Analisis Biaya pada Pasien Caesar dan Persalinan Normal Rawat Inap Jaminan Kesehatan Nasional (JKN) di RS PKU Muhammadiyah Yogyakarta Tahun 2014

Abstract

The maternal mortality rate (MMR) in Indonesia is still high, despite declining. Direct causes of maternal death by 90% occurred on during labor and delivery immediately taxable income. The direct causes of maternal death are 28% of hemorrhage, 24% of eclampsia, 11% of infections, 5% of obstructed labor and 5% of abortion, so that health financing in Indonesia is increasing from year to year it is necessary to analyze in any health care financing. Implementation of clinical pathways is expected to improve patient safety, reduce complications and lower the cost of patient care. The purpose of this study is to describe the use of prophylactic antibiotics including the type, dose, frequency and route of administration, determine the average cost of medical instantly be incurred and determine the suitability of rates INA-CBGs use of antibiotic prophylaxis in caesar patients and natural birth hospitalization National Health Assurances (JKN) in RS PKU Muhammadiyah Yogyakarta in 2014. This study was an observational study with cross sectional design. Overview of the use of prophylactic antibiotics for cesarean section in accordance with clinical pathways at 100%. While the description of the use of prophylactic antibiotics in patients with normal delivery is not in accordance with the guidelines maternal health services in primary health facilities and referral. The average percentage of the largest direct medical cost components incurred by caesarean patients is the cost of services amounted to 60.25%. While the average percentage of the largest direct medical cost components incurred by patients with normal labor is the cost of services amounted to 42.20%. The total real cost of hospital patients had negative difference Rp.310.254.373 caesar against INA-CBGs rates. While the total real cost of hospital deliveries Rp.8.189.510 normally has a positive difference to the INA-CBGs rates.