Perbedaan Antara Biaya Riil Dan Tarif Ina-Cbg’s Pada Pasien Pemasangan Av Shunt Di Rumah Sakit Islam Surabaya

Abstract

Chronic kidney disease (CKD) is a disease with a prevalence that is always increasing every year and hemodialysis needs to be done at the final stage Routine hemodialysis requires the installation of a permanent AV Shunt by performing high-cost surgery so it must be monitored systematically. The JKN system paid by BPJS to hospitals uses the INA-CBG system with cost components consisting of the costs of medicines, medical devices, operating room rents, doctor's services, laboratories, nursing actions, and administration which are counted integrated in packages covered by the health insurance. The purpose of this study was to analyze the differences in real costs and the costs of INA-CBG's at the A. Yani Islamic Hospital with a non-retrospective research design. Medical record data and BPJS claim data for AV Shunt installation operations can be used to compare differences in real hospital costs and the cost of INA CBG package rates with statistical analysis. The results of this study were 188 patients. The average total cost of direct medical real BPJS participants in class I is Rp. 4.689.987 / patient, class II Rp. 3.029.017 / patient and class III Rp. 2.648.601 / patient. The average total cost of INA-CBG’s, class I is Rp. 10.673.120, class II Rp.8.866.721 and class III Rp. 8.048.999. Analysis for class I with independent t-test obtained P value (0,000). In patients in class II and class III with the Mann Whitney U Test with a P value (0,000). So that in classes I, II, and III there is a significant difference between the realcost and INA-CBG package rates. Keywords: Chronic kidney disease, INA-CBG’s, AV Shun