ANALISIS PERBEDAAN BIAYA MEDIK LANGSUNG PASIEN DIABETES MELITUS TIPE 2
DOI:
https://doi.org/10.36387/jifi.v2i2.414Kata Kunci:
DM tipe 2, biaya medik langsung, antidiabetik, komplikasiAbstrak
Diabetes Melitus (DM) tipe 2 merupakan penyakit kronik yang membutuhkan biaya besar terkait pengobatan untuk mengontrol glukosa darah serta untuk mengatasi komplikasi. Tujuan penelitian untuk mengetahui perbedaan biaya medik langsung berdasarkan pola peresepan antidiabetik dan komplikasi. Desain penelitian adalah cross sectional dengan jenis observational. Pengambilan data secara retrospektif berdasarkan rekam medik dan data keuangan pada bulan September 2017 di RSUD Panembahan Senopati Bantul Yogyakarta. Jumlah subyek adalah 200 pasien dengan kriteria inklusi yaitu pasien DM tipe 2 rawat jalan, usia ≥18 tahun dan memperoleh antidiabetik rutin minimal 3 bulan sebelum penelitian. Kriteria eksklusi yaitu pasien dalam kondisi hamil atau menyusui. Analisis data perbedaan biaya medik langsung berdasarkan pola peresepan antidiabetik dan komplikasi menggunakan uji Kruskal Wallis sedangkan data sosiodemografi, diulas secara deskriptif. Hasil penelitian menunjukkan sebesar 48,5% pasien DM tipe 2 memperoleh kombinasi oral dengan insulin dan komplikasi yang banyak dialami pasien adalah makrovaskuler (19,5%). Rata-rata biaya medik langsung adalah Rp 489.005,00. Terdapat perbedaan biaya medik langsung berdasarkan pola peresepan (p=0,000) dan komplikasi (p=0,000). Pasien yang memperoleh kombinasi antidiabetik oral dengan insulin serta pasien yang mengalami komplikasi makrovaskuler dan mikrovaskuler mengeluarkan biaya medik langsung paling tinggi.
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