Jurnal Administrasi Kesehatan Indonesia
ISSN 23033592
Vol. 1 / No. 2 / Published : 2013-04
Order : 4, and page :140 - 146
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Original Article :
Healthcare budget calculation based on capitation at pg krebet baru malang
Author :
- Adiapaksi Nastiti Primudyasiwi*1
- Thinni Nurul Rochmah*2
- Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya
- Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya
Abstract :
PG Krebet Baru managed its own financing program of healthcare using fee-for-service mechanism. Thismechanism caused the healthcare cost exceeds the prepared budget. This study aimed to calculate thehealthcare budget for PG Krebet Baru based on capitation. It was a non-experimental study using a case-studyapproach with quantitative descriptive method. Checklist instrument varied design based on type of visitingpatients, healthcare service, healthcare service cost and medicine cost. The highest utilization rate of outpatientwas at Internist clinic meanwhile the highest of inpatient was for health treatment. The highest charge eachproceduree for outpatient was at Nerves clinic, meanwhile for inpatient was for the service of physician in surgery.The highest capitation value for outpatient was at Internist clinic (Rp8.792) and for inpatient was for the service ofphysician in surgery (Rp15.065). The budget that PG Krebet Baru need to prepared based on calculation ofcapitation value is Rp1.410.638.220. The calculated budget in this project could not be used direcly for the baseof calculating healthcare budget at PG Krebet Baru yet since the risks aside of prior utilization isn’t calculated.
Keyword :
capitation, charge per procedure, utilization rate,
References :
Frank, C. R.,,(2000) Empowerment Through Capitation Maryland : Aspen publisher
Murti, B.,(2000) Dasar- Dasar Asuransi Kesehatan Yogyakarta : Kanisius
Folland, S., Goodman, A. C. & Stano, M.,,(2007) The Economics of Health and Health Care. 5th ed New Jersey : Pearson Prentice Hall
Chalidyanto, D.,,(2001) Analisis Utilisasi Pelayanan Kesehatan Rumah Sakit untuk Perhitungan Biaya Kapitasi di Provinsi Jawa Barat Tahun 1998 Jakarta : Forum Ilmu Kesehatan Masyarakt, Volume Th XX No. 20, pp. 56-63.
Marcinko, D. E. & Hetico, H. R.,,(2006) Dictionary of Health Insurance and Managed Care New York : Springer Publicer Company, Inc.
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