Beban biaya penyakit demam berdarah dengue di rumah sakit dan puskesmas

https://doi.org/10.22146/bkm.13699

Evitrisna Warni Sihite(1*), Yodi Mahendradata(2), Tri Baskoro(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Parasitologi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Cost burden of dengue hemorrhagic fever in hospitals and public health centers

Purpose

This study aimed to determine the cost caused by dengue fever disease based on the perspectives of the patients/family in hospitals and primary health centers in Banjarnegara district in 2016.

Methods

This study used a descriptive design with prospective survey. Secondary data were obtained from hospitals and primary health centers, and primary data was collected by interviews. The data were processed by MS Excel software and analyzed by using STATA software version 12.

Results

Subjects in this study was 57 respondents. The direct cost was 207.290.500 IDR (mean: 3.636.676 IDR). Indirect cost was 68.0169.900 IDR (mean: 1.193.300 IDR). Cost of dengue fever disease was 275.307.500 IDR (mean: 4.829.955 IDR). Cost of dengue fever disease was higher in males, age group more than 15 years, worker group, with disease duration more than 7 days, no insurance ownership, no insurance use, health care facility use, private practice and hospital, more than 2 visits, and travel time more than 15 minutes. The analysis showed correlations with age (p= 0.0209), employment status (p= 0.0389), the ownership of health insurance (p= 0.0022), and the use of health insurance (p= 0.0003).

Conclusion

Dengue fever disease cost was 275.307.500 IDR, where 75.29% was direct costs and 24.71% indirect costs. There was no increase in the active participation of each sector nor a clear division of roles for each sector so that control of dengue can be properly directed with more budget support for the prevention and control of dengue.


