Cost Comparison of Emergency Cesarean Section in Indonesia

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Category: E - Public Health Section: Public Health Epidemiology

Cost Comparison of Emergency Cesarean Section in Indonesia: The impact of Australian Model of Diagnosis-related Groups as a Payment System for Patient Care in Hospitals

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1Department of Economics and Business, Tadulako University, Indonesia; ²Faculty of Medicine, Clinic and Hospital of University of Iowa, United States; ³Department ofࣰ""", Faculty of Medicine and Health, Gadjah Mada University, Yogyakarta, Indonesia;

4Department ofࣰ""", Faculty of Medicine and Health, Gadjah Mada University, Yogyakarta, Indonesia; ⁵Department ofࣰ""", Faculty of Economics and Business, Gadjah Mada University Yogyakarta, Indonesia; ⁶Depatment of Statistics, Faculty of Mathematics and Natural Science, Tadulako University, Indonesia

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Abstract

BACKGROUND: 7KH FHVDUHDQ VHFWLRQ LQ ,QGRQHVLD ZDV KLJKHU VWLOO ZRUU\LQJ IRU ZRPHQ DQG EDELHV¶ KHDOWK ZLWK SUHJQDQF\ FRPSOLFDWLRQV ,W ZLOO KDYH SV\FKRORJLFDO HႇHFWV VXFK DV WUDXPD DQG VWUHVV GXULQJ ODERU DQG LWV FRQVHTXHQFHVRQODERUFRVW7KLVVWXG\¶VSXUSRVHZDVWRGHWHUPLQHWKHFRVWRIFHVDUHDQGHOLYHU\DVDGLDJQRVLVRI WUDQVLWLRQUHODWHGJURXSVDQGWKH$XVWUDOLDQGLDJQRVLVUHODWHGJURXSV$5'5*VPRGHO¶VLPSDFW

METHODS:7KHUHVHDUFKPHWKRGLVGHVFULSWLYHTXDOLWDWLYHVWXG\7KHVDPSOHVDUHSUHJQDQWZRPHQDQGWKDW VHOHFWHGE\SXUSRVLYHVDPSOLQJ7KHGDWDDUHFROOHFWHGIURPDVHFRQGDU\GDWDVRXUFHRIPHGLFDOUHFRUGLQVWDOODWLRQV REVHUYDWLRQV LQWHUYLHZ LQWHUYLHZV DQG IRFXV JURXS GLVFXVVLRQ ZLWK KHDOWK SURIHVVLRQDOV QXUVHV GRFWRUV DQG PLGZLYHV'DWDDQDO\VLVLVEDVHGRQWKHDFWLYLW\EDVHGFRVWLQJV\VWHPPHWKRG,WLQFOXGHVFRVWWUHDWPHQWSHUGLVHDVH GLDJQRVLVFHVDUHDQVHFWLRQ$5'5*PHWKRGDVDSD\PHQWPHWKRGIRUKRVSLWDOWUHDWPHQW

FINDINGS:'HWHUPLQDQWVRIFRVWGLႇHUHQFHVLQFHVDUHDQVHFWLRQVXUJHU\DUHEDVHGRQ$5'5*UHODWHGWR GLDEHWHVDQGHFODPSVLDFRPSOLFDWLRQVDQGFRPRUELGLWLHVZLWKUHODWLYHO\KLJKFRVWUDWHVRI2$'5*VRI86 GXHWRKLJKULVNSUHJQDQF\FRPSOLFDWLRQV&RPSOLFDWLRQVRIPLOGSUHJQDQF\'5*2'ZLWKGLႇHUHQWFDWHJRULHVRI XWHULQHUXSWXUHDQGVHSVLVKDYHDORZFRVWDYHUDJHDWWKHWRWDOFRVWRI863D\PHQWDELOLW\RIDQDYHUDJHRI UHVSRQGHQWVVKRZVWKHFRVWVFDWHJRU\RI'5*V2$'5*V2'86RU86SHUSDWLHQWDQGOHQJWK RIVWD\±GD\V

CONCLUSIONS:7KHLPSDFWRI$XVWUDOLD¶V$5'5*VPRGHORIWUDQVLWLRQ'5*SURVSHFWLYHSD\PHQWVKRZVWKDWWKH KHDOWKV\VWHPFDQLPSURYHWKHTXDOLW\RISURIHVVLRQDOVHUYLFHVLQKRVSLWDOVDQGFRQWUROFRVWVDQGODERUFRVWVDUH FKHDSO\SUR¿WDEOHIRUKRVSLWDOV7KHUHVXOWVDUHDFFXUDWHDQGH[SHULHQFHGWREHDSSOLHGLQ,QGRQHVLDQKRVSLWDOV

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*Correspondence:6LWWL5DKPDZDWL'HSDUWPHQWRI (FRQRPLFVDQG%XVLQHVV7DGXODNR8QLYHUVLW\3DOX

&HQWUDO6XODZHVL,QGRQHVLD(PDLOVLWL#JPDLOFRP Received: ???

Revised: ???

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Results and Discussion

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Table 2: Cost loading procedure in hospital production department

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MDC 14 DRGS O01A

US$ 2639 DRGS O01B

US$ 1677 DRGS O01C

US$ 1521 DRGS O01D US$ 1251 Figure 1: Comparison of cesarean operation costs

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Figure 2: Comparison of patient costs based on DRGs O01A-O01D in US$. Source: Secondary Data of Update Hospital, 2019

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References

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Table 4: Costs for DRGs (US$)

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