat faktor-faktor yang mempengaruhi biaya stroke digunakan uji Kai Kuadrat dan untuk melihat derajat hubungan menggunakan Odds Rasio dengan CI 95%. Berdasarkan hasil penelitian ditemukan bahwa estimasi rata-rata biaya akibat stroke per pasien pada tahun pertama adalah Rp18.872.561, dari total biaya ini rata-rata besar biaya langsung adalah Rp. 15.110.241 dan rata-rata biaya tidak langsung adalah Rp 3.762.360. Faktor-faktor yang mempengaruhi biaya akibat stroke antara lain Lama Hari Rawat, Status Neurologis saat masuk pertama kali ke rumah sakit, kondisi pasien saat keluar RS serta perbedaan kelas perawatan, tingkat pendidikan, status pekerjaan, tingkat pendapatan serta mekanisme pembayar. Hasil penelitian ini menyarankan kepada Kementerian Kesehatan dan Rumah Sakit untuk menata ulang perhitungan tarif dari semua penjamin baik Askes, Jamkesda, Jamkesmas dan TM DKI supaya banyak provider yang mau ikut serta dalam mekanisme pembiayaan ini. Kata kunci : Stroke, biaya, RSUP Fatmawati.
This study aimed to estimate the cost of stroke among stroke patients who experienced the first stroke acute in the period of 1 January to 31 March 2011 at the Fatmawati Public Hospital Jakarta. This research is design by cost of illness study of cross-sectional retrospective, using incident cases and the approach to cost estimation methods with a "bottom up". Sample population of stroke patients will be taken based on purposive sampling as much as 100 respondents. Factors that influence the cost of stroke in tests using the Kai Squares test and to see the degree of relationship using the Odds Ratio with 95% CI. The results showed that the estimated average cost per patient of a stroke in the first year is Rp18.872.561, the average of direct cost is Rp. 15.110.241 of total cost and the average of indirect cost is Rp 3.762.360. Factors that affect the cost of a stroke include the Length Of Stay (LOS), Neurological status at first time admission to the hospital, condition when patient’s discharge and treatment of class differences. In the present study also found that the cost of a stroke is indirectly affected by education level, employment status, income and method payment. These results suggest to the Ministry of Health and Hospitals to conduct the rate calculation of all method payment so many providers are willing to participate in this financing mechanism. Key words: Stroke, cost, Fatmawati Public Hospital Jakarta.
T-3688
Depok : FKM-UI, 2012
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dara Risczka Rosdianty; Pembimbing: Budi Hidayat; Penguji: Ede Surya Darmawan, Unting Patri Wicaksono Pribadi
S-10011
Depok : FKM UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Susilo Wulan; Pembimbing: Vetty Yulianty Permanasari; Penguji: Mardiati Nadjib, Kurniasari, Budi Hartono, M. Lintang
Abstrak:
Penyakit TB menempatkan beban luar biasa bagi penderita, keluarga, masyarakat,dan anggaran pemerintah. Selain kehilangan produktivitas kerja efek paling mendalam adalah penurunan tingkat kesejahteraan bahkan pemiskinan. Tujuanpenelitian ini menganalisis beban ekonomi yang ditanggung pasien dan anggota rumah tangga akibat penyakit Tuberculosis. Merupakan penelitian eksploratif deskriptif secara retrospektif dengan desain studi cross sectional. Sampel adalahpasien TB Paru BTA + dengan metode pengambilan sample probabilityproportional to size sebanyak 71 pasien.Estimasi total beban ekonomi akibat sakit TB di Kota Bengkulu adalah Rp7.259.600,- atau sebesar 28.48% dari rata-rata pendapatan rumah tangga. Komponen biaya yang paling dominan adalah biaya tidak langsung yaitu sebesar Rp 5.134..400,- atau 20.14% rata-rata pendapatan rumah tangga di ikuti biaya langsung sebesar Rp 2.125.200,- (8.34%) rata-rata pendapatan rumah tangga. Pasien dengan penghasilan rendah, umur lebih dari 43 tahun, tidak memiliki jaminan kesehatan, memiliki jumlah anggota rumah tangga lebih dari 4, melakukan coping strategy dan pernah menjalani rawat inap akan menangalami katastropik dibandingkan dengan kelompok lainnya, pada akhirnya mempengaruhi tingkat kesejahteraan dan pemiskinan rumah tangga. Diperlukan kajian kebijakan kesehatan yang dapat melindungi rumah tangga dari semua aspek biaya karena sakit, khususnya TB dalam mengurangi pengeluaran kesehatan dalam biaya non medis maupun indirect cost. Kata kunci : Beban Ekonomi, Coping Strategy, Katastropik, Pemiskinan.
