THE DIFFERENCE OF STROKE NON HEMORRHAGIC PATIENTS ON LENGTH OF STAY AND COST OF TREATMENT BEFORE AND AFTER CLINICAL PATHWAY IMPLEMENTATION AT PANTI RAPIH HOSPITAL

Nurmayanti, Dian and Nuryati, Nuryati (2015) THE DIFFERENCE OF STROKE NON HEMORRHAGIC PATIENTS ON LENGTH OF STAY AND COST OF TREATMENT BEFORE AND AFTER CLINICAL PATHWAY IMPLEMENTATION AT PANTI RAPIH HOSPITAL. PROCEEDINGS International Seminar and Workshop on Public Health Action "Building Healthy Community".

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Abstract

Indonesia global health insurance system was established since January, 1st 2014. This is an effort to all Indonesian for increasing highest degree of their health statue. One indicator of the effectiveness and efficiency of health services is to minimize length of stay. This is encourage multidisciplinary to implementing clinical pathway for some diagnose as quality control and cost control. This study conducted by analitycal survey with a retrospective design on SNH patients hospitalized at Panti Rapih Hospital from July to December 2014 that were used medical record of patients during care, data collecting techniques were used study documentation and interview. Total subjects were 68, consisted 34 before clinical pathway group and 34 after clinical pathway group. The averages of SNH patients on LOS both without other variable correlation and complication disease correlation before and after clinical pathway implementation were (P < 0,05) meanwhile average stroke non hemorrhagic patients on cost of treatment both group without other variable correlation and complication disease correlation before and after clinical pathway implementation were (P >0,05). There were any difference about LOS and cost of treatment because of clinical pathway on SNH patients with complication, however clinical pathway couldn’t changed SNH patients without complication. Keyword : Clinical Pathway, Length of Stay, Cost of Treatment

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