Perbandingan Tarif Rumah Sakit dan Tarif lndonesia Diagnosis Related Group (INA-DRG
SR ERLIANI, DRG, Dr. drg.J ulitaH endrartinMi .Kes; dr. TrisasiL estari,M .MedS c
2015 | Tesis | S2 Kesehatan Masyarakat/MAKPemerintah lndonesia berupaya meningkatkan akses masyarakat miskinp ada pelayanank esehatant,e rutamad alam pembiayaanp elayanan di Rumah Sakit. Upaya ltu dilakukanr nelaluip enerapanJ AMKESMA,Sda n INA-DRG sebagai sistem pembiayaan pelayanan kesehatan pasien JAMKESMAS di rumah sakit. Tujuan penelitian ini adalah untuk melihat apakah ada perbedaan pelayanan pasien JAMKESMAS berdasarkan Tarif rumah sakit dan Tarif INA-DRGSuatu penelitiqn diskriptif dilakukan pada tarif pelayanan pasien JAMKESMAS, rawat inap dan rawat ialan severity level l, 2 dan 3)-, kernudiand ilakukan perbandinganra ta-ratal ama rawati nap (ALOS)a ntara standar rumah sakit dan INA-DRG- Pada penelitian ini dilakukan juga perbandingan tarif lqhemoterapi ringan, sedang dan berat, serta jasa pelayanana ntarat arifr umahs akitd engans tandarI NS-DRG. Hasil penelitian menunjukkan bahwa, Tarjf pelayanan kesehalan pasien JAMKESMAS di rumah sakit lebih tinggi dari pada tarif INA-DRG terutama pada pelayanan rawat inap pada severity 1 dan 2, pada severity 3 tarif rumah sakit lebih rendah dari tarif INA-DRG. ALOS rawat inap rumah sakit lebih lama daripada standar INA-DRG. Hanya tarif khemoterapi ringan lebih tinggi dari standar INA-DRG.J asa pelayananp ada khemoterapbi erat, sedang dan dngan r,nasih di leHh r.endah pedoman pelaksanaan Janrinan KesehatanN asiona2l 014.
The Indonesian Government tries to increase access of poor communitiesto healths eruices,p articularlys ervicef inancingi n hospitals. Access is plovided through the implementationo f INA-DRGf inancings ystem to patientso f communityh ealthi nsurance( JAMKESMAS)T.h e objectiveo f the study was to find out the difference in services provided for JAMKESMAS patients based on hospital tariff and INA-DRG tariff. The study was descriptive and applied to medical records of all JAMKESMAS patients during 2009 - 2011. Firstly a comparison of inpatient tariff was made based on severity level between hospital and INA-DRG tariff; next a comparison on average length of stay (ALOS) between hospital ard INA-DRGs tandardA. comparisonw as also madeo n tariffo f minor,m edium and severec hemotherapya, s well as servicef ee betweenh ospitalt ariff and INA-DRG tariff. The result of the study showed that tariff cf hospital service was higher than that of INA-DRGt ariff, particutarlyin inpatients ervices everity1 and 2, whereas in severity 3 hospital tariff was lower than INA-DRG tariff. ALO$ of hospital inpatienf was longer that ef iNA-DRG standard. Minor ehereoterapy had higher tariff than that of ll,lA-DRG standard. Fee of severe, rnediurn and minorc hemoterapyw as still belowt he standardo f NationalH ealthI nsurance. Potyclinicsm ost heavityv isited during 2009 - 2011 were GeneralS urgery, Pediatrie Surgery, and lnternal Medicine, fotlowed by Cancer and Digestive Surgery.
Kata Kunci : INA-DRGJ, AMKESMASA, LOS,T arifR umahs akit