Tuberculosis puts a tremendous burden for patients, families, communities andgovernment budgets. In addition to the work productivity loss, the most profoundeffect is the decrease in the level of well-being even impoverishment. The purposeof this study is analyze the economic burden by patient and households as a resultof Tuberculosis. It is an explanatory retrospective descriptive study with crosssectional design. Total respondents were 71, they were pulmonary TB patientswith smear positive. Sampling technique used probability proportional to size.Estimated total economic burden of illness due to Tuberculosis int the Bengkulucity is Rp 7.259.600, which is 28.48% of the average household income. The mostdominant component costs are indirect costs amounting to RP 5.134.400,-whilethe direct cost is Rp 2.125.200,-. Patients with low income, age over 43 years, donot have health insurance, have a household size of more than 4, do copingstrategy and have ever hospitalized will experience catastrophic compared to othergroups, which then affecting the level of household welfare and poverty. It is aneed to produce a health policy with the that can protect householdsexpencesndue to do TB illness, especially expenses on non medical costs andindirect costs.Keywords: Economic Burden, Coping Strategy, catastrophic,impoverishment.
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Tuberculosis puts a tremendous burden for patients, families, communities andgovernment budgets. In addition to the work productivity loss, the most profoundeffect is the decrease in the level of well-being even impoverishment. The purposeof this study is analyze the economic burden by patient and households as a resultof Tuberculosis. It is an explanatory retrospective descriptive study with crosssectional design. Total respondents were 71, they were pulmonary TB patientswith smear positive. Sampling technique used probability proportional to size.Estimated total economic burden of illness due to Tuberculosis int the Bengkulucity is Rp 7.259.600, which is 28.48% of the average household income. The mostdominant component costs are indirect costs amounting to RP 5.134.400,-whilethe direct cost is Rp 2.125.200,-. Patients with low income, age over 43 years, donot have health insurance, have a household size of more than 4, do copingstrategy and have ever hospitalized will experience catastrophic compared to othergroups, which then affecting the level of household welfare and poverty. It is aneed to produce a health policy with the that can protect householdsexpencesndue to do TB illness, especially expenses on non medical costs andindirect costs.Keywords: Economic Burden, Coping Strategy, catastrophic,impoverishment.
