Name
: Fika Sastramaya Khayan
Study Program : Kajian Administrasi Rumah Sakit
Title
: Analisis Perbandingan Penetapan Cost
Clinical Pathway Dan Tarif INA-DRG
Payudara Dengan Tindakan Bedah
Modifikasi (MRM) Dan Kemoterapi
Dharmais Tahun 2008
of Treatment Berbasis
Depkes Kasus Kanker
Mastektomi Radikal
FAC Di RS Kanker
viii
Universitas Indonesia
ABSTRACT
Name
: Fika Sastramaya Khayan
Study Program : Hospital Administration Study
Title
: Comparative Analysis Cost of Treatment Based on Clinical
Pathway and INA-DRG Depkes Tariff Breast Cancer Case
With Modified Radical Mastectomy (MRM) and FAC
Chemotherapy at Dharmais Cancer Hospital year 2008
The Quality service of Hospital in Indonesia is highly varied. This situation make
the Government through Depkes RI to specify the standard of the Hospital quality
and tariff applied nationally through a Case mix system by the name of INA DRG
DEPKES. But in reality of applying of tariff INA DRG DEPKES generate
polemic for Hospital.
This research purpose is to know the cost of treatment based on clinical pathway
breast cancer case with Modified Radical Masectomy and FAC Chemotherapy
with INA DRG Depkes tariff at Dharmais Cancer Hospital year of 2008.
Research result show the difference of breast cancer grouping according to AR
DRG version of 5.2 where found DM disease, asthma, hypertension, and anaemia.
Every diagnosis have the same length of stay. Difference only in the given drug
type based on disease accompanied. INA DRG Depkes tariff based on data
delivered by 15 Hospital without existence of clinical pathway and cost of
treatment. Surgery on MRM breast cancer and cost of treatment FAC higher than
INA DRG Depkes tariff.
This research not yet show the entire breast cancer surgery, we suggest to do a
further research specially on Cost of Treatment radiotherapy following the action
operate on MRM and chemotherapy.
We suggest to Depkes RI to complete the INA DRG Depkes tariff so that they can
make clinical pathway as standard service utility of health and always revise the
INA DRG Depkes tariff list every year so that they can maintain the quality
service of Hospital.
Key words:
Cost of treatment, MRM, chemotheraphy
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Universitas Indonesia