Comparative Study of Unit Cost-analysis among Urban and Rural Dental Primary Health Services in Padang City, Indonesia
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Introduction: The reformation of The Indonesian Health System that became National Health Insurance (NHI) by using capitation method made a significant change in basic healthcare services. Capitation method is influenced by utilisation and unit cost calculation. Puskesmas, that stand for Community-based health service, is a primary healthcare full financed by Indonesian government capitation and focus on free simple healthcare. Inequalities of puskesmas distribution spread all over Indonesia, including in urban and rural area and impacted the oral health outcome and dental service delivery. Aim: To calculate and to analyse the comparison of dental service-unit cost value after the reformation of Indonesian NHI at the urban and rural puskesmas in Padang City, Indonesia. Materials and Methods: Two of 22 total puskesmas were chosen by random sampling, one puskesmas was representative for urban and rural counterpart. The data was collected, extracted and analysed. Then two administrative officers where interviewed, at each puskesmas. The Activity Based Costing (ABC) method was used to calculate the unit cost of dental healthcare services. Results: Unit cost of dental service in urban puskesmas was IDR 86,652, and rural was IDR 108,721. Rural puskesmas has high total cost and low activity driver. On the other hand, low total cost with high activity driver was found at urban puskesmas. Conclusion: Rural puskesmas has higher unit cost value than urban puskesmas. Hence, it may help the Indonesian government to distribute equal capitation expenditure on dental service at each puskesmas in Indonesia.
Authors and Affiliations
Febrian . , Syukri Lukman, Hardisman . , Suhairi . , Desy Purnama Sari
Keywords
Related Articles
- EP ID EP580669
- DOI 10.7860/JCDR/2019/37975.12714
- Views 93
- Downloads 0
Correlation of Width of Attached Gingiva, Depth of the Vestibule on Gingival Health and Oral Hygiene Maintenance in Malaysian Young Adults
ABSTRACT Introduction: Attached gingiva is an important factor affecting periodontal health which enhances the plaque removal around the gingival margin, improves aesthetics and reduces inflammation around a restored tee...
Diagnosis of Lafora Disease by Skin Biopsy
Images in Medicine
Infiltrating Ductal Carcinoma Co-Existing with Intraductal Papillary Carcinoma of Male Breast: A Rare Case Report
Male breast carcinomas are rare tumours, accounting for less than 1% of all malignancies in men. Intracystic Papillary Carcinoma (IPC) in males is a very rare entity, representing 5-7.5% of all male breast carcinomas. It...
Therapeutic Effect of Momordica charantia on Blood Glucose, Lipid Profile and Oxidative Stress in Type 2 Diabetes Mellitus Patients: A Randomised Controlled Trial
ABSTRACT Introduction: Momordica charantia (Bitter Melon) is known to have anti-diabetic property. Animal studies have documented its hypoglycaemic and lipid lowering effect. However, clinical trials with human subjects...
The Comparison of Violence and Sexual Function between Fertile and Infertile Women: A Study from Iran
ABSTRACT Introduction: Fertility is one of the most important variables. Infertility and others’ attitudes towards this factor make infertile couples vulnerable to mental and emotional disturbances, which ultimately lead...