T-4150
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Pertiwi Puji Lestari; Pembimbing: Jaslis Ilyas; Penguji: Kurnia Sari, Anggi Afifi
S-10141
Depok : FKM-UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Adelia Pramesti Zahra; Pembimbing: Vetty Yulianty Permanasari; Penguji: Mardiati Nadjib, Erfan Chandra Nugraha
Abstrak:
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Latar belakang: Hemofilia sebagai penyakit langka menyumbang pembiayaan katastropik tertinggi JKN, mencapai Rp1,2 triliun pada 2023. Rendahnya deteksi dan penggunaan obat memperburuk ketimpangan alokasi anggaran, sehingga menjadi tantangan besar dalam keberlanjutan pembiayaan kesehatan nasional. Tujuan: Menganalisis Cost of Illness (COI) peserta JKN dari perspektif sosial, dengan fokus pada sudut pandang BPJS sebagai pembayar dan pasien yang mengalami kehilangan produktivitas Metode: Penelitian ini menggunakan desain studi observasional dengan pendekatan cross-sectional dengan analisis univariat dan bivariat. Sampel penelitian adalah peserta JKN dengan diagnosis Hemofilia (D66, D67, D68.0, dan D68.1), menggunakan data sekunder dari BPJS Kesehatan dan data upah rata-rata per jam berdasarkan provinsi dari BPS. Hasil: Pada tahun 2022-2023, rata-rata COI per peserta berdasarkan jumlah sampel adalah Rp728.832.232 dengan total Rp34.255.114.924. Berdasarkan jumlah populasi, total COI mencapai Rp3.019.551.937.176 Kesimpulan: Variabel jenis kelamin, usia, status perkawinan, segmentasi kepesertaan, kelas rawat, jenis pelayanan, lama hari rawat, tipe FKRTL yang sering dikunjungi, tingkat keparahan, dan penggunaan special drugs berpengaruh signifikan secara statistik terhadap COI
Background: Hemophilia, as a rare disease, contributes to the highest catastrophic health expenditure in the National Health Insurance (JKN) system, reaching IDR 1.2 trillion in 2023. Low detection rates and limited drug usage exacerbate the disparity in budget allocation, posing a significant challenge to the sustainability of national healthcare financing. Objective: This study aims to analyze the Cost of Illness (COI) for JKN participants from a societal perspective, focusing on the BPJS as the payer and patients experiencing productivity loss. Methods: This observational study uses a cross-sectional design, utilizing both univariate and bivariate analyses. The sample consists of JKN participants diagnosed with Hemophilia (D66, D67, D68.0, and D68.1), using secondary data from BPJS Kesehatan and average hourly wage data by province from BPS. Results: In 2022-2023, the average COI per participant based on the sample size was IDR 728,832,232, totalling IDR 34,255,114,924. Based on the total population, the COI reached IDR 3,019,551,937,176. Conclusion: Variables such as gender, age, marital status, membership segmentation, class of care, type of service, length of stay, type of healthcare facility frequently visited, severity level, and use of special drugs have a statistically significant impact on COI.
S-11928
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Siti Nur Latifah; Pembimbing: Vetty Yulianty; Penguji: Anhari Achadi, Reza Rahman
Abstrak:
Skrining kesehatan merupakan salah satu program BPJS Kesehatan dalam upaya kendali biaya pelayanan kesehatan. Namun, pada tahun 2016 ketercapaian program masih mencapai 17% dari target. Penelitian ini bertujuan untuk mengetahui implementasi skrining kesehatan diabetes melitus tipe 2 dan hipertensi di BPJS Kesehatan Kantor Cabang Utama Jakarta Timur tahun 2017. Penelitian menggunakan metode kualitatif. Data dikumpulkan melalui observasi, telaah dokumen dan wawancara mendalam dengan informan di FKTP (Fasilitas Kesehatan Tingkat Pertama) dan BPJS Kesehatan. Hasil penelitian menunjukan bahwa adanya masalah dari sisi komunikasi, sumber daya, sikap implementor, struktur birokrasi dan implementasi kegiatan skrining kesehatan. Penulis menyarankan agar dilakukan upaya perbaikan pada sosialisasi skrining ke FKTP, perencanaan SDM yang matang, pembuatan SOP skrining di FKTP dan memaksimalkan pemanfaatan BPJS mobile skrining.
Kata Kunci: Implementasi, Skrining Kesehatan
Health screening is one of the BPJS Kesehatan programs in order control health care costs. However, in 2016 the achievement program only reaches 17% of the target. The purpose of this research is to perceive the implementation of health screening for type 2 Diabtes Melitus and hypertension at BPJS Kesehatan, Branch Office, East Jakarta, 2017. This study used qualitative method, in which data was obtained from observation, document review, and in-depth interview with informants at Primary Care and BPJS Kesehatan. Research result indicate that there are issues regarding communication, resources, attitude of implementor, and implementation of health screening. Author suggests that improvement efforts are to be made regarding screening socialization toward Primary Care, human resource planning, screening Standard Operation Procedure (SOP) at Primary Care, and maximize the utilization of BPJS mobile screening.
