Ditemukan 40261 dokumen yang sesuai dengan query :: Simpan CSV
This study analyzes age, gender, diagnosis, lenght of stay, and diagnosis of disease ofparticipants on the level of utilization and claim cost in Health care program in Bapel JPKM PTX di RS P. This is describe about descriptic analytical study use cross sectional design. Theresults of this study suggest Skripsi ini membahas analisis umur, jenis kelamin, wilyah tempattinggal dan diagnosis penyakit terhadap tingkat utilisasi dan biaya klaim Program JaminanPemeliharaan Kesehatan Bapel JPKM PT X di RS P. Penelitian ini adalah penelitian deskriptikanalitik dengan desain cross sectional atau potong lintang. Hasil penthat it is need to considerother factors besides age, gender, diagnosis and status of participants. Same factors needs to beconcerned are leght of stay and type of health care.Key word :Utilization.
ABSTRAKNama : Leonny EliminProgram Studi : Ilmu Kesehatan MasyarakatJudul Tesis : Dampak Sectio Caesarea terhadap Risiko Kesehatan Ibu dan Anak Studi KasusKlaim Perusahaan Asuransi X Periode 2014 - 2016Tingkat sectio caesarea (SC) telah meningkat sangat tinggi diseluruh dunia sehingga beban biayakesehatan untuk SC yang tidak dibutuhkan jauh melebihi beban SC yang dibutuhkan dan mempunyairisiko kesehatan jangka pendek dan jangka panjang. Penelitian ini bertujuan untuk mengetahuifaktor-faktor yang mempengaruhi pemilihan tindakan SC dan pengaruh akibat tindakan SC tersebutterhadap terjadinya risiko kesehatan ibu dan anak. Penelitian dengan desain cross sectional inimenggunakan data klaim perusahaan asuransi komersial X periode 2014 – 2016. Identifikasi ibumelahirkan dengan SC, Low Back Pain (LBP) pada ibu, bronchopneumonia dan gangguan perkembanganmotorik pada anak berdasarkan ICD-10. Hasilnya tingkat SC dipengaruhi oleh urutan kelahiran anak(OR=2,43), manfaat asuransi (OR=1,66) dan fasilitas kesehatan (OR=0,23). Analisa dampak SCmendapati bahwa kelahiran melalui SC (nilai p=0,08; OR=13,87; SK 95%=0,73-263,57), fasilitaskesehatan dan usia anak >= 1 tahun mempengaruhi risiko gangguan perkembangan motorik pada anak.Kelahiran melalui SC tidak mempengaruhi risiko bronchopneumonia, melainkan dipengaruhi olehfasilitas kesehatan dan usia anak >=1. Kelahiran SC mempunyai risiko LPB pada ibu sebesar 144%namun tidak ada hubungan bermakna. Hasil penelitian ini mendukung hipotesa bahwa urutan kelahirananak, manfaat asuransi dan fasilitas kesehatan dapat meningkatkan pemanfaatan SC, kemudian anakyang dilahirkan melalui SC dapat mengalami peningkatan risiko gangguan perkembangan motorik.Kata kunci: section caesarea, Low Back pain, bronchopneumonia, gangguan perkembangan motorik.
ABSTRACTName : Leonny EliminStudy Program : Public Health ScienceTitle : Impact of Sectio Caesarea On Maternal Health Risk and Children Case Study ofClaim in Insurance Company X Period 2014 - 2016Caesarea Section (CS) rates has been increasing dramatically around the world, the health cost ofthe “medically unnecessary” CS was far beyond the “needed” CS, and might cause the short-term andlong-term health risk. The objective of this study was to investigate the factors increasing thelikelihood of undergoing CS and the impact of CS on maternal health risk and children. This studywas cross sectional desain and using database of commercial insurance company X for the period of2014 – 2016. The ICD-10 was used to identify the mothers with CS, Low Back Pain (LBP) in mothers,bronchopneumonia and specific developmental disorder of motor function in children. The resultsfound that the CS rate was associated with birth order (OR=2,43), insurance benefit (OR=1,66) andhealth facility (OR=0,23). Further study due to CS, were found that CS delivery (p- value=0,08;OR=13,87; CI 95%=0,73-263,57), health facility and children age>=1 year might increase the risk of developmental disorder of motor function in children. CSdelivery was not associated with bronchopneumonia in children but health facility and children age>=1 year were found to increase the risk of bronchopneumonia. CS delivery might increase the riskof LBP in mothers 144% but has no significant association. The results of this study support thehypothesis that birth order, insurance benefit and health facility might increase CS delivery, thenthe children born by CS might increase the risk of specific developmental disorder of motorfunction.Keywords: section caesarea; Low Back pain; bronchopneumonia, specific developmental disorder ofmotor function.
This study aims to calculate top 10 diagnosis of disease and top 10 expensive disease inpatient care among participants of the Healthy Karawang Health Service Program in Karawang Regency, January-December 2018. This research is a quantitative descriptive study using a cross sectional design. The data used in this study are secondary data obtained from the claims data of the Karawang Sehat Health Service Program. The analysis carried out was Univariate analysis. The results of this study indicate that the male participants received the most inpatient services, namely 50.4% of all claims. The average age of participants who received inpatient services was 33.41 years and the average length of stay was 4.86 days. Typhoid Fever is the most hospitalized disease, the most expensive inpatient disease, Hydrocephalus, unspecified at a cost of Rp213.576.000,00. The highest average cost of care for participants in the Healthy Karawang Health Service Program for the period of January - December 2018 in the 10 most inpatient diseases was Tuberculosis of Lung, confirmed by unspecified means which was Rp5.393.807,55 and in the 10 most expensive inpatient diseases Presence of cerebrospinal fluid drainage device is Rp34.804.500,00. Suggestions for the Karawang Sehat Health Service Program are to carry out promotive and preventive activities in hospitalized diseases, which mostly occur in the participants of the Healthy Karawang Health Service Program. Conduct repeated checks on claims of 10 most expensive inpatient diagnoses with a large number of cases to avoid the occurrence of cost overruns and fraud. Collaborating with the Social Service and Population and Civil Registry Service to address the population data of the poor population of Karawang Regency, so that it can be integrated into the National Health Insurance scheme.
Kata kunci:kasus rujukan, Penilaian Fasilitas Kesehatan Tingkat Pertama, Tangerang
This research explains about the relationship between assessment of the primary health care facilities with referral cases. This is a quantitative research with crosssectional study design. Data that are used in this research are secondary data from assessment report of the primary health care facilities that will cooperate with BPJS Kesehatan and data of JKN participants. Analysis result shows that there are significant relation between the score of facility healthcare and score of human resources with referral cases that happen in BPJS Kesehatan KCU Tangerang.
Keywords : referral cases, Assessment of Primary Health Care Facilities, Tangerang