Analisis Biaya Penyakit Tuberkulosis Berdasarkan Perspektif Pasien di Wilayah Kerja Puskesmas Glugur Darat Medan

Abstract

Tuberculosis is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. This disease is one of the main causes of health problems and death due to the high cost of treatment. Patients with tuberculosis require long-term treatment to achieve recovery, prevent death, prevent recurrence and reduce the risk of transmission. This shows that this disease requires a high cost. Some of the non-medical costs that must be borne by patients and their families include transportation costs to health facilities, temporary accommodation, child care and food costs while the patient is being treated or treated for tuberculosis. Conditions that often occur are patients delaying treatment because the perceived costs are getting higher. This can cause the disease to become more severe and require more expensive treatment, such as hospitalization. These initial barriers to seeking care and the economic consequences of hospitalization disproportionately affect individuals living in conditions of poverty. This situation is especially severe in rural areas with limited resources, where these costs can become a large burden on the local community. This research is a type of descriptive quantitative research. This research was conducted in the Working Area of the Glugur Darat Health Center. The research sample consisted of 58 people based on calculations using the slovin method at the research locus of the Glugur Darat Health Center. The results of the data analysis showed that the direct non-medical costs of tuberculosis patients amounted to Rp. 190,470 with the largest component being the cost of home care. Indirect costs for tuberculosis patients amounted to Rp. 77,420 with the largest cost component being the patient's lost income due to illness. The total cost of TB patients for 6 months is IDR 1,606,980 with an average of IDR 267,890 per month. Therefore it is hoped that the puskesmas as a community health service center will be more proactive in providing health services outside the building by increasing promotive and preventive services to the community