Keyword: implementation, health screening
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Kata Kunci: Implementasi, Skrining Kesehatan
Health screening is one of the BPJS Kesehatan programs in order control health care costs. However, in 2016 the achievement program only reaches 17% of the target. The purpose of this research is to perceive the implementation of health screening for type 2 Diabtes Melitus and hypertension at BPJS Kesehatan, Branch Office, East Jakarta, 2017. This study used qualitative method, in which data was obtained from observation, document review, and in-depth interview with informants at Primary Care and BPJS Kesehatan. Research result indicate that there are issues regarding communication, resources, attitude of implementor, and implementation of health screening. Author suggests that improvement efforts are to be made regarding screening socialization toward Primary Care, human resource planning, screening Standard Operation Procedure (SOP) at Primary Care, and maximize the utilization of BPJS mobile screening.
Keyword: implementation, health screening
S-9363
Depok : FKM UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Haryadi Prayoga; Pembimbing: Dumilah Ayuningtyas; Penguji: Pujiyanto, Purnawan Junadi, Desma Eri, Amila Megraini
Abstrak:
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Latar belakang: Human Immunodeficiency Virus (HIV) menyebabkan beban kesehatan gobal yang mengakibatkan meningkatnya angka mortalitas dan morbiditas. Konsekuensi lainnya dari HIV/AIDS yaitu dapat mempengaruhi kualitas hidup pasien, buruknya kualitas hidup mengakibatkan keterbatasan pada aktivitas fisik dan aktivitas sosial pada pasien. Salah satu penyebab kurangnya kualitas hidup ODHA disebabkan oleh kepatuhan pengobatan yang belum optimal. WHO menyebutkan kepatuhan pada pasien kronis hanya berkisar 50%. Tujuan: Penelitian ini bertujuan untuk menganalisis dampak kepatuhan minum obat ARV terhadap kualitas hidup orang dengan HIV/AIDS di RSUD Pasar Rebo tahun 2022. Metode: Penelitian ini dilakukan dengan pendekatan kuantitatif dengan desain potong lintang yang dilakukan pada 88 responden yang memenuhi kriteria inklusi. Data penelitian ini menggunakan data primer menggunakan kuesioner EQ-5D-5L guna mengkaji kualitas hidup pasien. Hasil: Berdasarkan hasil analisis univariat diperoleh sebagian besar responden memiliki kualitas hidup yang baik. pada hasil analisis bivariat menunjukkan bahwa terdapat hubungan yang bermakna antara kepatuhan minum obat (p=0,001), pekerjaan (p=0.029), status pernikahan (p=0.013), lama pengobatan ARV (p=0.029), dan koinfeksi (p=0,001) dengan kualitas hidup ODHA. Sedangkan pada analisis multivariat didapatkan bahwa variabel status pernikahan dan koinfeksi/infeksi oportunistik merupakan faktor confounding pada hubungan kepatuhan minum obat terhadap kualitas hidup ODHA. Saran: Diperlukan perhatian khusus dan tindak lanjut dari berbagai stakeholder dalam mengatasi kepatuhan minum obat yang masih rendah pada ODHA, serta diperlukan perencanaan perawatan kesehatan dan layanan sosial sehingga dapat meningkatkan kualitas hidup pada ODHA
Background: Human Immunodeficiency Virus (HIV) causes a global health burden that results in increased mortality and morbidity rates. Another consequence of HIV/AIDS is that it can affect the patient's quality of life; a poor quality of life results in limitations on physical activity and social activity in patients. One of the causes of the lack of quality of life for PLWHA is suboptimal medication adherence. WHO mentions that adherence in chronic patients is only around 50%. Purpose: This study was conducted to analyze the impact of antiretroviral drug adherence on the quality of life of PLHIV at RSUD Pasar Rebo. Methods: This study was conducted us3ing a quantitative approach with a cross-sectional design on 88 respondents. The data for this study were derived from primary data collected using the EQ-5D-5L questionnaire to assess patients quality of life. Results: Based on univariate analysis, most of the respondents had a good quality of life. The results of bivariate analysis showed a significant relationship between the results of bivariate analysis showed that there was a significant relationship between medication adherence (p=0.001), employment (p=0.029), marital status (p=0.013), length of treatment (p=0.029), and co-infection (p= 0.001) with the quality of life of PLHIV. In the multivariate analysis, it was found that marital status and co-infection/opportunistic infections were confounding factors in the relationship between medication adherence and quality of life for PLHIV. Suggestion: Special attention and follow-up from various stakeholders are needed to overcome low medication adherence among PLWHA, and planning for health care and social services is needed so that it can improve the quality of life for PLWHA.
