Pengukuran Willingness-to-Pay Per Quality-Adjusted Life Year (WTP Per QALY) Untuk Terapi Life-Saving Pada Masyarakat di Kabupaten Sleman
MARIA PUTRI THALIA, Dr. Dwi Endarti, M. Sc., Apt; Dr. Susi Ari Kristina, M. Kes., Apt
2018 | Skripsi | S1 FARMASITerapi life-saving memiliki kecenderungan tidak cost-effective pada saat akan diterapkan, sehingga penelitian mengenai nilai WTP per QALY untuk terapi life-saving sangatlah penting. Pengukuran Willingness to Pay per Quality-Adjusted Life Year (WTP Per QALY) merupakan salah satu cara untuk menentukan ambang batas efektivitas biaya suatu terapi. Penelitian ini bertujuan untuk mengukur nilai WTP per QALY untuk terapi life-saving pada masyarakat di Kabupaten Sleman dan menganalisis hubungan faktor karakteristik dengan nilai WTP per QALY. Data nilai Willingness to Pay dan Quality-Adjusted Life Year didapatkan melalui survei terhadap masyarakat di lima kecamatan di wilayah Kabupaten Sleman. Pengumpulan data dilakukan melalui wawancara kepada responden untuk mengisi kuesioner data karakteristik faktor demografi, faktor sosioekonomi dan faktor klinik, kuesioner EQ-5D-5L, kuesioner Visual Analogue Scale (VAS), dan kuesioner Willingness to Pay. Data yang terkumpul kemudian digunakan untuk mengetahui nilai WTP per QALY dan diuji untuk mengetahui pengaruh karakteristik responden. Terdapat 100 orang yang menjadi responden. Nilai WTP per QALY dalam hasil penelitian ini didapatkan melalui tiga metode, rata-rata WTP per QALY (skor EQ-5D-5L) Rp184.340.582 ± Rp329.145.935. Rata-rata WTP per QALY (EQ-VAS) Rp230.531.627 ± Rp536.807.286 dan rata-rata WTP per QALY (QALY=0,4) adalah Rp173.068.181 ± Rp287.541.441. Tingkat pendidikan responden paling banyak yaitu SMU sebanyak 57 responden. Karakteristik tingkat pendidikan dan riwayat penyakit menunjukkan adanya pengaruh terhadap nilai WTP per QALY.
Life-saving therapy has a tendency to be not cost-effective when it is applied, thus a research about WTP value per QALY for life-saving therapy is very important. The measurement of Willingness to Pay per Quality-Adjusted Life Year (WTP per QALY) is one of the methods to determine the perimeter of cost-effectiveness of a therapy. This research aims to measure the WTP value per QALY for life-saving therapy towards the citizens in Sleman Regency and to analyze the correlation between the characteristic factors with the WTP value per QALY. The data of the WTP value and QALY are obtained by doing survey to citizens in five sub-districts in Sleman Regency. The data collecting are done by interviewing the respondents. They are asked to fill the questionnaire about the characteristic factor of demography, socio-economic and clinic, EQ-5D-5L, Visual Analogue Scale (VAS), and Willingness to Pay. The collected data is used to identify the WTP value per QALY and the examined by analytical statistic to know the influence of respondent's characteristics. There are 100 citizens participated in this research as a respondent. The result of WTP value per QALY is achieved by three methods, and the result of the WTP value per QALY in average (EQ-5D-5L score) is Rp184.340.582 ± Rp329.145.935. WTP value per QALY (EQ-VAS) in average is Rp230.531.627 ± Rp536.807.286 and WTP value per QALY (QALY=0,4) in average is Rp173.068.181 ± Rp287.541.441. There are 57 respondents who have high school education level, high school education level is the highest among other education level. This research showed that the characteristic of education level and medical history influencing the WTP value per QALY.
Kata Kunci : Willingness to Pay Per Quality-Adjusted Life Year (WTP Per QALY), Life-saving, survei.
