{"id":5816,"date":"2023-03-28T03:53:08","date_gmt":"2023-03-28T01:53:08","guid":{"rendered":"https:\/\/www.jphres.org\/?p=5816"},"modified":"2023-04-02T14:10:28","modified_gmt":"2023-04-02T12:10:28","slug":"ina-cbgs-claim-versus-total-hospital-cost-a-vaginal-delivery-investigation-at-airlangga-university-academic-hospital-indonesia","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/","title":{"rendered":"INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2020.1999\">https:\/\/doi.org\/10.4081\/jphr.2020.1999<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Manggala Pasca Wardhana<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0001-8013-4639\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0001-8013-4639<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Khanisyah Erza Gumilar<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Prima Rahmadhany<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Obstetrics and Gynaecology, Universitas Airlangga Academic Hospital, Surabaya, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Erni Rosita Dewi<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Midwifery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.<br \/>\n<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0002-1328-7800\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0002-1328-7800<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Muhammad Ardian Cahya Laksana<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background:<\/em>\u00a0Inadequate funding for vaginal delivery can be one of the barriers to reducing the maternal mortality rate. It could be therefore critical to compare the vaginal delivery cost between total hospital cost and INA-CBGs cost in national health insurance.<br \/>\n<em><br \/>\nMethods:<\/em>\u00a0This was a retrospective cross-sectional study conducted from October to December 2019 in Universitas Airlangga Academic Hospital. It collected data on primary diagnosis, length of stay, total hospital cost, INA-CBGs cost, and counted disparity. The data analyzed statistically using\u00a0<em>t<\/em>-test independent sample (or Mann-Whitney test).<br \/>\n<em><br \/>\nResults:<\/em>\u00a0A total of 149 vaginal delivery claims were found, with the majority having a level II severity (79.87%) and moderate preeclampsia as a primary diagnosis (20.1%). There was a significant disparity in higher total hospital costs compared with government INA-CBGs costs (Rp. 9,238,022.09\u00b11,265,801.88\u00a0<em>vs<\/em>\u00a01,881,521.48\u00b112,830.15; p&lt;0.001). There was also an increase of LOS (p&lt;0.001), total hospital cost (p&lt;0.001), and cost disparity (p&lt;0.01) in a higher severity level of vaginal delivery.<br \/>\n<em><br \/>\nConclusion:<\/em>\u00a0Vaginal delivery costs in INA-CBGs scheme are underneath the actuarial value. There was also an increase in total hospital costs and a more significant disparity in the higher severity levels of vaginal delivery.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2020.1999 Manggala Pasca Wardhana Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia. https:\/\/orcid.org\/0000-0001-8013-4639 Khanisyah Erza Gumilar Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia. Prima Rahmadhany Department of Obstetrics and Gynaecology, Universitas Airlangga Academic Hospital, Surabaya, Indonesia. Erni Rosita Dewi School &#8230; <a title=\"INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/\" aria-label=\"More on INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-5816","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2020.1999 Manggala Pasca Wardhana Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia. https:\/\/orcid.org\/0000-0001-8013-4639 Khanisyah Erza Gumilar Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Soetomo Teaching Hospital, Surabaya, Indonesia. Prima Rahmadhany Department of Obstetrics and Gynaecology, Universitas Airlangga Academic Hospital, Surabaya, Indonesia. Erni Rosita Dewi School ... 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Prima Rahmadhany Department of Obstetrics and Gynaecology, Universitas Airlangga Academic Hospital, Surabaya, Indonesia. Erni Rosita Dewi School ... Read more","og_url":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/","og_site_name":"Journal of Public Health Research","article_modified_time":"2023-04-02T12:10:28+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/","url":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/","name":"INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia - Journal of Public Health Research","isPartOf":{"@id":"https:\/\/www.jphres.us.com\/#website"},"datePublished":"2023-03-28T01:53:08+00:00","dateModified":"2023-04-02T12:10:28+00:00","breadcrumb":{"@id":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1999\/714\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Startseite","item":"https:\/\/www.jphres.us.com\/"},{"@type":"ListItem","position":2,"name":"INA-CBGs claim versus total hospital cost: A vaginal delivery investigation at Airlangga University Academic Hospital, Indonesia"}]},{"@type":"WebSite","@id":"https:\/\/www.jphres.us.com\/#website","url":"https:\/\/www.jphres.us.com\/","name":"Journal of Public Health Research","description":"The Journal of Public Health Research is an online Open Access, peer-reviewed journal in the field of public health science. 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