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- W2912650827 abstract "Background: The national health insurance of Indonesia has implemented the Indonesian Case Base Groups(INA-CBGs) tariff rates for healthcare payment. However, there is still problem of difference between the real cost ofhealthcare and the INA-CBGs tariff rates. This study aimed to evaluate the real cost of healthcare in comparison withthe INA-CBG’s tariff rates and to analyze factors associating with the real cost. The study focus on healthcare cost ofnon-chemotherapy expenditure among patients of high-incidence cancers having chemotherapy covered by the nationalhealth insurance. Methods: The study was conducted from the perspective of healthcare provider. Costs data wasobtained from hospital billing of Sanglah hospital, a referral hospital in Bali Provincein the period of January – July2014. The data involved 383, 161, and 152 of in-patient breast cancer cases, cervical cancer cases, and nasopharyngealcancer cases, respectively. Descriptive statistic was used to analyze patients characteristics, one sample t-test was usedto analyze the mean difference of healthcare cost based on real cost and INA-CBG’s tariff rates, and finally, bivariateanalysis was used to examine relationship between patients’ characteristics and the real cost. Results: The study showsthere were significant differences of non-chemotherapy expenditures based on the real cost and INA-CBG’s tariff rates,in which the costs were lower for the real cost. Factors which significantly associated with the real cost were number ofprocedure, type of hospitalized room, and length of stay. Conclusions: The study supports the necessary of evaluationof the INA-CBG’s tariff rates to adjust to the real healthcare expenditure. On the other hand, the hospital needs toevaluate the service quality of patient treatment by optimizing budget allocated by the health insurance." @default.
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- W2912650827 date "2019-01-01" @default.
- W2912650827 modified "2023-10-12" @default.
- W2912650827 title "Comparison of Real Cost Versus the Indonesian Case Base Groups (INZ-CBGs) Tariff Rates Among Patients of High- Incidence Cancers Under the National Health Insurance Scheme" @default.
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- W2912650827 doi "https://doi.org/10.31557/apjcp.2019.20.1.117" @default.
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