Health Economics Commons^™

Analisis Manajemen Anggaran Pada Rumah Sakit Rujukan Di Masa Pandemi Covid-19, Helena Turnip, Prastuti Soewondo

Jurnal Ekonomi Kesehatan Indonesia

Budget management is a form of accountability for managing cash budgets distributed by the government to hospital agencies so that the budget provided by the central government can be used effectively, efficiently and on target. To examine and explore budget management at hospitals in Indonesia during the COVID-19 pandemic in relation to the budget for the procurement of Personal Protective Equipment (PPE) and infrastructure in hospitals as an effort to overcome the COVID-19 pandemic. PPE (Personal Protective Equipment) is one of the crucial instruments that must be used by all medical personnel in carrying out their duties, this triggers an …

Telemedicine Payment System Based On Quality:A Scoping Review, Zuhaira Husna Fatma, Ryan Rachmad Nugraha

Jurnal Ekonomi Kesehatan Indonesia

Telemedicine has been proven to improve access to care. However, it is still not sure how a payment system can accommodate high-quality telemedicine services. This paper aims to study the available payment system to accommodate telemedicine with a focus on health services quality. We conducted a scoping review of the telemedicine payment system and telemedicine quality through the PubMed and CINAHL databases including primary research, literature reviews, and expert opinion, aside from policy documents. The number of records identified through the database was 286. In addition, 195 were screened after removing duplicates, and 28 papers were included in the review …

Penundaan Pembayaran Klaim Jaminan Kesehatan Nasional Oleh Bpjs Kesehatan Di Indonesia: Sebuah Scoping Review, Immanuel Natanael Tarigan, Feni Dwi Lestari

Jurnal Ekonomi Kesehatan Indonesia

Since it was first implemented, the utilization of the National Health Insurance (JKN) has been increasing each year. Currently, almost all hospitals accept JKN patients. However, the JKN claim payment process did not run as conveniently as expected, and there were frequent delays in payment. This delay becomes a major obstacle in hospitals, especially public hospital, which relies heavily upon JKN patients for its cashflow. This study aims to determine the magnitude of the delay in the payment of JKN claims and what factors are involved, especially in public hospitals. This study was conducted using the scoping method review with …

Kajian Atas Risiko Kelompok Usia Dan Klaim Rumah Sakit (Rs) Covid-19 Di Indonesia, 2020 – 2021, Andhika Nurwin Maulana, Ruli E Al Faizin, Kalsum Komaryani, Farah Purwaningrum, Hasbullah Thabrany

Jurnal Ekonomi Kesehatan Indonesia

This study measures the risk of age group and its correlation with severity level, length-of-stay (LOS), cost of treatment, and discharge of inpatient status. By ‘age group’ we refer to children, productive, and elderly. Since mid-2020 government of Indonesia opted for a micro lockdown in several areas to reduce pandemic transmission nevertheless ensure economic recovery. However, people will have a higher risk if they conduct economic activities, moreover if they were to take public transport to their workplace. We also measure several differences between the implementation of technical guidance of 4th and 5th had a more significant differences in LOS …

Analysis Of Cigarette Demand Among Poor Households In Indonesia: An Islamic Economic Approach, Yusnia Monica, Abdillah Ahsan, Triasih Djutaharta, Nadira Amalia

Jurnal Ekonomi Kesehatan Indonesia

Increasing Indonesia’s health and economic burdens generated by smoking habit require immediate stakeholder responses to reduce cigarette consumption. This study aims to examine and compare the changes in smoking behavior (i.e., the smoking status and the number of cigarettes consumed monthly) among zakat recipients (mustahik) and zakat payers (muzaki) caused by cigarette prices and income changes. Using a dataset from SUSENAS 2018 and conducted under kifayah approach (a poverty line approach in Islamic economics that will allow the observers to differentiate between muzaki and mustahik), this study employed two-part regression models. Results showed that an increasing income escalated cigarette consumption …

Associations Of The Covid-19 Pandemic With Older Individuals' Healthcare Utilization And Self-Reported Health Status: A Longitudinal Analysis From Singapore, Sangnam Ahn, Seonghoon Kim, Kanghyock Koh

Research Collection School Of Economics

Background: The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives: To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method: Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects: Data were …

Cost Analysis Of Implementing An Exercise Program For Fall And Fracture Prevention In Older Adults On Proton Pump Inhibitor Therapy, Thomas Adam Wichelmann, Nhan Dang, David H. Kruchko, Sufyan Abdulmujeeb, Eli D. Ehrenpreis

