Variasi Biaya Sectio Caesaria di Rumah Sakit Indonesia

Tetriadi Tetri Tetriadi, Atik Nurwahyuni

Abstract


ABSTRAK

Penetapan harga/variasi biaya merupakan salah satu langkah strategis yang harus ditempuh karena mengacu kepada biaya yang dikeluarkan, baik biaya marjinal maupun biaya total, termasuk biaya tidak langsung (overhead cost). Operasi sectio caesaria (SC) adalah salah satu tindakan yang paling umum dilakukan di ruang operasi yang juga membutuhkan perencanaan biaya layanan yang matang, sehingga dengan penetapan harga yang sesuai rumah sakit dapat beraktifitas tanpa mengurangi mutu layanan. Tulisan ini bertujuan melihat beda biaya SC di Indonesia berdasarkan kelas/tingkatan rumah sakit serta kepemilikan rumah sakit, apakah rumah sakit tersebut milik pemerintah atau private/swasta serta kelas atau kamar perawatan. Tujuan lain dari tulisan ini adalah melihat beda proporsi biaya yang terjadi di komponen biaya SC. Metode yang digunakan dalam tulisan ini adalah perbandingan data atau study literatur dari 20 rumah sakit yang ada diperpustakaan UI, dan untuk bisa membandingkan data-data tersebut dan menghindari selisih inflasi maka perlu dilakukan penyekarangan data yang diambil atau dipresent valuekan (PV). Kasus SC yang dipilih adalah kasus SC biasa tanpa emergensi dan penyulit. Terdapat interval/variasi yang cukup lebar biaya pelayanan dan proporsi komponen biaya (Jasa pelayanan, akomodasi, pemeriksaan medis dan obat, ATK serta BHP) baik rumah sakit pemerintah maupun swasta diberbagai tipe rumah sakit. Peran manajemen rumah sakit menentukan tarif/harga pelayanan merupakan salah satu kunci keberhasilan dalam strategi pemasaran rumah sakit, diperkuat dari penelitian dari banyak negara lain. Rumah sakit yang proporsi komponen biaya pelayanannya tidak sesuai dengan aturan yang ada agar segera melakukan revisi agar tidak terjadi gangguan pelayanan di rumah sakit, apalagi sejak UHC dicanangkan pemerintah. Marketing, Sectio Caesaria, Variasi Kelas Rumah Sakit, Proporsi Biaya.

 

ABSTRACT

Pricing / variation of costs is one of the strategic steps that must be taken because it refers to costs incurred, both marginal and total costs, including indirect costs (overhead costs). Cesarean section (SC) surgery is one of the most common actions performed in the operating room which also requires careful planning of service costs, so that the appropriate price setting for the hospital can do activities without reducing service quality. This paper aims to look at the different costs of SC in Indonesia based on the class / level of the hospital and hospital ownership, whether the hospital is owned by the government or private / private as well as classes or treatment rooms. Another purpose of this paper is to look at the different proportions of costs that occur in the SC cost component. The method used in this paper is a comparison of data or literature studies from 20 hospitals in the UI library, and to be able to compare these data and avoid the difference in inflation, it is necessary to do the data collection or presentation of valuation (PV). The case of SC chosen was a normal case of SC without emergency and complication. There are intervals / variations that are quite wide service costs and the proportion of cost components (services, accommodation, medical and drug examinations, stationery and BHP) in both public and private hospitals in various types of hospitals. The role of hospital management in determining service rates / prices is one of the keys to success in hospital marketing strategies, reinforced from research from many other countries. Hospitals whose proportion of service cost components are not in accordance with existing regulations so that they immediately revise so that there is no disruption in hospital services, especially since the UHC was declared by the government. Marketing, Sectio Caesaria, Hospital Class Variation, Cost Proportion.

 


Keywords


cost; sectio caesaria; hospital; marketing

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References


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DOI: http://dx.doi.org/10.7454/arsi.v5i1.2878

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