Pelaksanaan Nasional Health Insurance Pada Aspek Kepesertaan Untuk Mencapai Universal Health Coverage

The Implementation of National Health Insurance on The Aspect of Participation to Achieve Universal Health Coverage

Authors

  • Syifa Shidqi Putri Student of Public Health, Diponegoro University
  • Chriswardani Suryati Bagian Administrasi Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang
  • Nurhasmidar Nandini Bagian Administrasi Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang

DOI:

https://doi.org/10.25026/jsk.v4i2.931

Keywords:

National Health Insurance (NHI), Universal Health Coverage (UHC), Participation , JKN, Literature Review.

Abstract

National Health Insurance in a country is a program to achieve Universal Health Coverage which ensures that every citizen in the population has access to health services. The existence of mandatory NHI membership rules makes participation a very important aspect. In the development of the implementation of NHI, there was a phenomenon of decreasing participation which became the reason for researchers to research to analyze factors related to NHI participation, obstacles, and efforts made to maintain and increase participation. This research is a type of Literature Review research with a simple data analysis method (simplified approach). There are 12 national articles and 8 international articles that have been selected by researchers as research material. The results showed that the factors related to NHI participation were divided into 3 main factors, namely predisposing factors, enabling factors, and needs factors. The predisposing factors include age, gender, education, occupation, and the number of family members. Enabling factors include knowledge, income/income, and family support. Meanwhile, the need factor contains perception and motivation factors. In addition to finding factors, this study also found obstacles that affect participation in NHI, and efforts that can improve aspects of NHI participation.