Journal of Patient-Centered Research and Reviews

Purpose: Falls have significant financial impact. Proton pump inhibitor (PPI) therapy is associated with an increased risk of falls and fractures. Exercise programs have been shown to decrease risk of falls in the elderly population and are recommended by the U.S. Preventive Services Task Force for patients over age 65 to reduce falls. Our study aimed to explore the potential financial benefit of implementing three different Centers for Disease Control and Prevention-recommended exercise-based interventions for fall prevention (Tai Chi, Stepping On, and Otago Exercise Program) in ≥ 65-year-old patients on PPI therapy.

Methods: A Markov model was developed to predict …

“High Spending, Poor Productivity Gains!” Assessing Public Health System (In)Efficiency And Hospital Performance In The State Of Kuwait: Would More Private Delivery Improve Healthcare?, Aljawhara Alsabah

NYMC Student Theses and Dissertations

The healthcare sector in the State of Kuwait has been nurtured for many decades by the government, where the majority of health services in the country are controlled by the Ministry of Health (MoH). Although healthcare services in public sector hospitals are at highly subsidized rates, causing private sector involvement in healthcare to be considerably low, the growing demands for private delivery of care burgeoned participation of private hospitals in Kuwait, and improving hospital efficiency and productivity is more critical and timelier than ever. This dissertation aims to analyze public health system efficiency and hospital performance in the State of …

The Intergenerational Mortality Tradeoff Of Covid-19 Lockdown Policies, Lin Ma, Gil Shapira, Damien De Walque, Quy-Toan Do, Jed Friedman, Andrei A. Levchenko

Research Collection School Of Economics

In lower-income countries, the economic contractions that accompany lockdowns to contain COVID-19 transmission can increase child mortality, counteracting the mortality reductions achieved by the lockdown. To formalize and quantify this effect, we build a macro-susceptible-infected-recovered model that features heterogeneous agents and a country-group-specific relationship between economic downturns and child mortality and calibrate it to data for 85 countries across all income levels. We find that in some low-income countries, a lockdown can produce net increases in mortality. The optimal lockdown that maximizes the present value of aggregate social welfare is shorter and milder in poorer countries than in rich ones.

The Effect Of Smoking Behavior On Health Expenditure In Indonesia’S Rural Areas, Cyril Anfasha Firmansyah, Reza Galih Renaldi, Dinda Monikka, Estro Dariatno Sihaloho

Jurnal Ekonomi Kesehatan Indonesia

Smoking is one of the biggest causes of death in the world. The WHO reported that smoking kills 8 million people each year. Besides threatening global health, smoking by rural people tends to detain poverty alleviation efforts due to several factors, including cigarette expenditures and health expenditures. Indonesia has one of the most significant worldwide smoking prevalence and has become one of the countries that most suffer from smoking. The MoH Indonesia reported that health costs due to smoking reached Rp596.61 trillion in 2015. Previous studies found that smoking caused an increase in health expenditure due to smoking-related diseases in …

Gambaran Kebiasaan Merokok Di Indonesia Berdasarkan Indonesia Family Life Survey 5 (Ifls 5), Nisa Nisrina Salsabila, Noormarina Indraswari, Budi Sujatmiko

Jurnal Ekonomi Kesehatan Indonesia

The characteristics and patterns of smoking behavior are very important data to develop smoking control programs in Indonesia. However, until now there is no comprehensive and systematic data that represents all Indonesian people. This study aims to determine smokers, smoking habits, and smoking addiction in smoking habits in Indonesia based on IFLS 5. Using cross-sectional descriptive using IFLS 5 data. The research subjects are residents aged 15 years and over with a total of 12,591. The results show that smokers in Indonesia are mostly male (95%), only elementary school graduates (35%), work (80%), have a low economy (79%), and live …

Satisfaction Of Non-Covid-19 Patients Under National Health Insurance (Jkn) In Changes In Health Services During The Covid-19 Pandemic And Associated Factors, Istianah Surury, Nastiti Dyah Prastiwi, Luthfiah Haifah Ali