Keywords


cost; dengue hemorrhagic fever; primary health center; hospital



References

  1. World Health Organization. Global strategy for dengue prevention and control 2012-2020. Geneva. 2012.
  2. Brady OJ, Gething PW, Bhatt S, Messina JP, Brownstein JS, Hoen AG, Moyes CL, Farlow AW, Scott TW, Hay SI. Refining the global spatial limits of dengue virus transmission by evidence-based consensus. PLoS neglected tropical diseases. 2012 Aug 7;6(8):e1760.
  3. Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, Drake JM, Brownstein JS, Hoen AG, Sankoh O, Myers MF. The global distribution and burden of dengue. Nature. 2013 Apr;496(7446):504.
  4. Castañeda-Orjuela C, Díaz H, Alvis-Guzman N, Olarte A, Rodriguez H, Camargo G, De la Hoz-Restrepo F. Burden of disease and economic impact of dengue and severe dengue in Colombia, 2011. Value in Health Regional Issues. 2012 Dec 1;1(2):123-8.
  5. Edillo FE, Halasa YA, Largo FM, Erasmo JN, Amoin NB, Alera MT, Yoon IK, Alcantara AC, Shepard DS. Economic cost and burden of dengue in the Philippines. The American journal of tropical medicine and hygiene. 2015 Feb 4;92(2):360-6.
  6. Kementerian Kesehatan. Profil Kesehatan Indonesia Tahun 2014, Jakarta: 2015.
  7. Dinas Kesehatan Kabupaten Banjarnegara. Profil Kesehatan Kabupaten Banjarnegara Tahun 2010. Banjarnegara. 2011.
  8. Dinas Kesehatan Kabupaten Banjarnegara. Profil Kesehatan Kabupaten Banjarnegara Tahun 2011 Banjarnegara. 2012.
  9. Dinas Kesehatan Kabupaten Banjarnegara. Profil Kesehatan Kabupaten Banjarnegara Tahun 2012 Banjarnegara. 2013.
  10. Dinas Kesehatan Kabupaten Banjarnegara. Laporan Mingguan dan Bulanan Kasus DBD Kabupaten Banjarnegara Tahun 2014, Banjarnegara. 2015.
  11. RSUD Hj. Anna Lasmanah Banjarnegara. Data Penderita DBD yang Dirawat di RSU Banjarnegara Tahun 2012-2015, Banjarnegara. 2015.
  12. Halasa YA, Shepard DS, Zeng W. Economic cost of dengue in Puerto Rico. The American journal of tropical medicine and hygiene. 2012 May 1;86(5):745-52.
  13. Lloyd LS. Best practices for dengue prevention and control in the Americas.
  14. Shepard DS, Undurraga EA, Halasa YA. Economic and disease burden of dengue in Southeast Asia. PLoS neglected tropical diseases. 2013 Feb 21;7(2):e2055.
  15. Tuzzahra RI. Hubungan Beberapa Parameter Hematologi dengan Lama Rawat Inap Pasien Demam Berdarah Dengue (DBD) Dewasa di Rumah Sakit Umum (RSU) Kota Tangerang Selatan Tahun 2014-2015 (Bachelor's thesis, FKIK UIN Jakarta).
  16. Machado AA, Estevan AO, Sales A, da Silva Brabes KC, Croda J, Negrão FJ. Direct costs of dengue hospitalization in Brazil: public and private health care systems and use of WHO guidelines. PLoS neglected tropical diseases. 2014 Sep 4;8(9):e3104.
  17. Shepard DS, Halasa YA, Tyagi BK, Adhish SV, Nandan D, Karthiga KS, Chellaswamy V, Gaba M, Arora NK, INCLEN Study Group. Economic and disease burden of dengue illness in India. The American journal of tropical medicine and hygiene. 2014 Dec 3;91(6):1235-42.
  18. Undurraga EA, Betancourt-Cravioto M, Ramos-Castañeda J, Martínez-Vega R, Méndez-Galván J, Gubler DJ, Guzmán MG, Halstead SB, Harris E, Kuri-Morales P, Tapia-Conyer R. Economic and disease burden of dengue in Mexico. PLoS neglected tropical diseases. 2015 Mar 18;9(3):e0003547.
  19. Gao L, Xia L, Pan SQ, Xiong T, Li SC. Burden of epilepsy: a prevalence-based cost of illness study of direct, indirect and intangible costs for epilepsy. Epilepsy research. 2015 Feb 1;110:146-56.
  20. Suaya JA, Shepard DS, Siqueira JB, Martelli CT, Lum LC, Tan LH, Kongsin S, Jiamton S, Garrido F, Montoya R, Armien B. Cost of dengue cases in eight countries in the Americas and Asia: a prospective study. The American journal of tropical medicine and hygiene. 2009 May 1;80(5):846-55.
  21. Triana N, Kusnanto H. Variasi Tagihan Pasien Rawat Inap Penyakit Demam Berdarah dan Appendicitis di Rumah Sakit Umum Pusat dr. Sarjito Yogyakarta (Doctoral disdantion, Universitas Gadjah Mada).
  22. Magdalena Purnama S. Faktor-faktor risiko kejadian demam berdarah Dengue (DBD) dan Pemetaan Resistensi Nyamuk Aedes Aegyptu Di Kecamatan Wonogiri Kabupaten Wonogiri Tahun 2010. Universitas Gadjah Mada. 2011.
  23. von Campenhausen S, Winter Y, e Silva AR, Sampaio C, Ruzicka E, Barone P, Poewe W, Guekht A, Mateus C, Pfeiffer KP, Berger K. Costs of illness and care in Parkinson's disease: an evaluation in six countries. European Neuropsychopharmacology. 2011 Feb 1;21(2):180-91.
  24. Martias I. Analisis Pemanfaatan Pelayanan Kesehatan Bagi Masyarakat Miskin Kajian Survey Sosial Ekonomi Nasional Tahun 2011. Universitas Gadjah Mada. 2013.
  25. Radja II. Asuransi Kesehatan Sosial dan Biaya Out of Pocket di Indonesia Timur. Universitas Gadjah Mada.2014.
  26. Praptiningsih CY, Lafond KE, Wahyuningrum Y, Storms AD, Mangiri A, Iuliano AD, Samaan G, Titaley CR, Yelda F, Kreslake J, Storey D. Healthcare-seeking behaviors for acute respiratory illness in two communities of Java, Indonesia: a cross-sectional survey. Journal of epidemiology and global health. 2016 Jun 1;6(2):77-86.
  27. Burton C, McGorm K, Richardson G, Weller D, Sharpe M. Healthcare costs incurred by patients repeatedly referred to secondary medical care with medically unexplained symptoms: a cost of illness study. Journal of psychosomatic research. 2012 Mar 1;72(3):242-7.
  28. Wagstaff A. The Millennium Development Goals for health: rising to the challenges. World Bank Publications; 2004.



DOI: https://doi.org/10.22146/bkm.13699

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