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Journal : JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

Cost Analysis of Indonesia Case Based Groups (INA-CBGs) Tariff for Stroke Patients Ingenida Hadning; Fitriannisa Fathurrohmah; Muhammad Ridwan; Bangunawati Rahajeng; Pinasti Utami; Indriastuti Cahyaningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (491.868 KB) | DOI: 10.22146/jmpf.46720

Abstract

The INA-CBG’s (Indonesia Case Based Groups) package rate implementation for National Health Insurance Program member since 1st January 2014 suffering from stroke has forced all hospitals in Indonesia to do a quality control and efficient service cost. Stroke, one of the catastrophic diseases often accompanied with some of its comorbid factors, requires high treatment cost. Thus, a cost analysis study is needed to prevent hospital loss. This study was aimed at determining the suitability of cost between the real cost of stroke therapy and the Indonesian Case-Based Groups (INA-CBG) rate according to the Ministry of Health Decree number 69 of 2013. This study was an observational study with a cross-sectional design. Data collection was done retrospectively. Study subjects were all that hospitalized strokes of patients who were members of the National Health Insurance and also met the inclusion and exclusion criteria registered between January to June 2014. The study data were in real direct medical costs analyzed for its suitability with the INA-CBG's rate. Descriptive statistical tests and t-tests were used to analyze the data. The results showed that the average real cost of the first-class hospitalization was higher than INA-CBG's rate for cerebral infarction and for unspecified stroke, with insignificant discrepancies. The average real cost of second class hospitalization was lower than INA-CBG's rate for cerebral infarction, otherwise the average cost was higher than INA-CBG's rate for unspecified stroke, with insignificant discrepancies. The average real cost of third class hospitalization was lower than INA-CBG's rate for cerebral infarction and for unspecified stroke, with significant discrepancies. Most of the average costs were higher than the INA-CBG rate. Thus, the hospital is not capable of managing a stroke of cost-based treatment on INA-CBGs. The hospital has suffered losses. INA-CBG's rate of stroke treatment needs to be evaluated.
Evaluasi Pelaksanaan Peraturan Penetapan Standar Jasa Profesi Apoteker di Daerah Istimewa Yogyakarta Ingenida Hadning; Bangunawati Rahajeng; Pinasti Utami; Siti Martini Khairiati; Noviya Wardhani; Nuariska Laila Ramadhani; Nanang Munif Yasin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 12, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.61125

Abstract

The small salary received by pharmacists is one of the reasons for the low attendance of pharmacists in pharmacies. The regional management of the Yogyakarta Special Region of Indonesian Pharmacist Association (PD IAI DIY) has issued a Decree (SK) on Professional Service Standards for Pharmacists in DIY in 2017 so that it can be used as a reference for pharmacists in Yogyakarta who practice in pharmacies. This study aims to determine the implementation of the decree on pharmacists in DIY. Research variables are basic services, additional income and other facilities. The research instrument is a questionnaire. The sampling method used is accidental sampling. To calculate the number of samples used the Slovin formula. With a confidence level of 90%, the minimum sample size is 222 respondents. However, in this study, 268 pharmacists who practice in pharmacies finally obtained respondents. Respondents came from five districts/cities in DIY. Data were collected from August 2019 to February 2020. The research instrument used an e-questionnaire on a google form which was distributed through social media for members of IAI DIY and also distributed directly to several pharmacies in DIY. The data obtained were analyzed through descriptive statistical tests. The results showed that only 11 respondents met all the criteria in the SK. In the category of pharmacists who hold SIA, only seven respondents met all the criteria in the SK, namely three respondents from Sleman, two respondents from Yogyakarta City, and two respondents from Bantul. In the non-SIA pharmacist category, only four respondents met all the criteria in the SK, namely one respondent from Sleman, two respondents from Yogyakarta City, and one respondent from Gunung Kidul. It can be concluded that the SK PD IAI DIY regarding professional service standards has not been fully implemented by DIY pharmacists.