HEALTH EXPENDITURE ANALYSIS IN PATIENTS WITH PREGNANCY-LABOR COMPLICATIONS IN SURABAYA
Background: Healthcare spending has serious social and economic consequences for familie, such as financial constraints and psychological distress. Expenditure caused by obstetrics complications has an impact on total household spending. One person’s health expenditure can influence their family members’ welfare.
Aims: This study analyzed health expenditure of patients experiencing preeclampsia, eclampsia, and postpartum hemorrhages.
Methods: This study utilized a descriptive observational research design with a cross-sectional approach. The research sample consisted of 135 women who gave birth in November to December 2018. Multistage random sampling was used since the respondents were selected from regions of Surabaya.
Results: Respondents of pregnancy and delivery complication with catastrophic health expenditure was eclampsia suffered by 40 respondents, 71 respondents with medium income financing Rp3,800,000.00, 64 respondents with medium household expenditure (monthly income of Rp2,001,000.00 - Rp3,000,000.00). As many as 62 respondents had social security agency for health without contribution beneficiaries, 62 respondents had one employed family member, and 66 respondents had 5-7 family members.
Conclusions: The majority of respondents in Surabaya in 2019 experienced a 10% increase of total household expenditure while undergoing treatment. The government continues to increase subsidies for health service facilities that mostly serve the indigen population.
Aregbeshola, B.S. and Khan, S.M. (2018) ‘Out-of-Pocket Payments, Catastrophic Health Expenditure and Poverty Among Households in Nigeria 2010’, international Journal of Health Policy and Management [Preprint]. doi:10.15171/ijhpm.2018.19.
Aulia, D., Ayu, S.F. and Nefonafratilova, N. (2017) ‘Analisis Perbandingan Biaya Langsung (Direct Cost) dan Biaya Tidak Langsung (Indirect Cost) pada Pasien Stroke Di Rumah Sakit’, Jurnal Ekonomi Kesehatan Indonesia, 2(2). doi:10.7454/eki.v2i2.2143.
Cylus, J., Papanicolas, I. and Smith, P.C. (2017) ‘Using Data Envelopment Analysis to Address the Challenges of Comparing Health System Efficiency’, Global Policy, 8, pp. 60–68. doi:10.1111/1758-5899.12212.
Dalaba, M.A. et al. (2015) ‘Cost to households in treating maternal complications in northern Ghana: A cross sectional study’, BMC Health Services Research, 15(1), pp. 1–8. doi:10.1186/s12913-014-0659-1.
Doorslaer, E. and O’Donnell, O. (2011) Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings, Health Inequality and Development, p. 44. doi:10.1057/9780230304673_2.
Firmansyah, F., Andayani, T.M. and Pinzon, R.T. (2016) ‘Analisis Biaya Penyakit Stroke Iskemik’, Manajemen Dan Pelayanan Farmasi, pp. 27–34.
Hussey, P.S., Wertheimer, S. and Mehrotra, A. (2016) ‘The Association Between Health Care Quality and Cost A Systematic Review’, PMC [Preprint]. doi:10.7326/0003-4819-158-1-201301010-00006.
Indonesian Ministry of Health (2017) Profil Kesehatan Indonesia Tahun 2017. Jakarta.
Kes, A. et al. (2015) ‘The economic burden of maternal mortality on households : evidence from three sub-counties in rural western Kenya’, 12(Suppl 1), pp. 1–10. doi:10.1186/1742-4755-12-S1-S3.
Laksono, Y.M.T. et al. (2017) ‘Health Systems in Transition’, in Krishna Hort, N.I. for G.H., University of Melbourne Walaiporn Patcharanarumol, International Health Policy Program, Ministry of Public Health Thailand (ed.) The Republic of Indonesia Health System Review. Vol. 7. Jakarta: Asia Pacific Observatory on Health Systems and Policies.
Nastiti, D. (2011) ‘Gambaran Faktor Risiko Kejadian Stroke Pada Pasien Stroke Rawat Inap Di Rumah Sakit Krakatau Medika Tahun 2011 Pasien Stroke Rawat Inap Di Rumah Sakit Krakatau Medika Tahun 2011’, Gambaran Faktor Risiko Kejadian Stroke Pada Pasien Stroke Rawat Inap Di Rumah Sakit Krakatau Medika Tahun 2011, pp. 117–117. doi:10.1590/S1982-45132011000300008.
Nugraheni, W.P. and Hartono, R.K. (2017) ‘Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN’, Buletin Penelitian Kesehatan, 45(1). doi:10.22435/bpk.v45i1.6069.27-36.
Russells, S. (2004) ‘Economic burden of illness for household in developing countries: a review of studies focusing on malaria, tuberculosis and human immunodeficiency virus /acquired immunodeficiency syndrome’, American Journal of Tropical Medicine and Hygiene, 71(Suppl 2), pp. 147–155.
Sihombing, R.G. and Rochmah, T.N. (2013) ‘Dampak Pembiayaan Terhadap Ability To Pay Dan Catastrophic Payment’, FKM Unair Surabaya, 1, pp. 1–8.
Wagstaff, A. and Doorslaer, E. (2001) ‘Paying for Health Care. Quantifying Fairness, Catastrophe, and Impovershment, with Applications to Vietnam, 1993-98’, Policy Research Working Paper 2715, 11(July 2001), pp. 1–50. doi:10.1136/jme.17.3.117.
WHO (2019) ‘Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary’, in, pp. 1–16.
Wiseman, V. et al. (2018) ‘An evaluation of health systems equity in Indonesia: Study protocol’, International Journal for Equity in Health, 17(1), pp. 1–9. doi:10.1186/s12939-018-0822-0.
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