Faktor yang Memengaruhi Biaya Out Of Pocket (OOP) Pelayanan Kesehatan Pasien Rawat Jalan: Analisa Data Sekunder Indonesia Family Life Survey Gelombang 4 (IFLS4)

https://doi.org/10.22146/farmaseutik.v18i3.67648

Ceria Rizki Amalia(1), Dwi Endarti(2*), Anna Wahyuni Widayati(3)

(1) Magister Manajemen Farmasi UGM
(2) Faculty of Pharmacy, Universitas Gadjah Mada
(3) Departemen Farmasetika, Fakultas Farmasi, UGM
(*) Corresponding Author

Abstract


Kebutuhan pelayanan kesehatan akibat sakit muncul secara sporadik dan tidak dapat diprediksi yang memberikan beban ekonomi pada pasien. Semakin besar biaya kesehatan yang dikeluarkan oleh individu dapat memperburuk kondisi keuangan rumah tangga. Penelitian ini difokuskan untuk menganalisa biaya kesehatan Out Of Pocket (OOP) pelayanan kesehatan rawat jalan akibat sakit berdasarkan perspektif pasien, serta faktor-faktor yang dapat berpengaruh pada biaya OOP akibat pelayanan kesehatan rawat jalan sakit berdasarkan perspektif pasien. Penelitian ini menggunakan rancangan studi observasional dengan pendekatan cross sectional menggunakan data sekunder yang diperoleh dari IFLS4 tahun 2007. Data utama yang digunakan berisi karakteristik demografi dan karakteristik kesehatan responden sebagai variabel bebas, serta biaya OOP sebagai variabel terikat. Analisa data menggunakan analisa deskiptif dan analisis inferensial menggunakan modiefied linear regression sebagai teknik analisa utama. Biaya OOP pasien rawat jalan untuk biaya medis langsung pengobatan tidak termasuk obat resep berdasarkan hasil analisis pada IFLS4 tahun 2007 sebesar Rp. 20.815,71, dengan dipengaruhi oleh sepuluh variabel sosiodemografi-kesehatan meliputi pendidikan, status pekerjaan, pendapatan, latar belakang ekonomi, provinsi, pelayanan kesehatan yang digunakan, jarak ke pelayanan kesehatan, waktu perjalanan, waktu tunggu dilayani dan penyakit kronis. Berdasarkan IFLS4 tahun 2007 Indonesia masih sangat minim penggunaan asuransi kesehatan oleh pasien rawat jalan akibat sakit. Proteksi keuangan dibutuhkan oleh masyarakat untuk menghindari pengeluaran biaya kesehatan yang bersifat katastropik.


Keywords


IFLS4 tahun 2007; Out of Pocket (OOP); Regresi Linear Modifikasi

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References

Chu, T. Bin, Liu, T.C., Chen, C.S., Tsai, Y.W., dan Chiu, W.T., 2005. Household out-of-pocket medical expenditures and national health insurance in Taiwan: Income and regional inequality. BMC Health Services Research, 5: 1–9.

Correa-Burrows, P., 2012. Out-Of-Pocket Health Care Spending by the Chronically Ill in Chile. Procedia Economics and Finance, 1: 88–97.

Gujarati, D., 2009. Basic Econometrics. McGraw-Hill Irwin, Singapore.

Herberholz, C. dan Phuntsho, S., 2021. Medical, transportation and spiritual out-of-pocket health expenditure on outpatient and inpatient visits in Bhutan. Social Science and Medicine, 273: 113780.

Jiang, Y., Wang, Y., Zhang, L., Li, Y., Wang, X., dan Ma, S., 2013. Access to Healthcare and Medical Expenditure for the Middle-Aged and Elderly: Observations from China. PLoS ONE, 8: .

Khalid, F., Raza, W., Hotchkiss, D.R., dan Soelaeman, R.H., 2021. Correction to: Health services utilization and out-ofpocket (OOP) expenditures in public and private facilities in Pakistan: an empirical analysis of the 2013–14 OOP health expenditure survey (BMC Health Services Research, (2021), 21, 1, (178), 10.1186/s1. BMC Health Services Research, 21: 1–14.

