Analisis Biaya Penyakit Pneumonia pada Pasien Dewasa di Rumah Sakit
Liza Rastiti(1*), Susi Ari Kristina(2), Tri Murti Andayani(3)
(1) Master Program in Pharmacy Faculty of Pharmacy, Universitas Gadjah Aisyiyah Hospital, Bojonegoro
(2) Departement of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada
(3) Departement of Pharmacology and Clinical Pharmacy, Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Pneumonia adalah salah satu penyakit dengan pembiayaan perawatan di rumah sakit yang paling tinggi di Amerika Serikat, dengan biaya $9,5 miliar secara nasional. Beban ekonomi pneumonia di Filipina sebesar 8,48 miliar peso filipina (PHP) untuk Community-acquired Pneumonia (CAP) Moderate Risk dan PHP 643,76 juta untuk CAP-High Risk. Belum ada penelitian terkait beban ekonomi penyakit pneumonia pada pasien dewasa di Indonesia hingga penelitian ini dilakukan. Penelitian ini bertujuan untuk mengetahui biaya penyakit pneumonia rawat inap pasien dewasa, komponen-komponen biayanya, serta faktor-faktor yang mempengaruhinya. Penelitian dilakukan dengan metode observasional analitik dengan desain cross-sectional. Analisis biaya penyakit dilakukan dalam perspektif rumah sakit dengan pendekatan prevalensi. menggunakan metode bottom-up. Pengumpulan data dilakukan secara retrospektif pada periode 1 Juli – 31 Desember 2021. Subjek penelitian adalah semua pasien pnuemonia rawat inap dewasa dengan Jaminan Kesehatan Nasional (JKN) yang tidak terdiagnosis sebagai pasien COVID-19. Hasil penelitian diperoleh 49 pasien yang memenuhi kriteria inklusi. Total biaya penyakit pneumonia rawat inap pada pasien dewasa sebesar Rp 369.748.868,00. Rata-rata biaya penyakit dalam satu episode rawat inap per pasien (± SD) sejumlah Rp 7.545.895.27 ± 5.057.691,81. Komponen biaya terbesar adalah biaya obat dan Bahan Medis Habis Pakai (BMHP) dengan proporsi 46,11% dari jumlah biaya penyakit pneumonia. Faktor Length of Stay (LOS) dan komorbiditas berpengaruh terhadap biaya penyakit pneumonia (p<0.05).
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1. Pneumonia. Accessed December 25, 2022. https://www.who.int/health-topics/pneumonia
2. Lim WS. Pneumonia—Overview. In: Encyclopedia of Respiratory Medicine. Elsevier; 2022:185-197. doi:10.1016/B978-0-12-801238-3.11636-8
3. Jain V, Vashisht R, Yilmaz G, Bhardwaj A. Pneumonia Pathology. In: StatPearls. StatPearls Publishing; 2022. Accessed August 17, 2022. http://www.ncbi.nlm.nih.gov/books/NBK526116/
4. van Vugt SF, Verheij TJM, de Jong PA, et al. Diagnosing pneumonia in patients with acute cough: clinical judgment compared to chest radiography. Eur Respir J. 2013;42(4):1076-1082. doi:10.1183/09031936.00111012
5. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset kesehatan Dasar 2013. Kementerian Kesehatan Republik Indonesia.2013
6. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset kesehatan Dasar 2018. Kementerian Kesehatan Republik Indonesia.2018.
7. Torio CM, Moore BJ. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2013. Agency for Healthcare Research and Quality (US); 2016. Accessed July 31, 2022. https://www.ncbi.nlm.nih.gov/books/NBK368492/
8. Tichopad A, Roberts C, Gembula I, et al. Clinical and Economic Burden of Community-Acquired Pneumonia among Adults in the Czech Republic, Hungary, Poland and Slovakia. Borrow R, ed. PLoS ONE. 2013;8(8):e71375. doi:10.1371/journal.pone.0071375
9. Tumanan-Mendoza BA, Mendoza VL, Punzalan FER, Reganit PFM, Bacolcol SAA. Economic Burden of Community-Acquired Pneumonia among Adults in the Philippines: Its Equity and Policy Implications in the Case Rate Payments of the Philippine Health Insurance Corporation. Value in Health Regional Issues. 2015;6:118-125. doi:10.1016/j.vhri.2015.03.003
