The Effect Of Compliance In The Use Of Clinical Pathway (CP) And Duration Of Care On Cost Efficiency In Patients With Caesarian Section (SC)
Authors: Habibah Zahrotul , Purwadhi Purwadhi , Handayani Nining 
Published: December 2024

Clinical Pathway (CP) penting untuk mengurangi biaya, lama perawatan serta dapat meningkatkan mutu pelayanan pasien, terutama pada era asuransi Jaminan Kesehatan Nasional (JKN). Tujuan studi ini adalah untuk mengetahui pengaruh angka kepatuhan terhadap CP dan lama perawatan terhadap efisiensi biaya perawatan pasien sectio cesarean (SC). Studi cross sectional menggunakan data primer di RS Edelweiss bulan Juli-September 2024. Tingkat kepatuhan CP berkorelasi positif secara signifikan terhadap GPM (r=0.558, p<0.001), dan lama perawatan berkorelasi secara negatif secara signifikan terhadap GPM (r=-0.467, p<0.001). Hasil analisa regresi linier didapatkan tingkat kepatuhan CP dan lama perawatan secara simultan mempengaruhi GPM (F=10,221, p<0.001). Kepatuhan terhadap penggunaan Clinical Pathway serta pengelolaan lama perawatan memiliki pengaruh yang signifikan terhadap efisiensi biaya pada pasien sectio caesarean (SC). Keunggulan dari penelitian ini yaitu relevansi topik yang diteliti dengan situasi manajemen RS saat ini dan menggunakan metode kuantitatif memungkinkan pengukuran yang objektif terhadap variabel-variabel yang diteliti, seperti biaya, lama perawatan, dan tingkat kepatuhan. Kata Kunci: kepatuhan terhadap clinical pathway, lama perawatan, efisiensi biaya ABSTRACT Clinical Pathways (CP) are crucial for reducing costs and length of stay while improving patient service quality, especially in the era of the National Health Insurance (JKN). This study aims to determine the effect of compliance rates with CP and length of stay on cost efficiency for patients undergoing cesarean section (CS). A cross-sectional study was conducted using primary data at Edelweiss Hospital from July to September 2024. A significant positive correlation was found between CP compliance and GPM (r=0.558, p<0.001), while length of stay had a significant negative correlation with GPM (r=-0.467, p<0.001). Linear regression analysis showed that both CP compliance and length of stay significantly influenced GPM (F=10.221, p<0.001). Compliance with the use of Clinical Pathways and management of length of stay significantly affects cost efficiency for patients undergoing cesarean section (CS) at Edelweiss Hospital Bandung. The excellence of this research is the relevance of the topic studied to the current hospital management situation and uses quantitative methods allowing objective measurements of the variables studied, such as costs, length of treatment, and level of compliance . Keywords: compliance of the use of clinical pathway, length of stay, cost efficiency  American Academy of Pediatrics (AAP), 2023. “Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Hospitals.”Anderson, P., & Johnson, R. (2019). Clinical pathways: Are they really cost-saving? BMC Health Services Research , 19(2), 70-80.Anderson, P., & White, D. (2020). 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