Mahendradata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P., dkk., 2017. The Republic of Indonesia Health System Review. Health systems in transition. Vol-7, Number -1. World Health Organization, South East Asia Regional Office (SEARO), .

Mahumud, R.A., Sarker, A.R., Sultana, M., Islam, Z., Khan, J., dan Morton, A., 2017. Distribution and determinants of out-of-pocket healthcare expenditures in Bangladesh. Journal of Preventive Medicine and Public Health, 50: 91–99.

Masiye, F. dan Kaonga, O., 2016. Determinants of healthcare utilisation and out-of-pocket payments in the context of free public primary healthcare in Zambia. International Journal of Health Policy and Management, 5: 693–703.

Onwujekwe, O., Hanson, K., dan Uzochukwu, B., 2012. Examining inequities in incidence of catastrophic health expenditures on different healthcare services and health facilities in Nigeria. PLoS ONE, 7: 1–6.

Pavel, M.S., Chakrabarty, S., dan Gow, J., 2016. Cost of illness for outpatients attending public and private hospitals in Bangladesh. International journal for equity in health, 15: 167.

Rahman, M.M., Gilmour, S., Saito, E., Sultana, P., dan Shibuya, K., 2013. Health-Related Financial Catastrophe, Inequality and Chronic Illness in Bangladesh. PLoS ONE, 8: .

Ruger, J.P. dan Kim, H.J., 2007. Out-of-pocket healthcare spending by the poor and chronically III in the republic of Korea. American Journal of Public Health, 97: 804–811.

Sultana, M., Mahumud, R.A., dan Sarker, A.R., 2017. Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey. Chronic Diseases and Translational Medicine, 3: 112–122.

Teni, F.S., Gebresillassie, B.M., Birru, E.M., Belachew, S.A., Tefera, Y.G., Wubishet, B.L., dkk., 2018. Costs incurred by outpatients at a university hospital in northwestern Ethiopia: a cross-sectional study. BMC Health Services Research, 18: 1–10.

Thabrany, H., 2003. Social Health Insurance in Indonesia: Current Status and the Proposed National Health Insurance. Presented in Social Health Insurance Workshop WHO SEARO, New Delhi, March 13-15, 2003 Revised, August 2003, .

Thomas, A., Hodgson, dan Meiners, M.R., 1982. Cost-of-Illness Methodology : A Guide to Current Practices and Procedures. Wiley on behalf of Milbank Memorial Fund, 60: 429–462.

van Doorslaer, E., O’Donnell, O., Rannan-Eliya, R.P., Somanathan, A., Adhikari, S.R., Garg, C.C., dkk., 2006. Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data. Lancet, 368: 1357–1364.

Van Minh, H., Kim Phuong, N.T., Saksena, P., James, C.D., dan Xu, K., 2013. Financial burden of household out-of pocket health expenditure in Viet Nam: Findings from the National Living Standard Survey 2002-2010. Social Science and Medicine, 96: 258–263.

WHO, 2020. 'WHO | Out-of-pocket payments, user fees and catastrophic expenditure', . URL: https://www.who.int/health_financing/topics/financial-protection/out-of-pocket-payments/en/ (diakses tanggal 9/7/2020).

Xu, K., Evans, D.B., Carrin, G., Aguilar-Rivera, A.M., Musgrove, P., dan Evans, T., 2007. Protecting households from catastrophic health spending. Health Affairs, 26: 972–983.

Xu, K., Evans, D.B., Kawabata, K., Zeramdini, R., Klavus, J., dan Murray, C.J.L., 2003. Household catastrophic health expenditure: A multicountry analysis. Lancet, 362: 111–117.

Yousefi, M., Assari Arani, A., Sahabi, B., Kazemnejad, A., dan Fazaeli, S., 2014. Household health costs: Direct, indirect and intangible. Iranian Journal of Public Health, 43: 202–209.



DOI: https://doi.org/10.22146/farmaseutik.v18i3.67648

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