Jumlah Kunjungan, Profil Pengobatan, dan HRQoL Pasien Rawat Jalan DM Tipe 2 pada Era JKN

Abstrak

Public insurance has transformed since 1st January 2014 from Asuransi Kesehatan (ASKES) to Jaminan Kesehatan Nasional (JKN). There is different payment method between ASKES and JKN. ASKES uses fee for services (FFS) method and JKN uses INA-CBG’s method. The aims of this research were to determine the impact of implementation of JKN to number of hospital visit, treatment profile, and HRQoL among type 2 DM outpatients at one of Hospital type B in Jakarta. The research was conducted by time series longitudinal. Total samples were 103 patients. Among of them were 36(35%) male and 67(65%) female. There were 98% patients with age of more than 45 years old. 95(92%) patients were diagnosed DM without complication and 8(8%) were DM with complication. After implementation of JKN, there were decreasing number of hospital visit and number of drug perpatient among type 2 DM outpatients without and with complication. We also founded that the percentage of non DM drugs was higher than DM drugs. Statistically, number of DM and non DM drugs was not difference significant between before and after JKN (P>0.05). Score average of HRQoL in era of JKN was more than 80. This score showed that patients had good quality of life. Related to statistical analysis, quality of life was difference based on gender and age. In conclusion, there were different number of drugs and treatment profile after JKN implemented and patients performed good quality of life in era of JKN.