Dwi Septianis
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Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 03 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Background and Goal: The concept of Indonesian DiagnosisRelated Group (INA-DRG) formerly purposed to gain both qualityand efficiency of the health services. By using this packet ratehopefully it could minimize the medical cost rate, where theresurgical operation is one of the most expensive medicalservices. The present study is aimed to investigate thecomparison between surgical operations to the INA-DRG’stariff of JAMKESMAS in RSUP Dr. Mohammad Hoesin Palembangin quartal I 2009.Method: This study was observational with the cross sectionalapproach. The population study used Jamkesmas patients asthe samples who got the surgical operation treatment sinceJanuary up to April 2009, the approximately 232 people.Samples consists of 70 patients have been taken by usingproportional stratified sampling method. Type of the data thathave been analyzed were primary data included stay carerate of the patients that collected by using observation methodhelped with the check list instrument. The analysis of thisstudy aimed to highlight the distribution of rupiahs rate circulationtoward services cost rate and descriptively to produce apicture of rupiah value distribution of the cost of medicalservices operative actions which are categorized into threegroups: a special operation, Operation large and mediumoperations. Then done with cross tabulated both two variablesand the results were shown in form of narration and table ofdistribution.Results: The results of this study show that 98.6% of thesurgical operations rates were not relevant to INA-DRG’s tariff.If viewed from the component costs, the costs of operatingthe actions of special operations have a tendency to losemoney because most of the cost (55.6%) in excess of averagecost. In the cost component of nursing care was found thatthe cost is greater than the average cost at most at the specialoperations (41.2%). In supporting service cost component isknown that the cost is higher than average costs at mostoperations moderate (50%). At the component cost ofmedicines is known that the cost of drugs is greater than theaverage cost of most numerous in a major operation around40%. Therefore, when viewed from the total cost is calculatedbased on the sum of four components above cost is foundthat the total cost of surgery which is smaller than the averagecost at most at the special operations (72.2%), while the costof surgery is greater than the cost average at most at theoperating medium (45.5%). This shows that the total cost ofsurgery is being issued to patients in RSMH Jamkesmas greaterthan the cost which is generally on the operation.Conclusion: In conclusion, this present study indicates thatthere is a tendency to lose the service of the operativeprocedure in patients Jamkesmas in RSMH surgical operationscost rate were not relevant and more than INA-DRG’s tariff.Proposed that a clinical pathway must be constructed basedon INA-DRG’s regulation soonly in order to be guidance forhospitals in giving their medical services mainly to theJamkesmas’s patients.Keywords: health services rate, INA-DRG’s tariff, Jamkesmas