PHYSICIAN MANAGEMENTS PRE-MODEL DEVELOPMENT SUPPORTING PATIENTS COST OF CARE EFFICIENCY IN THE HEALTH INSURANCE ERA AT PANTIWILASA CITARUM HOSPITAL, SEMARANG

Abstract

Increasing patients paid by third party payer, draws hospitals management to do efficiency. Phisicians have a strategic position at hospital. Hospital should have a physicians management model that can drive cost efficiency. The objective of this study is to develop physician management pre-model at Pantiwilasa Citarum Hospital which could drive patients cost of care efficiency. This study was participated by 50 physician working at Pantiwilasa Citarum Hospital in Semarang as respondents. This research is observational study, using cross sectional approach, to search correlation between independent and dependent variables, and also to develop pre-model. More than 52 % respondents can accept if they have to follow the standardization of patient’s care procedure, to prescribe appropriately fitted with formularium, to shorten the hospitalized time, to receive relatively lower medical fees for patient participated in health insurance, to accept empowering the medical committee, to accept Pantiwilasas. Most of respondents (94 %) also accepts liabilities for supporting patients cost of care efficiancy management. Based on chi-square test, there are significant differences ((p ¼ 0,05) between the answer of full time physicians and visiting physicians participated in this study. The differences are in the acceptance to follow standard procedure for patients care, and to prescribe appropriately fitted with formularium. There is no significance difference (p  0,05) in the answer for other study variables that are shorten hospitalized time, lower medical equipments, policy related to physician, and liabilities for patients cost of care efficiency management. Based on logistic regression, there is no significant influence in respondents acceptance on variables of cost efficiency studied, and in respondents acceptance on hospitals equipments and policy, as well as in the respondents accpetance on the liabilities to support patients cost of care efficiency in common. Sumber Utama : www.mikm.undip.ac.id