Cost Effectiveness Analysis Based Through Nutrition Intake and Nutritional Status in Kidney Failure Patients Who Underwent Hemodialysis and Non Hemodialysis Therapy Productive Age at Makassar City

Abstract

Background: The high cost of care for patients with kidney failure is a serious problem and requires cost effective planning. Patients undergoing hemodialysis often lack nutritional intake and nutritional status. Factors causing low energy and protein consumption in patients with renal failure are socioeconomic factors such as depression, stress, lack of knowledge and poverty, the patient's own characteristics in the treatment process. Objective: Analyze and assess the magnitude of the costs incurred for patients with renal failure who undergo advanced age hemodialysis therapy through nutritional intake and nutritional status. Material and Method: In this study data were collected simultaneously at RSUP. Dr.Wahidin Sudirohusodo Makassar through cross sectional study. Qualitative and quantitative approach with descriptive comparative analysis and activity based costing method. Results: The results revealed that the leading cause of renal failure was based on the primary diagnoses of the disease, ranging from hypertensive renal disease, and comorbidities such as non insulin dependent diabetes, acute subendocardial myocardial, aneurysm of artery of upper extremity and other acute renal failure. Through calculation method Activity Based Costing (ABC), financing activity is lower, but can not be denied that there is variable cost per patient perceived kidney failure. Conclusion: Nutritional intake and nutritional status showed comparison with the Cost Effectiveness Analysis method that there was a difference between hemodialysis and non-hemodialysis patients of Rp.1.998.000, - this means that in non-hemodialysis group more effective than hemodialysis group

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