Analisis Biaya dan Gambaran Outcome Klinis pada Pasien Apendiktomi BPJS Kesehatan di RS PKU Muhammadiyah Yogyakarta Januari – Desember 2014
Abstract
Appendectomy is the surgical removal of the appendix on indications of appendicitis. The incidence of appendicitis in Indonesia was the highest of several other cases of urgency abdomen. Appendectomy patients require a huge cost, especially in laparoscopy appendectomy that require advanced tools and more power expert. This study aims to determine large direct medical costs of appendectomy conventional and laparoscopy patients, knowing the real cost comparison and INA-CBGs 2014 patients with appendectomy conventional and laparoscopy, knowing the description of the clinical outcomes of patiens with appendectomy conventional and laparoscopy. This research was a cross sectional descriptive observational retrospective data collection. Methods of data collection through a search of medical records and data on the cost of health financing period from January to December 2014. The results obtained show that the description of the direct medical costs of appendectomy conventional the severity of the first class I, II, III are 6.251.229±2.276.915, 4.956.670±1.466.218, 3.771.929±811.417, appendectomy laparoscopy the severity of the first class I, II, III, 12.915.091±2.617.569, 11.592.050±3.626.071, 7.715.100± -. The severity II class I and III appendectomy conventional are 5.509.100± -, 5.119.267±909.509, The severity II class I and II appendectomy laparoscopy are 16.511.250±4.431.226, 12.811.300.00±-, the severity of the third grade I appendectomy laparoscopy is 14.126.800±5.477.044. The suitability of the total real cost with INA CBGs produce negative (Rp -157.198.300.00). picture clinical outcome of patients with appendectomy conventional and laparoscopy have a better return status percentage 100%, the length of stay of patients in hospitals appendectomy conventional severity I respectively 5 days, laparoscopy 5,63 days. The severity II conventional 7,25 days, laparoscopy 5,33 days, and the severty III laparoscopy 5,33 days.
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