Catasthropic Health Expenditure Analysis Based on Cataracts Severity at Public & Private Hospital in Surabaya

Linta Meyla Putri; Thinni Nurul Rochmah; Ernawaty Ernawaty

doi:10.37036/jhmr.v1i1.228

Linta Meyla Putri Prodi Administrasi Rumah Sakit, Stikes Adi Husada, Surabaya, Indonesia
Thinni Nurul Rochmah Prodi Administrasi Kebijakan dan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga Surabaya, Indonesia
Ernawaty Ernawaty Prodi Administrasi Kebijakan dan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga Surabaya, Indonesia

DOI: https://doi.org/10.37036/jhmr.v1i1.228

Abstract

Background: The rate of visual disorders due to cataracts in Indonesia is the highest in Southeast Asia region and got the third place in the world at 1.47%. The prevalence of cataracts in East Java Province based on Riskesdas 2013 was 1.6%. Every year as many as 38 thousand residents of East Java Province are threatened with cataracts. Cataracts require a very large cost for medication.

Aims: This study aims to conduct a Health Expenditure Analysis of cataract patients at Public and Private Hospital in Surabaya.

Methods: Observational analytical research using quantitative methods. The time approach used for this research is a prospective design. The sample in this study were 174 patients.

Results: Based on the results of the study, there was a significant difference (p-value = 0.001) between the Health Expenditure of cataract patients in private hospitals and government hospitals. The average health expenditure at private eye hospitals was higher than that of government eye hospitals, with an average difference -an average of IDR 4,240,030 per patient. Even so, patients from private and government hospitals experienced catastrophic health expenditure. Based on the chi-square test, there was a significant relationship between cataract severity (p-value¬= 0.001) and the incidence of catastrophic health expenditure.

Conclusion: Catasthropic health expenditure can be experienced by patients in both private and public hospitals due to health costs incurred for cataract treatment for a period of 3 months.

References

American Academy of Ophthalmology. (2015). Lens and cataract. Section 11. Singapore: Basic and Clinical Science Cource, pp 166-203.
Broman AT, Munoz B, Rodriguez J, Sanchez R, Quigley HA, Klein R, et al. (2016). The impact of visual impairment and eye disease on vision-related quality of life in a Mexican- American population: Proyecto VER. Invest Ophthalmol Vis Sci, 43(33), pp 93-8.
Cahill MT, Banks AD, Stinnett SS, Toth CA. (2015) Vision-related quality of life in patients with bilateral severe age-related macular degeneration. Ophthalmology, 112, pp 52–54.
Hadini, M., Eso, A., & Wicaksono, S. (2017). Analisis faktor risiko yang berhubungan dengan kejadian katarak senilis di RSU Bahteramas tahun 2016. Open Journal System Halu Oleo University (UHO), Vol. 3, No. 2, p. 256-267.
J.P Barbosa, M. Firera, A. Sa-Sousa, L.F Azevedo, J.A Fonseca. (2017). Cost of Asthma in Portuguese Adults: A Population-Based, Health Expenditure Study. Pourtuguese Journnal of Pulmonology. 23(6), pp. 323-330
Laila, A., Raupong, I., & Saimin, J. (2017). Analisis faktor-faktor risiko kejadian katarak di Daerah Pesisir Kendari. Jurnal Universitas Halu Oleo, Vol. 4, No. 2, p. 377-387.
Lubis, Z. (2018). Perubahan kamera okuli anterior dan tekanan intraokuli sesudah operasi fakoemulsifikasi katarak senilis. Tesis. Medan: Universitas Sumatera Utara
Mutiarasari, Diah, Handayani Fitriah. (2016). Katarak Juvenil. Inspirasi. Vol.XIV, p.37-50. Philip, Subash, Sam Kishore Gnana. (2013). Pharmacoeconomics: Health Expenditure
Studies. Hyagia: India.
Sorensen, ,M., F.Arneberg, T.M. Line, T.J. Berg. (2016) Cost of Katarak in Norway 2011.
Cataract Research and Clinical Practice, 122, pp.124-132.
World Health Organization, (2015) Priority Eye Disease. [Online]. Available at: http://www.who.int/blindness/ causes/priority/en/index1.html

Analisis Catasthropic Health Expenditure Berdasarkan Severity Katarak pada RS Swasta & Pemerintah di Surabaya