EVALUASI BIAYA PELAYANAN KESEHATAN GAKIN DI RSU PANEMBAHAN SENOPATI BANTUL DAN RSU WATES PROPINSI DAERAH ISTIMEWA YOGYAKARTA TAHUN 2004

ABSTRACT

Background: In 2003 Province of Yogyakarta Special Territory was chosen as one of pilot projects of health care insurance for poor family using social health insurance approach. The result of observation shows there is variation among hospitals serving poor families at Yogyakarta Special Territory. Panembahan Senopati Hospital of Bantul and Wates Hospital are hospitals serving biggest number of poor families at Yogyakarta Special Territory.

Objective: To identify variation of health cost for poor family at Panembahan Senopati and Wates Hospital and components of greatest cost in their service.

Method: This was a descriptive study. Data used were secondary data from recapitulation of health cost of poor family patients hospitalized at Panembahan Senopati and Wates Hospital in 2004 with service for poor family as analysis unit.

Result: Average length of care for cases of partus, acute gastroenteritis and febris was relatively the same, about 4 – 5 days. However, average of typhoid case at Panembahan Senopati Hospital was longer (6.53 days) than at Wates Hospital (4.65 days). Average cost of service at Panembahan Senopati Hospital  was higher and only average cost of febris case was relatively the same. Average cost of service at Panembahan Senopati Hospital for partus case was as much as Rp 859,312.63, acute gastroenteritis was Rp 674,332.58 and typhoid was Rp 959,312.63, whereas at Wates Hospital average cost for partus case was as much as Rp 441,804.22, acute gastroenteritis was Rp 376,754.03 and typhoid was Rp 390,589.71. Average component of health service cost for poor family at Panembahan Senopati Hospital was higher than at Wates Hospital. Difference cost of accomodation and drugs was twofold, difference cost of medical service was threefold and cost of medical treatment was fivefold.

Conclusion: Cost of health service at Panembahan Senopati Hospital of Bantul was higher than at Wates Hospital, particularly cost used for medical support and treatment.

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