Burden and Cost of Anterior Cruciate Ligament Reconstruction and Reimbursement of Its Treatment in a Developing Country: An Observational Study in Indonesia

• DOI: 10.2147/ceor.s368840
• Publication Date: 2022-07-16T16:50:05Z
• Authors: Romy Deviandri; Hugo C van der Veen; Andri MT Lubis; Ghuna A Utoyo; Inge van den Akke...; Maarten J Postma
• Keywords: Reimbursement

Objective: The number of anterior cruciate ligament reconstruction (ACLR) procedures is increasing. However, ACLR are likely to be underbudgeted in a developing country like Indonesia. This study aimed analyze costs for Indonesia's resource-limited context, determine the burden ACLR, and suggest national prices reimbursement. Methods: A retrospective observational was conducted between 1 January 31 December 2019 on cost from payer perspective using inpatient billing records four hospitals. calculated, projected reimbursement were determined. Results: Of 80 ACLRs, 53 (66%) isolated ACLRs 27 (34%) combined with meniscus treatment. Mean hospital incurred per procedure US$ 2853, dominant relating orthopedic implant (US$ 1,387.80). treatment estimated as being 35% higher than ACLR. showed total budget 367.4 million 100,000 patients (0.03% GDP) additional 271.3 (0.02% Conclusion: Indonesia underbudgeted. Adjustments needed facilitate adequate access Indonesians procedures. demonstrated varying determined Indonesia, which entails that new system improvement should become core transformation. Keywords: ACL tear, injury, cost, countries, BPJS