Jurnal Ekonomi Kesehatan Indonesia

Currently, health care services follow the first edition of the COVID-19 Prevention Guidelines from the Indonesian Health Ministry. Therefore, health care services should continue to deliver services equally between COVID-19 patients and general patients. Since the onset of the COVID-19 pandemic, a non-COVID-19 patient satisfaction survey has not been conducted at the hospital. Inpatient services are the most affected by COVID-19 because large capacity of bed is allocated for COVID-19. The aims of this study is to determine the level of satisfaction of non-COVID-19 patients under JKN and its associated factors regarding the changes in health care services during the …

Socioeconomic Factors And Smoking Habits In Indonesia: Analysis Of Indonesian Family Life Survey (Ifls) 2014/2015, Widiandini Prita Hapsari

Jurnal Ekonomi Kesehatan Indonesia

This study aims to find out what effects affect individuals to become smokers. So that the influence of socio-economic conditions and smoking habits in Indonesia can be helpful to literacy for policymakers. This study uses secondary data from the Indonesia Family Life Survey 2014/2015 (IFLS-5). The main variables in this study were smoking habits, while socio-economic conditions, social demographics and health conditions as control variables to see other factors that influence smoking habits. Using a logistic regression model, the results of this study indicate that several variables that represent socioeconomic conditions have a positive relationship and several other variables have …

Probabilitas Risiko Terkena Penyakit Jantung Dan Tb Berdasarkan Faktor Sosio-Ekonomi Dan Demografi, Ni Putu Mia Tarani, Achmad Kautsar

Jurnal Ekonomi Kesehatan Indonesia

This study aims to examine the effect of socioeconomic status and demographics on the probability of health status represented by heart disease and tuberculosis (TB). This study uses data from the Indonesian Family Life Survey (IFLS), an ongoing longitudinal survey in Indonesia. There are several independent variables in this study such as the amount of cigarette consumption, nutritional status and also blood pressure, with marginal effects as a measure of the relationship. In this study there are two dependent variables, namely heart disease and TB with the same independent variables, this is done to measure and compare how much influence …

Optimization Of Healthcare Workers Availability: Increasing Primary Healthcare Efficiency In Indonesia, Anedya Niedar, Firdaus Hafidz, Krishna Hort

Jurnal Ekonomi Kesehatan Indonesia

Policy has focused on the unequal distribution of health workers, while the potential for improvements in efficiency to address this problem has been neglected. This study aims to measure and compare the level of efficiency in the use of the available health workforce for the delivery of selected primary healthcare services among districts/cities in Indonesia, and to identify factors influencing that efficiency. The Data Envelopment Analysis method with output orientation to measure efficiency and Tobit regression analysis was performed to determine the effect of contextual factors. The average score for the technical efficiency of primary health care service delivery throughout …

Dak Fisik Kesehatan To Reduce Maternal And Infant Mortality Rate, Rendy Alvaro, Ratna Christianingrum, Tio Riyono

Jurnal Ekonomi Kesehatan Indonesia

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are essential indicators of health development that are written on the national development plan documents. Nevertheless, Indonesia has not yet achieved the national target of MDG’s and SDG’s. In prediction, without extraordinary policies, the target of SDGs will not be reached by 2030. The government has allocated DAK Fisik Penugasan as one of the efforts to reduce MMR and IMR. So this study aims to capture the effect of DAK Fisik in decreasing MMR and IMR. Panel data from 34 provinces level in 2019 and 2020 are analyzed using mean difference …

Episode Based Payment Models And The Hospital Safety-Net: An Evaluation Of The Center For Medicare And Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program, John A. Gravina

Dissertations and Theses

Episode Based Payment Models and the Hospital Safety-net: An Evaluation of the Center for Medicare and Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program

By John Anthony Gravina

Advisor: Alexis Pozen, Ph.D.

Introduction: Payments for Healthcare services are increasingly being tied to clinical quality, patient experience, health outcomes, and efficiency through value-based payment arrangements (VBP). VBP presents a potential opportunity to reduce healthcare expenditures by requiring providers to take on financial risk associated with the cost and quality of care, therefore aligning payment incentives with the goals of providing higher quality and efficient care. As of 2020, 80 percent of …

The Effect Of Covid-19 On Depression In Hispanic Vs. Non-Hispanic Populations In South Jersey, Rana Cheikhali, Daniel Casal

Rowan-Virtua Research Day

The COVID-19 pandemic has been challenging for Americans and the world as a whole. It has especially taken a toll on mental health. Studies show that the incidence of depression in the United States was three times greater during the pandemic compared to pre-pandemic times. One specific community in the United States that has been greatly affected by the pandemic is the Hispanic American community. Many Americans across the country have received federal surveys that aim to determine the social and economic impacts of COVID-19. Results revealed that the Hispanic population had the greatest rise in mental illness, with 40% …

