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Analysis of Real Costs and INA-CBG of Hyperthyroidism in Hasanuddin University Hospital

Media Kesehatan Masyarakat Indonesia · Vol. 16 No. 4 (2020) · pp. 421–429

DOI
10.30597/mkmi.v16i4.10990
ISSN
2356-4067, 0216-2482
Published
2020-12-31
Publisher
Faculty of Public Health, Hasanuddin University, Makassar
Language
en
License
creativecommons.org/licenses/by-nc-sa/4.0

Abstract

Hyperthyroid disease requires continuous treatment with not cheap medicalcosts. For JKN participants, the cost of treating hyperthyroidism has been fullycovered by BPJS through the INA-CBG package. However, there is often amismatch between the INA-CBG package and the real hospital costs thus causinglosses for the hospital. This research is a comparative study with a hospitalperspective and the purpose of this study is analyze difference between directmedical cost of hospitals and INA-CBG package for the treatment of JKNoutpatient hyperthyroidism patient in Hasanuddin University Hospital (RSUH)Makassar using data from January 2017 to December 2018. Data collection wascarried out by retrospective observational and data analysis using statistical non-parametric tests. The results showed that INA-CBG package cannot cover allcomponents of the costs of treating hyperthyroid disease. The laboratory cost hasa proportion of 83% of the total medical cost, which is an average of IDR465.683,70 every patient. Meanwhile, the INA-CBG rate with code Q-5-44-0 onlycovers medical expenses of IDR 185.500 every patient. The conclusion of thisstudy shows that there is a negative difference (-) between the real cost of thehospital and the INA-CBG rate, which is IDR 34.406.900,00 and an average of IDR373.988.04 every patient. The recommendation is related to adjustment of theINA-CBG rate to cover the riil costs.

Keywords

Collaboration network of the authors

16 authors · 30 co-authorship links · 4 across different organisations

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Riau University
  • Süleyman Demirel Üniversitesi
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Rivan Virlando SuryadinataAffiliation unknown3
Chelsy YesichaRiau University1
NurjanahRiau University1
IsmandiantoRiau University1
Tutut Ismi WahidarSüleyman Demirel Üniversitesi1
Siska Rian PratiwiAffiliation unknown1
Ananta YudiarsoAffiliation unknown1
Rizkia ArrahmahAffiliation unknown1
Rivan Virlando SuryadinataAffiliation unknown1
Reza Dwi AnggrealdiAffiliation unknown1
I Nyoman Yoga DiputraAffiliation unknown1
Marthy Meliana Ariyanti JalmavAffiliation unknown1
Zahwa DhibaAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/mkmi/oai, first harvested 5 Nov 2026, last seen 5 Nov 2026.
Original metadata (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Analysis of Real Costs and INA-CBG of Hyperthyroidism in Hasanuddin University Hospital</dc:title>
	<dc:creator xml:lang="en">Abdullah, Siti Saharah</dc:creator>
	<dc:creator xml:lang="en">Lorensia , Amelia </dc:creator>
	<dc:creator xml:lang="en">Suyanto</dc:creator>
	<dc:subject xml:lang="en">Real costs</dc:subject>
	<dc:subject xml:lang="en">hyperthyroidism</dc:subject>
	<dc:subject xml:lang="en">INA-CBG</dc:subject>
	<dc:description xml:lang="en">Hyperthyroid disease requires continuous treatment with not cheap medicalcosts. For JKN participants, the cost of treating hyperthyroidism has been fullycovered by BPJS through the INA-CBG package. However, there is often amismatch between the INA-CBG package and the real hospital costs thus causinglosses for the hospital. This research is a comparative study with a hospitalperspective and the purpose of this study is analyze difference between directmedical cost of hospitals and INA-CBG package for the treatment of JKNoutpatient hyperthyroidism patient in Hasanuddin University Hospital (RSUH)Makassar using data from January 2017 to December 2018. Data collection wascarried out by retrospective observational and data analysis using statistical non-parametric tests. The results showed that INA-CBG package cannot cover allcomponents of the costs of treating hyperthyroid disease. The laboratory cost hasa proportion of 83% of the total medical cost, which is an average of IDR465.683,70 every patient. Meanwhile, the INA-CBG rate with code Q-5-44-0 onlycovers medical expenses of IDR 185.500 every patient. The conclusion of thisstudy shows that there is a negative difference (-) between the real cost of thehospital and the INA-CBG rate, which is IDR 34.406.900,00 and an average of IDR373.988.04 every patient. The recommendation is related to adjustment of theINA-CBG rate to cover the riil costs.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Public Health, Hasanuddin University, Makassar</dc:publisher>
	<dc:date>2020-12-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/mkmi/article/view/10990</dc:identifier>
	<dc:identifier>10.30597/mkmi.v16i4.10990</dc:identifier>
	<dc:source xml:lang="en">Media Kesehatan Masyarakat Indonesia; Vol. 16 No. 4: DESEMBER 2020; 421-429</dc:source>
	<dc:source>2356-4067</dc:source>
	<dc:source>0216-2482</dc:source>
	<dc:source>10.30597/mkmi.v16i4</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/mkmi/article/view/10990/6467</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2020 by author</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by-nc-sa/4.0</dc:rights>
</oai_dc:dc>