T-6537
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Henni Febriawati; Pembimbing: Ede Surya Darmawan; Penguji: Amal Chalik Sjaaf, Pujiyanto, IGM Wirabrata
B-1173
Depok : FKM UI, 2009
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Annisa Clarasinta; Pembimbing: Vetty Yulianty Permanasari; Penguji: Atik Nurwahyuni, Atmiroseva
Abstrak:
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Penelitian ini menganalisis cost of illness peserta JKN dengan penyakit kanker payudara di Indonesia dan faktor-faktor yang memengaruhinya. Desain penelitian ini merupakan studi observasional yang deskriptif dengan pendekatan cross sectional. Data yang digunakan dalam penelitian ini adalah Data Sampel BPJS Kesehatan dan Data Upah Rata-Rata per Jam menurut Provinsi Tahun 2021. Teknik pengambilan sampel menggunakan total sampling sehingga sampel merupakan seluruh peserta JKN dengan penyakit kanker payudara di Indonesia sesuai kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil penelitian ini menunjukkan bahwa rata-rata cost of illness per peserta mencapai Rp12.441.986 dan totalnya mencapai Rp1.021.175.992.024. Nilai tersebut belum termasuk biaya obat kemoterapi, obat kronis, dan pelayanan imunohistokimia dalam tarif non INA-CBG. Faktor jenis kelamin, usia, status perkawinan, segmentasi kepesertaan, kelas rawat, RJTL, RITL, lama hari perawatan, kepemilikan FKRTL yang pernah dikunjungi, tipe FKRTL yang paling banyak dikunjungi, dan tingkat keparahan berpengaruh signifikan secara statistik terhadap cost of illness. Penelitian ini menggambarkan besarnya cost of illness peserta JKN dengan penyakit kanker payudara sehingga program deteksi dini sangat penting untuk dilakukan sebagai upaya dalam menghemat biaya.
This study analyzes the cost of illness of JKN participants with breast cancer in Indonesia and the factors that influence it. The research design is a descriptive observational study with a cross sectional approach. The data used in this study are Sample Data of BPJS Kesehatan and Average Hourly Wage Data by Province for 2021. The sampling technique uses total sampling so that the sample is all JKN participants with breast cancer in Indonesia according to predetermined inclusion and exclusion criteria. The results of this study indicate that the average cost of illness per participant reaches Rp12.441.986 and the total reaches Rp1.021.175.992.024. This value does not include the cost of chemotherapy drugs, chronic drugs, and immunohistochemistry services in non-INA-CBG rates. Factors such as gender, age, marital status, membership segmentation, class of care, RJTL, RITL, length of stay, ownership of FKRTL ever visited, type of FKRTL most visited, and severity have a statistically significant effect on the cost of illness. This study illustrates the high cost of illness for JKN participants with breast cancer, so early detection programs are very important to do as an effort to save costs.
S-11357
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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