Analysis of the Implementation of Manic-Type Schizoaffective’s Clinical Pathway
Downloads
Hospitals control costs without reducing the service quality by using clinical pathways. Clinical pathways control the quality and cost of cases that consume large resources. According to Presidential Regulation No. 12 of 2013 regarding Health Insurance, the implementation of clinical pathways to diagnosis that consumes large resources is an effort to control costs and quality of patient services in the INA CBGs system. The preliminary study conducted found a large difference between the real hospital rate and the INA CBGs rate on the diagnosis of Manic Type Schizoaffective Disorder for 3 (three) consecutive years. If this situation continues, the impact will be financial losses for the hospital. The purpose of the study is to analyze the implementation of the Manic Type Schizoaffective’s clinical pathway at the Grhasia Mental Hospital. This research method is qualitative with a case study approach. The results of the Clinical Pathway study can reduce the length of stay for Manic Type Schizoaffective patients but it is not yet effective for patient care costs.
Basudewa, I. D. G., 2013, ‘Konsep Clinical Pathway untuk Penerapan INA-CBGs,’ Presentasi Ketua Pokja Clinical Pathway National Casemix Center Kementerian Kesehatan Republik Indonesia di Rapat Kerja Asosiasi Rumah Sakit Jiwa dan Ketergantungan Obat (Arsawakoi) Surabaya, 31 November 2013.
Beta Haninditya, Tri Murti Andayani, and Nanang Munif Yasin, “Analysis of Cesarean Section Clinical Pathway Compliance at a Private Hospital in Yogyakarta,” JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) 9, no. 1 (March 29, 2019): 38, https://doi.org/10.22146/jmpf.42264.
Cheah, J, “Development and implementation of a clinical pathway program in an acute care general hospital in Singapore”, International Journal for Quality in Healthcare. 2000;12(5), 403-12.
Chew DD, Brook KS, Silvagni H, “Evaluation of a generic integrated care pathway for rehabilitation”, Aus J Adv Nurs. 2007;25(2):62-9.
Darzi A, “High quality care for all: NHS Next Stage Review final report”, 2008.
Devitra A, “Analisis implementasi clinical pathway kasus stroke berdasarkan INA-CBGs di Rumah Sakit Stroke Nasional Bukit Tinggi”, Padang: Universitas Andalas; 2011.
Frei CR, Bell AM, Traugott KA, Jaso TC, Daniels KR, Mortensen EM, et al, “A clinical pathway for community- acquired pneumonia: an observational cohort study, BMC Infect Dis. 2011;11:88. DOI: 10.1186/1471-2334-11-188.
Hanevi Djasri, “Peran Clinical Pathways dalam Sistem Jaminan Sosial Nasional Bidang Kesehatan,” n.d., 5.
Jemsner Stenly Iroth, Riris Andono Ahmad, and Rizaldy Pinzon, “DAMPAK PENERAPAN CLINICAL PATHWAY TERHADAP BIAYA PERAWATAN PASIEN STROKE ISKEMIK AKUT DI RS BETHESDA YOGYAKARTA,” Berkala Ilmiah Kedokteran Duta Wacana 2, no. 1 (January 7, 2017): 267,
https://doi.org/10.21460/bikdw.v2i1.38.
Midleton, Sue dan Roberts, Adrian, “Integration Clinical Pathways: A Practical Approach To Implementation,” USA: McGraw-Hill, 2000.
Nurfarida, I., Yoga, B. H., Agusno, M, “Efektivitas Pelayanan Selama Penerapan Clinical Pathway Skizofrenia Rawat Inap di RSUP Dr. Sardjito Yogyakarta,” Jurnal Manajemen Pelayanan Kesehatan, 17 : No. 1 (2014).
Panella M, Marchisio S, & Di Stanislao, F, “Reducing Clinical Variations with Clinical Pathways: Do Pathways Work? International Journal for Quality in Health Care, 2003;5:509–521.
Peraturan Presiden Republik Indonesia Nomor 111 Tahun 2013, Jaminan Kesehatan, 27 Desember 2013, Lembaran Negara Republik Indonesia Tahun 2013 Nomor 255, Jakarta.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 27 Tahun 2014, Petunjuk Teknis Sistem Indonesian Case Base Groups (CBGs), 16 Juni 2014, Berita Negara Republik Indonesia Tahun 2014 Nomor 795, Jakarta.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 64 Tahun 2016, Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan, 24 November 2016, Berita Negara Republik Indonesia Tahun 2016 Nomor 1790, Jakarta.
Rahmawati, C.L., Pinzon, R.T., Lestari, T., 2017. EVALUASI IMPLEMENTASI CLINICAL PATHWAY APPENDICITIS ELEKTIF DI RS BETHESDA YOGYAKARTA. Berk. Ilm. Kedokt. Duta Wacana 2, 437.
https://doi.org/10.21460/bikdw.v2i3.70
R,Pinzon, “Clinical Pathway Dalam Pelayanan Stroke Akut: Apakah Pathway Memperbaiki Pelayanan?,” Jurnal Manajemen Pelayanan Kesehatan, Vol. 12, No. 1 (2009), Halaman 20- 23.
Roymeke, Tobias dan Stummer, Harald, “Clinical Pathways as Instruments for Risk and Cost Management in Hospitals - A Discussion Paper”, Global Journal of Health Science, Vol. 4 (2012), No. 2, pp. 50-59.
Tantawi HR, Lotfy I, Abdallh A, Sadek BN, “Clinical pathway versus traditional care plan for caring post operative children undergoing cardio thoracic surgery” Life Sci , 2015;12(7):41-62.
Uu Nomor 40, R. I. (2004) Uu Ri 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional.
Van Exel NJA, Koopmanschap, MA, Scholte W, et.al. Cost-effectiveness of integrated stroke services, Q J Med, 2005; 98:415–25.
Zannini L, Cattaneo C, Peduzzi P, Lopiccoli S, Auxilia F, “Experimenting clinical pathway in general practice: a focus group investigation with Italian general practitioners”, J Public Health Res, 2012;1(30):192-8.
All Content should be original and unpublished.
