THE VARIATION OF CAESARIAN SECTION COSTS IN INDONESIAN HOSPITALS: A NARRATIVE REVIEW

Authors

  • Tetriyadi Tetriyadi Hospital Administration Postgraduate Programme, Faculty of Public Health, Universitas Indonesia
  • Atik Nurwahyuni Service Department of Kolonel Abundjani Regional Hospital

Abstract

Background: In providing services, hospital, as one of the health care providers, must be able to regulate the number of costs obtained in accordance with the proportion/variation. The costs incurred by hospitals in providing complete personal health services consist of various cost components, including service fees, pharmacy costs, accommodation costs, action costs, investigation fees, and administrative costs. The cost calculation is one of the strategic steps that must be taken in marketing because it will be used for pricing. Caesarean Section (CS) surgery is one of the largest services and costs a lot in the hospital; careful planning is needed. This study aims to look at the variation in the cost components of CS services in Indonesia based on hospital level, hospital ownership.

Methods: This study is a quantitative research Narrative Review by analyzing twenty hospitals in six provinces representing Indonesia from the thesis found in lib.ui database. The analysis in this study is the amount of proportion/variation in the cost components with the type of hospital and hospital ownership. Meanwhile, the criteria for selected hospitals are government-owned and private hospitals with types A, B, C and D. To be able to compare these data and avoid inflation differences, it is necessary to do data collection or valuation presentation (VP). The chosen cases were the usual CS without emergency and complication

Results: There was a wide variation in CS service cost components, namely medical services (25% - 90%), accommodation (2% -39%), investigations (1% -36%) and drugs and BHP (2% -50%) both in government and private hospitals. Government-owned type B hospitals and government and private type C costs for medical services are greater than 44%.

Conclusion: There are variations in the cost components of CS services at hospital types B and C. There is a need for government efforts to make regulations regarding the magnitude of the ideal cost component as a reference for all hospitals in Indonesia.

Keywords: Caesarian section costs, Hospital, Indonesia

Downloads

Download data is not yet available.

References

Istianisa N. Analisis Penerapan Cost Containment Pada Kasus Sectio Caesarea Dengan Jaminan Bpjs Pada Kasus Sectio Caesarea Dengan Jaminan Bpjs Di Rsud Kota Bogor Tahun 2016. Universitas indonesia, 2016.

Tani G. Analisis Biaya Berdasarkan Tarif Rumah Sakit dan Tarif INA CBG's pada Pasien peserta BPJS kasus Sectio Caesaria di RSUD dr. Doris Sylvanus Bulan Pelayanan Januari Hingga Agustus Tahun 2016. Universitas Indonesia, 2017.

Nugrohowati L. Studi Kasus Dalam Mengantisipasi BPJS - SJSN : Analisis Tagihan Tindakan Sectio Caesaria Kelas III Rumah Sakit Swasta Hermina Bogor Tahun 2012. Universitas Indonesia, 2013.

Damayanti T. Analisis Unit Cost Sectio Caesaria dengan Metode Activity Based Costing di Rumah Sakit Bhayangkara Yogyakarta. J Medicoeticolegal dan Manaj Rumah Sakit 2017; 6: 16–23.

Tetriadi. Analisis Biaya Satuan Sectio Caesaria dan Upaya Efisiensinya di RSD Kol. Abundjani Bangko. Universitas Indonesia, 2019.

A. N. Pengembangan Model Penetapan Tarif Rawat Inap di Rumag Sakit berdasarkan INA-CBG's. 2015.

Istianisa N, Oktamianti P. Analisis Penerapan Cost Containment pada Kasus Sectio Caesarea dengan Jaminan BPJS di RS Pemerintah

XY di Kota Bogor Tahun 2016. J Ekon Kesehat Indones; 1. Epub ahead of print 3 November 2017. DOI: 10.7454/eki.v1i4.1800.

Astiena AK, Semiarti R, Aprihatin Y. Cost of Treatment Tindakan Sectio Caesaria Berdasarkan Klasifikasi Ina-DRG Di Rumah

Sakit Umum Daerah Pariaman Tahun 2010. Maj Kedokt Andalas; 35.

Fitri D. Analisis Perbedaan Biaya dan Mutu Layanan Tindakan Sectio Caesaria Pada Dua Periode Pembayaran di Rumah Sakit

Arafah Jambi 2014. Universitas Indonesia, 2014.

Talitha ND. Analisis Selisih Biaya Layanan dengan Tarif INA-CBG's dan Tarif Rumah Sakit untuk kasus sesdtio Caesaria pada

pasien BPJS di Rumah Sakit Jati Sampurna Tahun 2014. Universitas Indonesia, 2015.

Kesehatan M. Pola Tarif Badan Layanan Umum Rumah Sakit di Lingkungan Kementerian Kesehatan. Permenkes No. 12 Tahun

, Indonesia, http://bprs.kemkes.go.id/v1/uploads/pdffiles/peraturan/25 PMK No. 12 ttg Pola Tarif BLU RS.pdf (2013).

RI MK. PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 28 Tahun 2014, http://www.depkes.go.id/resources/download/general/PMK No. 28 ttg Pedoman Pelaksanaan Program JKN.pdf (2014, accessed 28

June 2019).

Ensor, T., & Indrajaya S. The costs of de-livering health services in Indonesia. Jakarta, 2012.

Published

2019-08-25

Issue

Section

Articles

How to Cite

THE VARIATION OF CAESARIAN SECTION COSTS IN INDONESIAN HOSPITALS: A NARRATIVE REVIEW. (2019). Proceedings of the International Conference on Applied Science and Health, 4, 895-901. https://publications.inschool.id/index.php/icash/article/view/713