Skripsi

Financial Toxicity serta Faktor yang Memengaruhinya pada Pasien Kanker Paru di RSUP Persahabatan Jakarta = Financial Toxicity and Its Associated Factors in Lung Cancer Patients at RSUP Persahabatan JakartaFinancial Toxicity and Its Associated Factors in Lung Cancer Patients at RSUP Persahabatan Jakarta.

Latar Belakang Kanker paru merupakan penyakit dengan prevalensi yang tinggi di seluruh dunia maupun di Indonesia. Selain dari morbiditas dan mortalitasnya yang tinggi, beban biaya terkait kanker pun salah satu yang paling tinggi dan tidak semua biaya tersebut ditanggung oleh asuransi. Financial toxicity merupakan istilah yang muncul untuk menggambarkan dampak dari tingginya biaya terkait kanker. Beban finansial yang tinggi ini diketahui berhubungan dengan kualitas hidup yang rendah, gangguan fungsi sosial, hingga penurunan kepatuhan terhadap pengobatan. Oleh karena itu, peneliti ingin mencari tahu mengenai gambaran biaya out-of-pocket dan financial toxicity pasien kanker paru di Indonesia serta faktor yang memengaruhinya. Metode Penelitian dilakukan dengan desain studi cross-sectional di RSUP Persahabatan Jakarta dengan metode wawancara di Poli Onkologi Paru, One Day Care, serta bangsal rawat inap untuk mendapat data sosiodemografis, biaya out-of-pocket, dan kondisi financial toxicity dan dilanjutkan dengan pengambilan data karakteristik klinis dari rekam medis. Skor financial toxicity diukur dengan kuesioner FACIT-COST (Versi 2) versi Bahasa Indonesia. Hasil Pasien kanker paru di RSUP Persahabatan Jakarta memiliki rerata biaya out-of-pocket per bulan dengan rentang dari Rp54.166,00 hingga Rp19.749.166,00 dan sebanyak 58,3% dari pasien kanker paru tersebut mengalami toksisitas finansial. Hasil analisis bivariat menunjukan hubungan yang bermakna antara durasi sejak diagnosis (p=0,019), biaya out-of-pocket (p=0,035), dan persentase biaya out-of-pocket per pemasukan (p=0,012) dengan kondisi financial toxicity. Kesimpulan Biaya out-of-pocket pasien kanker paru dapat digolongkan sebagai biaya katastrofik dan berpengaruh pada kondisi financial toxicity pasien.
Kata Kunci: Biaya out-of-pocket, financial toxicity, kanker paru


Introduction Lung cancer is a disease with high prevalence both worldwide and in Indonesia. Not only it has high morbidity and mortality, it’s also one of the disease with the highest financial burden and the health insurence doesn’t cover all of the cost related to the cancer. Financial toxicity is a term used to describe the impact of the high financial burden of cancer. The high financial burden is associated with lower quality of life, impaired social functioning, and lower compliance to treatment. Therefor, researcher wanted to look into the out-of-pocket cost and financial toxicity in lung cancer patients and find out factors associated with financial toxicity. Method The study design used to do this research is cross-sectional and is done in RSUP Persahabatan Jakarta by interviewing patients in the Lung Oncology outpatient clinic, One Day Care unit, and the inpatient ward to get sociodemographic, out-of-pocket cost, and financial toxicity data. Datas on clinical characteristic is obtained from patients’ medical records. Financial toxicity was measured using the Indonesian version of FACIT-COST (Version 2) questionnaire. Results Lung cancer patients at RSUP Persahabatan Jakarta’s out-of-pocket cost related to cancer ranges from Rp54.166,00 to Rp19.749.166,00 and 58,3% of them is reported to experience financial toxicity. The result of the analysis showed a significant association between three independent variables which is duration since diagnosis (p=0,019), out-of-pocket cost (p=0,035), and percentage of out-of-pocket cost compared to income (p=0,012), and financial toxicity. Conclusion Out-of-pocket of lung cancer patients can be classified as catastrophic cost and is related to financial toxicity.
Keywords: Financial toxicity, lung cancer, out-of-pocket cost