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The aim of this research is to find out the extent of the difference between the real tariff and the tariff of INA-CBGs, difference factors and the description of the appropriateness of therapy towards the Jamkesmas inpatients with Thalassaemia at Sardjito Hospital Yogyakarta.
This was an analytical-observational research with a design of retrospective research. The object of the research was the files of the inpatient claims and medical records of Jamkesmas patients with Thalassaemia in the period of April 2011-March 2012 in Sardjito Hospital Yogyakarta. The data analysis was conducted with one sample test to compare between the rate of the real cost and the INA-CBG’s tariff. Meanwhile, the correlation test and the linear regression test were conducted to find out factors that influence the cost.
The result of the research showed that a positive difference between the real cost and the tariff of INA-CBGs was IDR104.498.068 from 138 episodes of care. The average cost of healthcare for Thalassaemia based on the tariff of Sardjito Hospital at the severity level 1 was IDR1.058.823 + 591.923. The three most significant cost components included the blood bag, drugs or medical stuffs and accommodation/hospitalization cost. The result of the correlation test showed that the blood bag, drugs and medical stuffs, hospitalization/accommodation, clinical pathology examination and visite had a strong influence towards the real cost. Meanwhile, from the value of variable coefficients (B), it was known the order of variable that influence the real costs were visite, hospitalization/ accommodation, blood bag, drugs and medical stuffs, and clinical pathology examination. From the analysis of the suitability of an indication, there were 5 drugs that are not consistent with the diagnosis of patients and one drug that is not appropriate for the patient.
Kata kunci: INA-CBG’s, thalasemia, biaya, kesesuaian terapi
