Ditemukan 3 dokumen yang sesuai dengan query :: Simpan CSV
Kesehatan adalah bak dan investasi, semua warga negara berhak atas kesehalannya. Pelayanan Kesehatan Sim Carolus scbagai salah satu rumah sakit swasta ingin turut serta ambil bagian dalam upaya kesehatan masyarakat. Studi kasus demam tifoid ini dilakukan sebagai kajian terhadap kelayakan pembayaran Diagnosis Related Group. Penelitian ini adalah penelitian deskriptif dengan pendekatan kuantitatif dan desain penelitian retrospektif berdasarkan data sckunder pasien demam tifoid yang di rawat inap pada bulan Januari sampai dengan Mei 2011.
Dari hasil analisa uji statistik yang bcrpengaruh bermakna dengan total biaya perawatan adalah pcnanggung dimana total biaya perawatan terhadap pasien asuransi Iebih mahal dari pasien umum. Total biaya dokter terhadap pasien asuransi dan umum juga berbeda bermakna. Perbandingan total biaya perawalan pada distribusi frekuensi total biaya di kelas Ill sebagian besar total biaya responden di atas standar dari Kemenkes Rl yaitu sebanyak 78% dengan total biaya rata-rata sebesar Rp 3.824.350,- dengan biaya tcrcndah Rp I.388.588,- dan tertinggi Rp 8.6I7.l89,-.
Kesimpulan: Faktor yang berpengaruh bermakna lerhadap total biaya perawatan adalah penanggung biaya. Sebagianbesar total biaya perawatan masih di atas standar DRG.
Health is a right and investments that all citizens are entitled to. Pelayanan Kesehatan Sint Carolus as one of the private hospital wanted to participate and take part in these public health ejbrts. Case studies of typhoid fever was conducted as the study on the _kasibiligt of Diagnosis Related Group (DRG) payments. The study is a descriptive study with quantitative approach and retrospective study design based on secondary data from §vphoid]%ver patients in inpatient care #om January through May 2011.
Results of the statistical tests analysis showed a signyicant afeet ofthe total cost of care from dWarent patients (with and without insurance). The total cost of care to the patient 's with insurance is more expensive than 'out of pocket' patients. The total cost of physician between patients with insurance and 'out of pocket' patients also dwzrs signyicantbf. Comparison of the total cost of treatment based on the jifequency distribution of the total cost of the class III shows that the total cost fur most of the respondents are over the standard of Kemenkes RL 78% respondents paid over the standard of Kemenkes RI with average total cost of Rp 3, 824, 35 0,- with the lowest cost Rp 1,388,588,- and the highest Rp 8,61 7,189,-
Conclusion: The responsible party for the cost of care will signyicantly aject the total cost of care. Most ofthe total cost of care is still over the DRG standard.
Penelitian ini meneliti tentang selisih antara tagihan dengan klaim yang dibayar oleh para penjamin biaya kesehatan terhadap pelayanan kasus Infark Miokiard Akut di RSJPDHK serta selisih antara tagihan dengan klaim menggunakan tarif INA-CBG`s. Tujuan dari penelitian adalah untuk dapat memperoleh data karakteristik, mutu layanan dan permasalahan biaya dan pembayaran klaim terhadap RS oleh para penjamin/pembayar. Penelitian ini mendapatkan 5472 pasien Infark Miokard Akut selama periode 1 Januari 2009 sampai 31 Desember 2012 terdiri dari laki laki 81,5% dan perempuan 18,5%, rata-rata usia 56,3 tahun rentang usia yang lebar (21-97 th vs 26-96 th). Sebagian besar berasal dari DKI Jakarta (51%), Tingkat keparahan I 46%, Tingkat II 47,4%, dan Tingkat III 5,9%. Lebih dari separuh pasien (54,64%) mendapat tatalaksana intervensi PTCA atau bedah jantung (CABG), sedangkan 44,54% pasien dirawat tanpa tindakan intervensi non bedah maupun bedah. Penelitian mendapatkan 43,7% pasien dengan jaminan Askes, dan hanya 2,9 % dijamin dengan Jamkes yang dibayar dengan sistem INA-CBG`s. Lama rawat pasien rata rata 7,71±6,30 hari, 87,8, % keluar RS dengan status sembuh. Kesimpulan : Mutu layanan IMA di RSJPDHK tidak dibedakan berdasarkan jenis penjamin, dan adanya selisih antara tagihan RS dengan klaim yang dibayar oleh para penjamin berhubungan secara bermakna dengan kode diagnosis, jumlah tindakan sekunder, lama rawat dan tingkat keparahan penyakit. Penelitian mendapatkan nilai selisih dalam simulasi perhitungan antara tagihan terhadap klaim dengan sistem INA-CBG`s.
The Study examined the differences between the published rates and the CBG rates among patients with acute myocardial infarction (AMI) in National Cardiovascular Center (NCC) Harapan Kita. The purpose of this study is to examine whether there is quality and other differences among AMI patients paid by difference payers and payment levels. This study analyzed medical records of patients with AMI during the period of January 1, 2009 until December 31, 2012. The study found 5,472 patients with AMI consisting of 81.5% males and 18.5% females with the mean age of 56.3 years (range between 21-97 years vs. 26-96 years). Most of the patients were from Jakarta (51%). On severity levels, 46% patients were in severity level I, 47.7% severity level II, and 5.9% level III. More than half (54.6%) patients were treated with intervention (PTCA) or surgical procedures (CABG), while 44.4% patients were treated conventionally. We found that 43.7% of patients were covered by Askes, and only 2.9% were Medicaid (Jamkesmas) that were paid on DRGs. The average length of stays was 7.7 days and 87.8% were discharged in a good recovery. There was no difference in quality of treatment by difference payers or payment system although there was significant discrepancy in charges among difference payers. This differences in charges were associated differences in diagnoses, the number of secondary procedures, length of stays, and severity of the cases. It is concluded that the doctors provided the same quality of services among AMI patients, regardless of payers` status or charges.