Cost analysis of inpatient hypertension patients at Panembahan Senopati Hospital, Bantul, Yogyakarta, Indonesia: comparison between INA-CBGs rates and hospitalized actual rate
Journal Title: Journal of Public Health and Development - Year 2023, Vol 21, Issue 3
Abstract
Hypertension as a cardiovascular disease ranks first as a disease with the highest expenditure on health insurance costs. In the financing system implemented by the Indonesian Social Security Program, hospitals as health service providers no longer break down bills based on details of services provided, but only by submitting a diagnosis code that comes out in the form of Indonesia Case-Based Groups (INA-CBGs). The INA-CBGs code for mild hypertension with a severity level of 1 is I-4-17-1. The purpose of this study was to determine the implementation of INA-CBGs rates by comparing the cost difference between the INA-CBG rates and the actual hospital rates for inpatients with hypertension code I-4-17-1 with the parameters studied in the form of gender, age, and length of stay, comorbidities, and drug usage. The analytic observational method with a cross-sectional design was used. Data were hospital financial records and patients medical record documents (inpatient hypertension patients) coded I-4-17-I with the following classes; first class, second class, and third class treatment rooms from October 2016 to July 2017 at Panembahan Senopati Hospital. Data were tested for normality with the Kolmogorov-Smirnov test. One Way ANOVA test and t-test were used to analyze the data in determining the difference in costs between the INA-CBGs rates and the actual hospital rates and in determining the factors that influenced the difference in costs. The results showed that 53 patients met the inclusion criteria. The total cost incurred by the hospital for hospitalized hypertensive patients was Rp. 140,963,105, while the total claim rate for INA-CBGs was Rp. 109,960,000. Gender, length of stay, comorbidities, and drug usage were contributed to the difference in cost, while age had no significant effect. It can be concluded that hospitals need to evaluate the implementation of INA-CBGs rates to minimize financial losses.
Authors and Affiliations
Anis Febri Nilansari, Nanang Munif Yasin, Diah Ayu Puspandari
Keywords
Related Articles
- EP ID EP721490
- DOI 10.55131/jphd/2023/210312
- Views 68
- Downloads 0
Evaluation of physical health condition of primary school students in Abadan of Iran in comparison with WHO standard
This study aimed to investigate the physical condition of students in Abadan. This cross-sectional study was conducted on 3522 elementary school students in Abadan city in 2018. The participants were selected using conve...
Health vulnerability and adaptation of community in the repetitive haze area: Phayao Province, Northern Thailand case study
This was a cross-sectional study to examine health vulnerability and adaptation of community in the repetitive smog area and transboundary haze effect: Phayao Province. According to the findings, the majority of people w...
Investigating the relationship between spiritual health, social factors and hypochondriasis among students at Shiraz University of Medical Sciences in Iran
Spiritual health represents the last dimension introduced to the overall notion of health and could even be regarded as the most critical dimension. This study investigates spiritual health and social factors associated...
Agricultural stakeholders’ priorities using Q method for initiation of an innovation platform in Nan, Thailand
As a consequence of intensive maize mono-cropping practice on sloping lands in northern Thailand, Nan province, farmers face extremely low yields, soil erosion, and prolonged drought. Research and development efforts are...
Prevalence and help-seeking behaviour for non-suicidal self-injury in college students
The prevalence of NSSI has become a widespread health problem in various countries. There is a scarcity of research pertaining to NSSI in Eastern countries, in comparison to studies undertaken in Western countries. This...