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Cost Analysis of Guidelines Draft Implementation in Pelvic Organ Prolapse, Cervical Cancer, and Endometriosis Cases

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Department of Obstetrics and Gynecology has a Clinical Practice Guidelines (CPG) draft of gynecological division which the implementation and compliance have never been evaluated previously. Hence it is important to evaluate the CPG in pelvic organ prolapsed, cervical cancer, and endometriosis patients as the most frequent illnesses in gynecological cases make cost analysis. A cohort study with retrospective collection of medical records to see the draft compatibility and the implementation of the CPG in the hospitalized patients between January 2015–December 2015, which were 60 cases of the pelvic organ prolapse, 155 cases of cervical cancer, and 101 cases of endometriosis at RSCM. The analysis was done descriptively by comparing the ratio between the cost of the hospital and the cost obtained from BPJS in the form of percentage. Compliance between hospital rates and funding that obtained from BPJS is considered appropriate if within the range of 90–110%. The cost of procedures from RSCM are 75.72, 53.95 and 71.45 subsequently from pelvic organ prolapse, cervical cancer and endometriosis. Fund ratio from BPJS: RSCM rate are 58.19, 60.74, and 70.74 subsequently from pelvic organ prolapse, cervical cancer and endometriosis. The ratio from BPJS and procedure cost are 76.85, 112.57 and 99.05 subsequently from pelvic organ prolapse, cervical cancer and endometriosis. There was no significant difference in the suitability of expenses obtained from BPJS between patients handled in accordance with CPG and less appropriate CPG.
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Keywords: Cervical Cancer; Clinical Practice Guidelines; Endometriosis; Pelvic Organ Prolapse

Document Type: Research Article

Affiliations: Department of Obstetrics and Gynecologic, Faculty of Medicine, Universitas Indonesia–Cipto Mangunkusumo GH, Indonesia

Publication date: September 1, 2018

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