10. Santoso S. Panduan Lengkap SPSS 26. PT. Gramedia; 2020.
11. López‐de‐Andrés A, Albaladejo‐Vicente R, Miguel‐Diez J, et al. Gender differences in incidence and in‐hospital outcomes of community‐acquired, ventilator‐associated and nonventilator hospital‐acquired pneumonia in Spain. Int J Clin Pract. 2021;75(3). doi:10.1111/ijcp.13762
12. Gender differences in community-acquired pneumonia - Minerva Medica 2020 April;111(2):153-65. Accessed December 25, 2022. https://www.minervamedica.it/en/journals/minerva-medica/article.php?cod=R10Y2020N02A0153
13. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan No. 79 tentang Penyelenggaraan Pelayanan Geriatri di Rumah Sakit.Kementerian Kesehatan RI.2014.
14. Divino V, Schranz J, Early M, Shah H, Jiang M, DeKoven M. The annual economic burden among patients hospitalized for community-acquired pneumonia (CAP): a retrospective US cohort study. Current Medical Research and Opinion. 2020;36(1):151-160. doi:10.1080/03007995.2019.1675149
15. Burhan E, Susanto AD, Nasution SA, et al. Pedoman Tatalaksana COVID-19 Edisi 3. PDPI, PERKI, PAPDI, PERDATIN, IDAI. 2020
16. Roffman CE, Buchanan J, Allison GT. Charlson Comorbidities Index. Journal of Physiotherapy. 2016;62(3):171. doi:10.1016/j.jphys.2016.05.008
17. Nguyen MTN, Saito N, Wagatsuma Y. The effect of comorbidities for the prognosis of community-acquired pneumonia: an epidemiologic study using a hospital surveillance in Japan. BMC Res Notes. 2019;12(1):817. doi:10.1186/s13104-019-4848-1
18. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases. 1987;40(5):373-383. doi:10.1016/0021-9681(87)90171-8
19. Konomura K, Nagai H, Akazawa M. Economic burden of community-acquired pneumonia among elderly patients: a Japanese perspective. Pneumonia. 2017;9(1):19. doi:10.1186/s41479-017-0042-1
20. Yoo KH, Yoo CG, Kim SK, et al. Economic Burden and Epidemiology of Pneumonia in Korean Adults Aged over 50 Years. J Korean Med Sci. 2013;28(6):888. doi:10.3346/jkms.2013.28.6.888
21. Tokgoz Akyil F, Hazar A, Erdem I, et al. Hospital Treatment Costs and Factors Affecting These Costs in Community-Acquired Pneumonia. Turk Thorac J. 2015;16(3):107-113. doi:10.5152/ttd.2015.4609
22. Yu H, Rubin J, Dunning S, Li S, Sato R. Clinical and Economic Burden of Community-Acquired Pneumonia in the Medicare Fee-for-Service Population. J Am Geriatr Soc. 2012;60(11):2137-2143. doi:10.1111/j.1532-5415.2012.04208.x
23. Thomas CP, Ryan M, Chapman JD, et al. Incidence and Cost of Pneumonia in Medicare Beneficiaries. Chest. 2012;142(4):973-981. doi:10.1378/chest.11-1160
24. Jackson ML, Neuzil KM, Thompson WW, et al. The Burden of Community-Acquired Pneumonia in Seniors: Results of a Population-Based Study. :9.
25. Kaplan V, Angus DC, Griffin MF, Clermont G, Scott Watson R, Linde-Zwirble WT. Hospitalized Community-acquired Pneumonia in the Elderly: Age- and Sex-related Patterns of Care and Outcome in the United States. Am J Respir Crit Care Med. 2002;165(6):766-772. doi:10.1164/ajrccm.165.6.2103038
26. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan No. 52 tentang Standar tarif Pelayanan Kesehatan dalam Penyelenggaraan Program Jaminan Kesehatan.Kementerian Kesehatan RI.2016.
27. Fine MJ, Pratt HM, Obrosky DS, et al. Relation between length of hospital stay and costs of care for patients with community-acquired pneumonia. The American Journal of Medicine. 2000;109(5):378-385. doi:10.1016/S0002-9343(00)00500-3
28. Broulette J, Yu H, Pyenson B, Iwasaki K, Sato R. The Incidence Rate and Economic Burden of Community-Acquired Pneumonia in a Working-Age Population. 2013;6(8):10.
DOI: https://doi.org/10.22146/farmaseutik.v19i4.80728
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