Electronic Theses and Dissertation

Program studi magister kesehatan masyarakat fakultas kedokteran universitas syiah kuala tesis, september 2022 azwar muslim cost effectiveness analysis (cea) hemodialisis (hd) dan continuous ambulatory peritoneal dialysis (capd) pada pasien gagal ginjal kronik di rsud dr. zainoel abidin banda aceh 83halaman+20tabel+9gambar+4diagram+7lampiran abstrak latar belakang : kerusakan pada ginjal dapat disebabkan oleh sejumlah kondisi dan menimbulkan gangguan multisistem. terdapat 3 (tiga) tahap tanda dari penyakit gagal ginjal kronik yaitu berkurangnya cadangan ginjal, gangguan ginjal, dan penyakit ginjal tahap akhir. jumlah penderita gagal ginjal kronik (ggk) setiap tahun terjadi peningkatan 5-10%, sedangkan tindakan medis yang dilakukan adalah dengan melakukan terapi dialysis baik secara hemodialisa maupun peritoneal dialysis. hubungan antara gagal ginjal dengan cost effectiveness analysis (cea) memberikan gambaran tentang biaya yang efektif dan efisien pada pasien yang menjalani terapi dialysis. tujuan : menganalisa efektivitas biaya (cea) tindakan hd pada pasien gagal ginjal, menganalisa efektivitas biaya (cea) tindakan capd pada pasien gagal ginjal, membandingkan efektivitas biaya (cea) tindakan hd dan capd pada pasien gagal ginjal serta menganalisa kenaikan hb pada pasien ggk di rsud dr. zainoel abidin banda aceh. metode : penelitian ini bersifat deskriptif analitik dengan metode pengambilan data secara retrospektif menggunakan data sekunder dari rekam medis. sampel penelitian adalah jumlah total pasien hd dan capd yang sesuai dengan kriteria inklusi, yaitu 76 pasien hd dan 55 pasien capd de3ngan teknik pengambilan sampel menggunakan purposive sampling. hasil : efektivitas peningkatan rata-rata selisih hb pasien hd dan capd, didapati tindakan capd lebih efektif dibandingkan tindakan hd. hasil analisis biaya (cea) dari tindakan hd dan capd pada pasien ggk dalam 3 bulan dijumpai tindakan capd mempunyai rasio efektivitas biaya 1,13 kali lebih rendah dibandingkan tindakan hd. dari perhitungan nilai acer, di dapat nilai acer capd lebih rendah dari pada hd. untuk menghitung nilai icer menggunakan tabel hubungan efektivitas-biaya antar tindakan, dimana capd ada dikolom g dan hd dikolom c. dari diagram kartesius, capd berada di kuadran ii,sedangkan hd berada di kuadran iv. kesimpulan : biaya tindakan capd lebih efektif dan efisien dibandingkan dengan tindakan hd pada pasien gagal ginjal kronik di rsud dr. zainoel abidin banda aceh. kata kunci : gagal ginjal kronik, cost-effectiveness analysis, efektifitas biaya tindakan hd dan capd

MASTER PROGRAM OF PUBLIC HEALTH MEDICINE FACULTY, SYIAH KUALAI UNIVERSITY Tesis, September 2022 Azwar Muslim Cost Effectiveness Analysis (CEA) Hemodialisis (HD) And Continuous Ambulatory Peritoneal Dialysis (CAPD) in Patient With Chronic Kidney Failure at Dr. Zainoel Abidin Hospital in Banda Aceh 83Pages+20Tables+9Pictures+4Diagrames+7Appendices ABSTRACT Background : Damage to the kidneys can be caused by a number of conditions and cause multisystem disorders. There are 3 (three) stages of signs of chronic kidney failure, namely reduced kidney reserves, kidney disorders, and end-stage kidney disease. The number of patients with chronic kidney failure (CKD) every year increases by 5-10%, while the medical action taken is to perform dialysis therapy either by hemodialysis or peritoneal dialysis. The relationship between kidney failure and Cost Effectiveness Analysis (CEA) provides an overview of the effective and efficient use of funds in patients undergoing dialysis therapy. Objective : To analyzing the measures of cost-effectiveness HD procedures in patients with kidney failure, To analyzing the measures of cost-effectiveness CAPD procedures in patients with kidney failure, To comparing the measures of cost-effectiveness HD and CAPD procedures in patients with kidney failure and analyze the increase of Hb in patients with CKD at Dr. Zainoel Abidin Hospital Banda Aceh. Methods : This research is a descriptive analytic study with a retrospective data collection method using secondary data from medical records. The research sample was the total number of HD and CAPD patients that matched the inclusion criteria, namely 76 HD patients and 55 CAPD patients. The sampling technique used was purposive sampling. Result : The effectiveness of increasing the average difference in Hb of HD and CAPD patients, it was found CAPD procedures more effective than HD procedures. The results of the cost analysis (CEA) of HD and CAPD procedures in CKD patients within 3 months found that CAPD procedures had a cost-effectiveness ratio of 1.13 times lower than HD procedures. From the ACER value, the ACER CAPD value is lower than HD. To calculate ICER value using a cost-effectiveness relationship table between procedures, where column G is CAPD and column C is HD. From the Cartesian diagram, CAPD in quadrant II and HD in quadrant IV. Conclusion : The cost of CAPD procedures is more cost effective and efficient than HD procedures in patients with chronic kidney failure at Dr. Zainoel Abidin Hospital Banda Aceh. Keywords : Chronic Kidney Failure, Cost-Effectiveness Analysis, Cost Effectiveness (CEA) HD and CAPD procedures.