Academic Journal

The correlation of clinical pathway compliance implementation on clinical outcome and sectio caesarian patient costs in a type c private hospital in Lampung

التفاصيل البيبلوغرافية
العنوان: The correlation of clinical pathway compliance implementation on clinical outcome and sectio caesarian patient costs in a type c private hospital in Lampung
المؤلفون: Sunowo, Joko, Andayani, Tri Murti, Endarti, Dwi, Wulandari, Eka Tri
المساهمون: Fakultas Farmasi, Universitas Gadjah Mada
المصدر: Jurnal Aisyah : Jurnal Ilmu Kesehatan; Vol 8, No S1: Supplement; 369-374 ; 2502-9495 ; 2502-4825 ; 10.30604/jika.v8iS1
بيانات النشر: Universitas Aisyah Pringsewu
سنة النشر: 2023
المجموعة: STMIK Pringsewu Lampung (Sekolah Tinggi Manajemen Informatika dan Komputer): Portal OJS
مصطلحات موضوعية: Clinical pathway, sectio caesaria, real costs
الوصف: Sectio caesaria births are around 17.6% of all births (Riskesdas, 2018), this figure is higher than the figure recommended by WHO. The high incidence and cost of sectio caesaria can cause problems if they are not managed properly. CA clinical pathway (CP) as a multi-disciplinary management plan for patients with certain diagnoses can be used to improve the quality and efficiency of excellent health services for each individual according to the law’s mandate. This research is research (observational analytic) with cross-sectional design and retrospective method for data collection. The data in this research were all BPJS patients who underwent sectio caesaria for the period of 1 January 2020 to 30 June 2020 according to the inclusion and exclusion criteria in a type C private hospital in Lampung Province. The observations were made on CP forms and patient medical record documents as well as details of treatment costs from BPJS claim data. To see the correlation of compliance implementation with CP and clinical outcomes, the Chi-square test was carried out, the average analysis of CP implementation compliance with costs was carried out using a non-parametric regression test, the correlation of confounding variables on clinical outcomes was tested using Chi-square and Somers tests, and the correlation between confounding variables and total real costs was tested using the ANOVA test. The descriptive analysis found that the average CP implementation compliance of 145 patients (63%) had an average good adherence score (more than 85%) and 85 patients (37%) had low adherence (less than 85%). The points of care education and nutrition counseling as well as treatment or medical intervention have the highest score of 99.57% and the lowest is 0.34% in nursing mobilization/rehabilitation. The description of clinical outcomes of 230 patients with sectio caesaria Length of Stay (LOS) according to CP (less than 3 days) as many as 95 patients and 185 patients with pain scale (VAS 2) and no patients had ILO. The results of the ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Indonesian
Relation: https://aisyah.journalpress.id/index.php/jika/article/view/859/pdf; https://aisyah.journalpress.id/index.php/jika/article/view/859
DOI: 10.30604/jika.v8iS1.1756
الاتاحة: https://aisyah.journalpress.id/index.php/jika/article/view/859
https://doi.org/10.30604/jika.v8iS1.1756
Rights: Copyright (c) 2023 Joko Sunowo, Tri Murti Andayani, Dwi Endarti, Eka Tri Wulandari ; https://creativecommons.org/licenses/by-sa/4.0
رقم الانضمام: edsbas.FB3494E4
قاعدة البيانات: BASE
الوصف
DOI:10.30604/jika.v8iS1.1756