Published date: Mar 08 2023

Journal Title: KnE Medicine

Issue title: 2nd International Conference on Medical Health Science (2nd ICMEDH)

Pages: 61–69

DOI: 10.18502/kme.v3i2.13037

Rezky Ami Cahyaharnitamyamirezky@gmail.comMuhammadiyah University General Hospital of Malang

Thontowi Djauhari Nur SubchiDoctoral Programme Faculty of Public Health Airlangga University

Subi HariyantoMuhammadiyah University General Hospital of Malang

Intan Putri AndriyaniMuhammadiyah University General Hospital of Malang

Husni FauziahMuhammadiyah University General Hospital of Malang

Amalia Nur HidayatiMuhammadiyah University General Hospital of Malang

COVID-19 has had many negative impacts on society. One of them is the impact on the economy in the healthcare sector, namely hospitals. Transmission through direct contact with a sprinkling of phlegm from infected people (through coughing and sneezing) and touching a surface contaminated with the virus made the Indonesian government enforce the Stay at Home policy. This led to reducing the number of BPJS patient visits at the hospital at the beginning of the COVID-19 pandemic. The reduced number of BPJS patient visits had the effect of decreasing hospital income. This is in line with the decrease in outpatient and inpatient income at the Muhammadiyah University General Hospital of Malang from 2019 to 2020 by 14% and 13%, respectively. This study uses Chaos Theory, where hospital revenues from patient visits are reduced unpredictably due to the ongoing COVID-19 pandemic. The method used in this research is a qualitative descriptive method. The results of the data analysis showed that the number of patient visits at UMM Hospital increased in the second year of the COVID-19 pandemic in 2021.

Keywords: COVID-19, hospital, risk management, financial, BPJS

[1] Ekonomi Kesehatan Indonesia J, Ambarwati W, Kesehatan Madya A, Kesehatan KK. Pembiayaan Pasien COVID-19 dan Dampak Keuangan terhadap Rumah Sakit yang Melayani Pasien COVID-19 di Indonesia Analisis Periode Maret 2020-Desember 2020

[2] COVID-19 Patient Payment and Financial Implication on Hospitals Serving COVID-19 Patients in Indonesia.

[3] Undang-Undang dasar negara republik Indonesia tahun 1945 dalam satu naskah.

[4] No UU. 36 Tahun. Tentang Kesehatan; 2009.

[5] kmk-no-hk0107-menkes-4641-2021-ttg-panduan-pelaksanaan-pemeriksaanpelacakan- karantina-isolasi-dalam-pencegahan-covid-19.

[6] Kementerian KR. Pembayaran Klaim RS yang Menangani COVID-19 Berjalan Lancar. 2021. pp. 1–2., kemkes.go.id

[7] Nosih Saturwa H, Aziz Ahmad A. The impact of Covid-19 pandemic on MSMEs. Jurnal Ekonomi dan Bisnis [Internet]. 2021;24(1):65–82. Available from: www.ejournal.uksw.edu/jeb

[8] Giusman R, Nurwahyuni A, Indonesia U, Masyarakat K, Depok K, Barat J. Evaluasi Pelayanan Rawat Jalan RS X Melalui Segmenting, Targeting Positioning Evaluation of Hospital Outpatient Services Through Segmenting, Targeting Positioning.

[9] Dancer SJ. Reducing the risk of COVID-19 transmission in hospitals: focus on additional infection control strategies. https://doi.org/10.1016/j.mpsur.2021.10.003.

[10] Bruni T, Lalvani A, Richeldi L. Telemedicine-enabled accelerated discharge of patients hospitalized with COVID-19 to isolation in repurposed hotel rooms. Am J Respir Crit Care Med. 2020 Aug;202(4):508–10.

[11] Hospitals forecast declining revenues, lower procedure volumes and greater telehealth adoption due to COVID-19 [Internet]. 2020. Available from: https://www.hfma.org/topics/hfm/2020/august/hospitals-forecast-decliningrevenues- lower-procedure-volumes.html

[12] Nur MI, Marzuki I. EVALUASI PENDIDIKAN NASIONAL ERA PANDEMI BERSANDAR PADA CHAOS THEORY. Tadarus Tarbawy. 2(2).

[13] Nosih Saturwa H, Aziz Ahmad A. The impact of Covid-19 pandemic on MSMEs. Jurnal Ekonomi dan Bisnis [Internet]. 2021;24(1):65–82. Available from: www.ejournal.uksw.edu/jeb

[14] Clark AE, D’Ambrosio C, Lepinteur A. The fall in income inequality during COVID-19 in four European countries. J Econ Inequal. 2021;19(3):489–507.

[15] Survei Markplus_ Masyarakat enggan mengunjungi rumah sakit sejak pandemi Covid-19.

[16] Kilaru AS, Lee K, Snider CK, Meisel ZF, Asch DA, Mitra N, et al. Return Hospital Admissions Among 1419 COVID-19 Patients Discharged from Five U.S. Emergency Departments. Acad Emerg Med. 2020 Oct;27(10):1039–42.

[17] covid-strategy-update-14april2020.

[18] Kilaru AS, Porges SB, Grossman L, Delgado MK, Morgan AU, Chaiyachati KH, et al. An accelerated hospital observation pathway to reduce length of stay for patients with COVID-19. Am J Manag Care. 2022 Jun;28(6):262–8.

[19] Yim KM, Yim RM, Gaspard S, MacDougall J, Armstrong AW. Strategies to maximize clinical efficiency while maintaining patient safety during the COVID-19 pandemic: an interview-based study from private practice dermatologists. J Dermatolog Treat. 2022 May;33(3):1503–6.

[20] The 2 key ways to improve patient flow during Covid-19.

[21] Gao Y, Sun F, Jiang W, Fang Y, Yue L, Lin X, et al. Beliefs towards the COVID-19 pandemic among patients with emotional disorders in China. Gen Psychiatr. 2020 Jun;33(3):e100231.