Healthcare Quality Received by Insured Patients in Two Indonesian Regional Public Hospitals.
J Holist Nurs
; 42(2_suppl): S126-S134, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38311909
ABSTRACT
Background:
Hospitals are required to improve the quality of health services provided to patients.Purpose:
Evaluating and comparing the healthcare quality received by insured patients hospitalized in two Indonesian regional public hospitals.Methods:
Secondary data analysis used the 2019 and 2020 Indonesian National Health Insurance e-claim databases of Hospital A and Hospital B. Descriptive and crosstabs analyses were used to determine INA-CBGs diagnoses that were categorized as high volume, high risk, and high cost.Results:
The admissions that caused financial loss at the Hospital A were 21.1% in 2019 and 19.8% in 2020, while 30.3% in 2019 and 27.5% at the Hospital B. More than 60% of these admissions were placed in the 3rd class of inpatient wards of the two hospitals. Of these admissions, < 5% at the Hospital A and >5% at the Hospital B were readmitted within 30 days, although more than 90% were previously discharged based on physicians' approval.Conclusions:
Inadequate healthcare quality received by insured patients. Hence, an integrated clinical pathways based professional nursing practice model is highly recommended to increase patient outcomes and decrease 30 days hospital readmission rates.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
/
Hospitales Públicos
Tipo de estudio:
Guideline
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Holist Nurs
Asunto de la revista:
ENFERMAGEM
Año:
2024
Tipo del documento:
Article
País de afiliación:
Indonesia
Pais de publicación:
Estados Unidos