References

1] World Health Organization. Universal Health Coverage [Internet]. 2019. Available from: https://www.who.int/health-topics/universal-health-coverage#tab=tab_1
[2] World Health Organization. Question and Answer on Universal Health Coverage [Internet]. 2015. Available from: https://www.who.int/healthsystems/topics/financing/uhc_qa_post2015/en/
[3] Peraturan Presiden Republik Indonesia Nomor 82 Tahun 2018 Tentang Jaminan Kesehatan.
[4] Putri AE. Paham Jaminan Kesehatan Nasional (JKN). Seri Buku. CV Komunitas Pejaten Mediatama; 2014.
[5] Kimani JK, Ettarh R, Warren C, Bellows B. Determinants of health insurance ownership among women in Kenya?: evidence from the 2008 – 09 Kenya demographic and health survey. 2014;1–8.
[6] Abadi MY, Marzuki DS, Arifin MA, Darmawansyah, Rahmadani S, Fajrin MA. Analisis Kepesertaan Mandiri BPJS Kesehatan di Sektor Informal (Studi di Kota Makassar).pdf. J Manaj Kesehat Yayasan RS Dr Soetomo [Internet]. 2019;05(02):114–24. Available from: http://files/79/Analisis Kepesertaan Mandiri BPJS Kesehatan di Sektor Informal (Studi di Kota Makassar).pdf
[7] Tiaraningrum R, Setiyadi NA, Werdani KE. Studi Deskriptif Motivasi Dan Personal Reference Peserta Jkn Mandiri Pada Wilayah Tertinggi Di Kelurahan Mojosongo Kota Surakarta. Univ Muhammasdiyah Surakarta. 2014;1–23.
[8] Siswoyo BE, Prabandari YS, Hendrartini Y. Kesadaran Pekerja Sektor Informal Terhadap Program Jaminan Kesehatan Nasional Di Provinsi Daerah Istimewa Yogyakarta. Kebijakam Kesehat Indones. 2015;04(4):118–25.
[9] Kusumaningrum A, Azinar M. Kepesertaan Masyarakat Dalam Jaminan Kesehatan Nasional Secara Mandiri. HIGEIA (Journal Public Heal Res Dev [Internet]. 2018;2(1):149–60. Available from: https://journal.unnes.ac.id/sju/index.php/higeia/article/view/17642
[10] Al-Hanawi MK, Vaidya K, Alsharqi O, Onwujekwe O. Investigating the Willingness to Pay for a Contributory National Health Insurance Scheme in Saudi Arabia: A Cross-sectional Stated Preference Approach. Appl Health Econ Health Policy [Internet]. 2018;16(2):259–71. Available from: https://doi.org/10.1007/s40258-017-0366-2
[11] Notoatmodjo S. Promosi Kesehatan, Teori dan Aplikasi. Jakarta: PT. Rineka Cipta; 2007.
[12] Giena VP, Sulastry N, Keraman B. Faktor-Faktor Yang Berhubungan Dengan Keikutsertaan Menjadi Peserta Jaminan Kesehatan Nasional (Jkn) Di Wilayah Puskesmas Kembang Seri Bengkulu Tengah. J Sains Kesehat. 2019;26(2):39–52.
[13] Adams R, Chou YJ, Pu C. Willingness to participate and Pay for a proposed national health insurance in St. Vincent and the grenadines: A cross-sectional contingent valuation approach. BMC Health Serv Res [Internet]. 2015;15(1):1–10. Available from: http://dx.doi.org/10.1186/s12913-015-0806-3
[14] Khairina, Ilfa D. Faktor-Faktor Yang Berhubungan Dengan Faktor-Faktor Yang Berhubungan Dengan. Forum Ilm. 2018;2(1):1–6.
[15] Herberholz C, Fakihammed WA. Determinants of Voluntary National Health Insurance Drop-Out in Eastern Sudan. Appl Health Econ Health Policy. 2017;15(2):215–26.
[16] Viona Febya Pangestika, Sutopo Patria Jati AS. Faktor-Faktor yang Berhubungan dengan Kepesertaan Sektor Informal dalam BPJS Kesehatan Mandiri di Kelurahan Poncol, Kecamatan Pekalongan Timur, Kota Pekalongan. J Kesehat Masy [Internet]. 2017;5(3):39–49. Available from: https://gain.fas.usda.gov/Recent GAIN Publications/Agricultural Biotechnology Annual_Ottawa_Canada_11-20-2018.pdf%0Ahttps://doi.org/10.1016/j.resourpol.2020.101869%0Ahttp://dx.doi.org/10.1016/j.jenvman.2017.06.039%0Ahttp://www.oecd.org/gov/regulatory-poli
[17] Boateng D, Awunyor-Vitor D. Health insurance in Ghana: Evaluation of policy holders’ perceptions and factors influencing policy renewal in the Volta region. Int J Equity Health [Internet]. 2013;12(1):1. Available from: International Journal for Equity in Health
[18] Fachrul Rezki T, Pramono W, Hanum Siregar C, . U, Bintara H. Participation of Informal Sector Workers in Indonesia’s National Health Insurance System. Southeast Asian Econ. 2016;33(3):317–42.
[19] Dahliana A. Motivasi Kepesertaan Mandiri BPJS di Era Universal Health Coverage Jaminan Kesehatan Nasional. KELUWIH J Kesehat dan Kedokt. 2019;1(1):11–8.
[20] Jehu-Appiah C, Aryeetey G, Agyepong I, Spaan E, Baltussen R. Household perceptions and their implications for enrolment in the National Health Insurance Scheme in Ghana. Health Policy Plan. 2012;27(3):222–33.
[21] Putro G, Barida I. Manajemen Peningkatan Kepesertaan dalam Jaminan Kesehatan Nasional pada Kelompok Nelayan Non Penerima Bantuan Iuran (Non PBI). Media Penelit dan Pengemb Kesehat. 2017;27(1):17–24.
[22] Ogochukwu AM, Udeogaranya PO, Ubaka CM. Awareness of national health insurance scheme (NHIS) activities among employees of a Nigerian university. Int J Drug Dev Res. 2011;3(4):78–85.
[23] BPJS Kesehatan. Siaran Pers BPJS. 2014; Available from: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/50ffd304e2c62f7e0e036a79e560ad7a.pdf

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Published

2022-04-30

How to Cite

Putri, S. S., Suryati, C., & Nandini, N. (2022). Pelaksanaan Nasional Health Insurance Pada Aspek Kepesertaan Untuk Mencapai Universal Health Coverage: The Implementation of National Health Insurance on The Aspect of Participation to Achieve Universal Health Coverage. Jurnal Sains Dan Kesehatan, 4(2), 222–230. https://doi.org/10.25026/jsk.v4i2.931