Beban ekonomi yang ditanggung pasien dan keluarga akibat penyakit stroke: studi literatur

Honesty Fadhilah(1*), Vetty Yulianty Permanasari(2)

(1) Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia
(2) Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia
(*) Corresponding Author


Economic burden borne by patients and families due to stroke: literatur review

Purpose: Stroke to this day is still a disease that carries a high disability, so that in the future it requires very expensive costs, and has an impact on the socio-economic consequences for patients and their families. Therefore, this study aims to estimate the causes of costs that cause economic burden due to stroke.

Methods: The method used is content analysis by searching literature review from various sources, both in the form of journals and textbooks from national and international levels.

Results: The literature study shows that direct medical costs in the form of rehabilitation costs and nursing care were identified as the main contributors that caused a high economic burden due to stroke.

Conclusions: The high cost incurred causes families to experience catastrophic financial disasters, resulting in a decrease in the level of welfare. Social preventive measures are needed to reduce the magnitude of the prevalence of stroke to be able to reduce this cost burden in order to protect every household from the financial threat of a stroke.


stroke; economic burden; cost

Full Text:



1. Truelsen T, Begg S, Mathers C. The global burden of cerebrovascular disease. Global Burden of Disease. 2000;

2. American Heart Association. Stroke Fact Sheet. 2016;

3. Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: A Global Response Is Needed. Bull World Health Organ. 2016;94: 634–634A.

4. Kusuima Y, Venketasubramanian N, Kiemas LS, Misbach J. Burden of Stroke in Indonesia [Internet]. International Journal of Stroke. 2009. pp. 379–380. doi:10.1111/j.1747-4949.2009.00326.x

5. Kemenkes RI. Riset Kesehatan Dasar 2013. 2013.

6. Kemenkes RI. Riset Kesehatan Dasar 2018. 2018.

7. Jennum P, Iversen HK, Ibsen R, Kjellberg J. Cost of stroke: a controlled national study evaluating societal effects on patients and their partners. BMC Health Serv Res. 2015;15: 466.

8. Icagasioglu et al. Economic burden of stroke. Turk J Phys Med Rehab 2017. 2017;

9. Rajsic S, Gothe H, Borba HH, Sroczynski G, Vujicic J, Toell T, et al. Economic burden of stroke: a systematic review on post-stroke care. Eur J Health Econ. 2019;20: 107–134.

10. Setyawan IA, Andayani TM, Pinzon RT. ANALISIS BIAYA PENYAKIT STROKE PERDARAHAN DI RUMAH SAKIT. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice). 2016;6: 41–46.

11. Stuntz M, Busko K, Irshad S, Paige T, Razhkova V, Coan T. Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke. Open Access Emerg Med. 2017;9: 89–96.

12. Hankey GJ. The global and regional burden of stroke [Internet]. The Lancet Global Health. 2013. pp. e239–e240. doi:10.1016/s2214-109x(13)70095-0

13. Feigin VL, Roth GA, Naghavi M, Parmar P, Krishnamurthi R, Chugh S, et al. Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013 [Internet]. The Lancet Neurology. 2016. pp. 913–924. doi:10.1016/s1474-4422(16)30073-4

14. Norrving B, Kissela B. The global burden of stroke and need for a continuum of care. Neurology. 2013;80: S5–S12.

15. Carlo AD, Di Carlo A. Human and economic burden of stroke [Internet]. Age and Ageing. 2008. pp. 4–5. doi:10.1093/ageing/afn282

16. Wulan S. Beban Ekonomi Yang Ditanggung Pasien Dan Anggota Rumah Tangga Akibat Penyakit Tuberculosis Di Kota Bengkulu. Master, Fakultas Kesehatan Masyarakat Universitas Indonesia. 2014.

17. Kim AS, Claiborne Johnston S. Global Variation in the Relative Burden of Stroke and Ischemic Heart Disease [Internet]. Circulation. 2011. pp. 314–323. doi:10.1161/circulationaha.111.018820

18. Mukherjee D, Patil CG. Epidemiology and the Global Burden of Stroke [Internet]. World Neurosurgery. 2011. pp. S85–S90. doi:10.1016/j.wneu.2011.07.023

19. Feigin VL, Mensah GA, Norrving B, Murray CJL, Roth GA, GBD 2013 Stroke Panel Experts Group. Atlas of the Global Burden of Stroke (1990-2013): The GBD 2013 Study. Neuroepidemiology. 2015;45: 230–236.

20. Demaerschalk, Bart M, et al. US Cost Burden of Ischemic Stroke: A Systematic Literature Review. Am J Manag Care. 2010;

21. Pritchard C, Sculpher MJ. Productivity Costs: Principles and Practice in Economic Evaluation. 2000.

22. Pola Pengeluaran Rumah Tangga Untuk Kesehatan Pada Kelompok Marginal dan Rentan Miskin. Makara Kesehatan; Desember 2002.

23. Gbiri CA, Olawale OA, Isaac SO. Stroke management: Informal caregivers’ burdens and strians of caring for stroke survivors [Internet]. Annals of Physical and Rehabilitation Medicine. 2015. pp. 98–103. doi:10.1016/


Article Metrics

Abstract views : 113 | views : 373


  • There are currently no refbacks.

Copyright (c) 2019 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

Analytics Visitor Counter