Cost of Illness: Stroke Patients with Medical Rehabilitation

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Mahar Santoso
Wiku BB Adisasmito
Syarif Rahman Hasibuan


Background: Cerebrovascular disease (ICD 10: I60–I69), is a medical condition that leads to limitations such as limited mobility and cognitive impairment. It is the most fatal disease in Indonesia. Medical rehabilitation has been clinically proven to be an effective strategy to minimize disability in stroke patients.

Methods: This research is a quantitative study with a cross-sectional design. The data source was obtained from BPJS Kesehatan sample data for 2022. The sample units for this study were all patients with a diagnosis of cerebrovascular disease. This study examined 3,528 patients, representative of a larger population of 339,707 patients.

Results: In 2022, healthcare costs for stroke patients in Indonesia, covered by BPJS Kesehatan, varied widely from Rp 1,937,400 to Rp 207,675,700, averaging Rp 8,487,531 per person. BPJS Kesehatan's total spending on stroke treatment and rehab in 2022 was Rp 2,883,269,825,972. The productive age group constitutes the majority of stroke cases, comprising 68.9% of the total, with males representing the predominant gender at 54.5%. The biggest group benefiting from this were those receiving Beneficiary Contribution Assistance (PBI), making up 46.5% of all National Health Insurance participants.

Conclusion: This study indicates that providing medical rehabilitation during the golden period yields greater efficiency compared to its absence. This recommendation extends beyond cost-saving measures, emphasizing a strategic investment in national welfare through the enhancement of individuals' quality of life. Therefore, policymakers, BPJS Kesehatan, hospitals, and healthcare professionals are encouraged to factor this insight into their decision-making processes.


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Santoso, M., Adisasmito, W. B. ., & Hasibuan, S. R. . (2024). Cost of Illness: Stroke Patients with Medical Rehabilitation . Jurnal Keterapian Fisik, 9(1), 1–9.


Chen, C.-M., Yang, Y.-H., Lee, M., Chen, K.-H., & Huang, S.-S. (2020). Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study. Topics in Stroke Rehabilitation, 27(1), 8–14.

Freburger, J. K., Li, D., & Fraher, E. P. (2018). Community Use of Physical and Occupational Therapy After Stroke and Risk of Hospital Readmission. Archives of Physical Medicine and Rehabilitation, 99(1), 26-34.e5.

Hatem, S. M., Saussez, G., della Faille, M., Prist, V., Zhang, X., Dispa, D., & Bleyenheuft, Y. (2016). Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Frontiers in Human Neuroscience, 10, 442.

Kemenkes RI. (2018). Riset Kesehatan Dasar Indonesia Tahun 2018. Kementerian Kesehatan Republik Indonesia.

Langhammer, B., Becker, F., Sunnerhagen, K. S., Zhang, T., Du, X., Bushnik, T., Panchenko, M., Keren, O., Banura, S., Elessi, K., Luzon, F., Lundgren-Nilsson, Å., Li, X., Sällström, S., & Stanghelle, J. K. (2015). Specialized stroke rehabilitation services in seven countries. International Journal of Stroke, 10(8), 1236–1246. Scopus.

Lee, K. B., Lim, S. H., Kim, K. H., Kim, K. J., Kim, Y. R., Chang, W. N., Yeom, J. W., Kim, Y. D., & Hwang, B. Y. (2015). Six-month functional recovery of stroke patients: A multi-time-point study. International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation, 38(2), 173–180.

Li, W., & Xu, D. (2021). Application of intelligent rehabilitation equipment in occupational therapy for enhancing upper limb function of patients in the whole phase of stroke. Medicine in Novel Technology and Devices, 12, 100097.

Liu, N., Cadilhac, D. A., Andrew, N. E., Zeng, L., Li, Z., Li, J., Li, Y., Yu, X., Mi, B., Li, Z., Xu, H., Chen, Y., Wang, J., Yao, W., Li, K., Yan, F., & Wang, J. (2014). Randomized controlled trial of early rehabilitation after intracerebral hemorrhage stroke: Difference in outcomes within 6 months of stroke. Stroke, 45(12), 3502–3507.

Liu, Y., Yin, J.-H., Lee, J.-T., Peng, G.-S., & Yang, F.-C. (2022). Early Rehabilitation after Acute Stroke:The Golden Recovery Period. Acta Neurologica Taiwanica.

Louw, Q., Twizeyemariya, A., Grimmer, K., & Leibbrandt, D. (2020). Estimating the costs and benefits of stroke rehabilitation in South Africa. Journal of Evaluation in Clinical Practice, 26(4), 1181–1187.

Momosaki, R., Yasunaga, H., Kakuda, W., Matsui, H., Fushimi, K., & Abo, M. (2016). Very Early versus Delayed Rehabilitation for Acute Ischemic Stroke Patients with Intravenous Recombinant Tissue Plasminogen Activator: A Nationwide Retrospective Cohort Study. Cerebrovascular Diseases, 42(1–2), 41–48.

Morii, Y., Abiko, K., Osanai, T., Takami, J., Tanikawa, T., Fujiwara, K., Houkin, K., & Ogasawara, K. (2023). Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients. Cost Effectiveness and Resource Allocation, 21(1), 12.


van Meijeren-Pont, W., Tamminga, S. J., Goossens, P. H., Groeneveld, I. F., Arwert, H., Meesters, J. J. L., Mishre, R. R., Vlieland, T. P. M., van den Hout, W. B., & The Stroke Cohort Outcomes of REhabilitation (SCORE) study group. (2021). Societal burden of stroke rehabilitation: Costs and health outcomes after admission to stroke rehabilitation. Journal of Rehabilitation Medicine, 53(6), jrm00201.

Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., Deruyter, F., Eng, J. J., Fisher, B., Harvey, R. L., Lang, C. E., MacKay-Lyons, M., Ottenbacher, K. J., Pugh, S., Reeves, M. J., Richards, L. G., Stiers, W., Zorowitz, R. D., & American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research. (2016). Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 47(6), e98–e169.