Panduan Praktek Klinis dan Clinical Pathway Sebagai Solusi Efisiensi Pembiayaan Diagnosa Hernia Inguinalis, Appendisitis, dan Sectio Caesarea di RSI Gondanglegi

Authors

  • Farida Rozany Rumah Sakit Islam Aisyiyah, Malang
  • Navis Yuliansyah Rumah Sakit Islam Aisyiyah, Malang
  • Siti J Susilo Rumah Sakit Islam Aisyiyah, Malang

DOI:

https://doi.org/10.18196/jmmr.6135

Keywords:

Efficient, national health insurance, clinical guideline, clinical pathway

Abstract

Aim of this study are to describing factors inefficient in health insurance program in RSI Gondanglegi especially for operatif procedure. This research was conducted with descriptive analysis method. Starting with the observation in the medical record at diagnosis in the case above, and compare with form details the cost of the patients in the period from the first quarter of 2016. The results obtained financing on medical services and medicines. By making the policy of medical services and medicines for patients health insurance, standards of clinical care, effective communication of team with related units, and an increase in the type of hospital grade is expected to improve the efficiency of implementation in RSIG.

References

Geoffrey A. Porter, M, Peter W.T. Pisters, MD, Carol Mansyur, MA, Annette Bisanz, MPH, Kim Reyna, MBA, Pam Stanford, RN, Jeffrey E. Lee, MD, and Douglas B. Evans, MD. (2000). 'Cost and Utilization Impact of a Clinical Pathway for Patients Undergoing Pancreaticoduodenectomy'. Annals of Surgical Oncology,Vol. 7, Halaman 484–489.

Hiren, P. The Effect of Clinical Pathway in Reducing Length of Stay and Hospital Costs and Improving Functional Outcome in Total Hip and Arthroplasty: A Systematic Review, Thesis MGH Institute of Health Professionals.

Jennifer N. Edwards, SS-C, Aimee Lashbrook.(2011).'Achieving Efficiency: Lessons from Four Top-Performing Hospitals'. Commonwealth Fundotion Publication, Vol. 15, Halaman 1528

Komite Akreditasi Rumah Sakit (KARS).(2012). Standar Akreditasi Rumah Sakit.Jakarta:KARS

Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS).(2014). Peraturan BPJS No 1 tentang Penyelenggaraan Jaminan Kesehatan

T ,Lehtonen. (2007). DRG-based prospective pricing and case-mix accounting - Exploring the mechanisms of successful implementation.Management Accounting Research, Vol. 18, Halaman 367-395.

M.H.Wilke. (2001). Introducing the new DRG-based payment system in German hospitals: a difficult operation? Experience and attempts at a solution from a surgery point of view. HEPAC,Vol. 2, Halaman 79-85.

R,Pinzon.(2009). Clinical Pathway Dalam Pelayanan Stroke Akut : Apakah Pathway Memperbaiki Pelayanan?. Jurnal Manajemen Pelayanan Kesehatan, Vol. 12, No. 1, Halaman 20-23.

Sandra Aulia, S, Dewi Kartika Sari, Arthaingan Mutiha. (2015). Cost Recovery Rate Program Jaminan Kesehatan Nasional BPJS Kesehatan. Jurnal Akuntabilitas, Vol. VIII No 2, Halaman 111 - 120.

Putri Asmita W. (2008). Analisis Pengaruh Persepsi pasien tentang Mutu Pelayanan Dokter Terhadap Loyalitas pasien di Poliklinik Umum Instalasi Rawat Jalan Rumah Sakit Panti Wilasa Citarum Semarang. Thesis : Universitas Diponegoro.

NG, Walls. (1997). A Critical Pathway for Management For Patients With Acute Chest Pain. Ann Internal Medicine, Vol. 97, Halaman 996-1007.

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Published

2024-03-06

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Articles