The Impact Of Afghan Opium Cultivation On The U.S. Opioid Epidemic, Zachary Wahab Cheek

UNL Student Research Days Posters, Undergraduate

I argue here that increases in Afghan opium cultivation, the most prolific in the world, has depressed American prescription opioid and heroin prices, thereby increasing abuse risk in U.S. addict populations and increasing death rates. Utilizing a two-stage regression model with a sparse dataset from several national and international sources, I find evidence that a one percent increase in Afghan opium production is associated with a 0.122 percent increase in prescription opioid overdose deaths, and a 0.367 percent increase in heroin overdose deaths. Assessing the 2001-2002 Taliban opium ban with an identification strategy, I find that in this timeframe prescription …

A Comparative Analysis Of Migrant Health Policies And Practices In The Us And Switzerland, Rebecca Mak

Independent Study Project (ISP) Collection

Migrants compose a large proportion of the population in both the US and Switzerland. The social vulnerability of migrants has been well-established in literature, but few studies have attempted to compare healthcare policies and approaches that most effectively support migrant health using multiple measures.

To fill this gap in the literature, this study will comparatively analyze of the efficacy of US and Switzerland migrant health policies and services by assessing access to and quality of care for migrants in each country. Four main features of healthcare systems were analyzed: insurance policy, healthcare utilization, NCD outcomes, and patient perceptions of care. …

The Cost-Effectiveness And Feminization Of The Human Papillomavirus Vaccine, Audrey Jammes

Scripps Senior Theses

Approved in 2006, the Human Papillomavirus (HPV) vaccine provided a medical breakthrough in combating cancer by inoculating first female and then male adolescents in 2010. In 2016, a new HPV vaccine was approved for all adolescents. However, it is the most expensive vaccine created in the United States and its female centered prescription led to debates regarding the vaccine’s necessity and risks. For the STS portion of this paper, analysis of the language in the vaccine’s prescriptions from 2006, 2010, and 2016 demonstrates two implicit assumptions regarding female health built into the vaccine’s rollout. Comparison of the two assumptions to …

Impact Of Covid-19 On The Diversity Of The Construction Workforce, Anil Baral, Yunping Liang, Mingshu Li, Marilyn Gonzalez, Mohsen Shahandashti, Baabak Ashuri

Durham School of Architectural Engineering and Construction: Faculty Publications

Construction industry employment has been severely impacted by the coronavirus (COVID-19) pandemic. This paper examines the impact of the COVID-19 pandemic in the US construction labor market. This study contributes to the state of knowledge by (1) revealing how the COVID-19 pandemic impacted construction employment across different demographic groups and geographic regions in the US, and (2) identifying vulnerable demographic groups (e.g., minorities, women, older workers) in the construction workforce that are disproportionally impacted by the pandemic. Employment data from the Current Population Survey and Current Employment Statistics (CES) programs, which are administered by the Bureau of Labor Statistics, are …

Covid-19 Vaccine Disparities And Attitudes, Deonne Cartwright, Meryem Saygili

Pursue: Undergraduate Research Journal

The past couple of years have caused so much uncertainty and grief amidst the global pandemic. The goal of this study is to explore the attitudes behind COVID-19 vaccination to address the cause for vaccine disparities and help minimize health disparities in the United States. The study considers two multivariable regressions in SPSS of the social factors on vaccination status and vaccine confidence. This model studies the relationship between one’s ethnicity, race, education level, education specialization, household income, political ideology, and media source on vaccine confidence and vaccination status on an East Texas college campus. A campus-wide survey was conducted …

Physicians’ Behavior In Referring National Health Insurance Patients To Hospital, Natalia Natalia

Jurnal Ekonomi Kesehatan Indonesia

Physicians’ decision to refer patients in primary health care is vital in supporting the referral system. The increase of referral cases impacted the claims cost and hospital workload. This study aimed to analyze the physicians’ behavior in referring National Health Insurance (NHI) patients to hospitals. This study employed a qualitative method; 18 informants were selected using purposive sampling and analyzed using content analysis. The data were validated by triangulating method, source, and data. Physicians referred patients when the cases could not be handled; there were indications of severe disease and required further examination. The obstacles in the referral system were …

Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko Di Berbagai Negara, Aulia Agustina, Budi Hidayat

Jurnal Ekonomi Kesehatan Indonesia

Capitation is a payment method to primary health care providers. The application of capitation without considering risk adjustment could have a negative impact. There are several models of risk adjustment capitation payments. This study aims to review the development of the capitation payment system with risk adjustment for primary care in several countries. This study used the PRISMA method and got the articles from three online databases, namely Pubmed, EBSCOhost Medline, and Scopus. A total of 212 articles were collected, and 7 articles meet the criteria for further review. The review focuses on the risk-adjusted capitation payment system model. The …

Evaluasi Capaian Peta Jalan Jkn Di Provinsi Bengkulu Studi Kasus Sectio Caesarea Tahun 2014 Sampai 2019, Susilo Wulan

Jurnal Ekonomi Kesehatan Indonesia

Bengkulu is one of the provinces in Indonesia where SC rate has increased significantly over the last five years after the implementation of JKN. Previous studies into SC trend in Indonesia indicate that both overutilization and underutilization of SC exist reflected inequality. SC is a public health concern since it absorbs a huge amount of JKN funds and is indicated to contribute to the BPJS deficit. This study evaluates the achievement of the SC case equity target in Bengkulu Province based on the 2014- 2019 JKN roadmap. Combining qualitative and quantitative approaches, analyzing secondary data from the BPJS routine data …

Pengaruh Pembatasan Sosial Dan Variabel Ekonomi Terhadap Prevalensi Pandemi Covid-19 Di Provinsi Jawa Barat, Jordi Aperdanaste, Alfiah Hasanah, Adiatma Y. M. Siregar

Jurnal Ekonomi Kesehatan Indonesia

There are numerous factors that might affect social restrictions regulation on the reduction of the number of Covid-19 cases in 27 cities and districts in West Java Province. This study aims to identify the effect of social restrictions and economic variables on Covid-19 pandemic in West Java Province. The investigation uses several data sourced from the Covid-19 Information & Coordination Center of West Java Province, and the Central Bureau of Statistics in West Java Province. The dependent variable in this study is the average increase in daily Covid-19 cases. Meanwhile, the independent variable in this study are dummy of social …

Analisis Efisiensi Relatif Di Unit Pelaksana Teknis Badan Pengawas Obat Dan Makanan Tahun 2019, Pantri Widyastuti, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

The challenge of drug and food supervision requires the BPOM Technical Implementation Unit (UPT) to work optimally in the midst of limited resources. The analysis of the relative efficiency of the BPOM Technical Implementation Unit in 2019 was carried out with the aim of improving BPOM's planning, budgeting, and strategic policies in an effort to improve performance at each UPT. Calculation of relative efficiency using the DEA (Data Envelopment Analysis) method. This study uses a mixed method with a cross sectional research design. The research sample was 31 UPT BPOM that met the requirements as DMU (Decision Making Unit), 10 …

Estimasi Biaya Dan Evaluasi Program Intervensi Pemberian Pangan Olahan Untuk Keperluan Medis Khusus (Pkmk) Untuk Perbaikan Status Gizi Di Banyumas, Jawa Tengah, Hanifah Hasnur, Febyolla Presilawati

Jurnal Ekonomi Kesehatan Indonesia

The Government of Banyumas has implemented an intervention in the Provision of Processed Food for Special Medical Purposes (FSMP) with nutritional supplementation of 1.5 kcal/mL in 2019. However, there is no evaluation has been carried out, both of outcome and the cost of the intervention. So that, it is necessary to provide an initial picture of the resources needed for the formulation of future intervention plans. This study aims to determine the estimated cost required for FSMP intervention and to determine the outcome of the intervention. The economic evaluation was carried out partially by calculating costs from the perspective of …

The Health Status Of Labor Force In East Kalimantan Province: Effect Of Individual Characteristics And Household Conditions, Jaka Eben Heizer

Jurnal Ekonomi Kesehatan Indonesia

The aims of this research are first, to explore the factors that are associated with health status. Second, to address the individual characteristics and household conditions that affect the health status of labor force, taking into account the urban-rural differences. This research utilized data from SUSENAS Cor 2018, and employed a cross sectional - multinomial logistic regression analysis method. The dependent variable is the health conditions of the labor force. The findings show that, age and number of household members were significant for both sick and very sick health status in all two type of areas analyzed. In urban and …