Volume 13, Issue 1 (2025)
Health Educ Health Promot 2025, 13(1): 7-12 |
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Suhadi S, Jumakil J, Pratiwi A, Rahman R, Dewi S, Afa J, et al . Effects of National Health Insurance Rate Increases on Healthcare Outcomes. Health Educ Health Promot 2025; 13 (1) :7-12
URL: http://hehp.modares.ac.ir/article-5-78104-en.html
URL: http://hehp.modares.ac.ir/article-5-78104-en.html
S. Suhadi *1, J. Jumakil1, A.D. Pratiwi1, R. Rahman1, S.T. Dewi1, J.R. Afa2, N.P.E.W. Astuti1, N. Fauziah1, E.D. Sucipta1
1- Department of Health Policy Administration, College of Public Health, University of Halu Oleo, Kendari, Indonesia
2- Department of Health Policy Administration, College of Public Health, Universitas Halu Oleo, Kendari, Indonesia
2- Department of Health Policy Administration, College of Public Health, Universitas Halu Oleo, Kendari, Indonesia
Abstract: (489 Views)
Aims: The increase in national health insurance rates is a policy that can significantly impact various aspects of healthcare services, including patient satisfaction, service quality, and financial factors, such as the ability and willingness to pay contributions. This study aimed to examine the effects of national health insurance rate increases on patient satisfaction, service quality, facility availability, and participants’ financial capacity and willingness to pay within Kendari City.
Instrument & Methods: This cross-sectional quantitative study employed an analytic observational approach. Data were collected from 1,368 independent healthcare and Social Security Agency health participants registered in several hospitals in Kendari City in 2023. Data were collected using a questionnaire distributed to national health insurance Mandiri participants visiting hospitals in Kendari City.
Findings: The increase in contributions significantly influenced patient satisfaction, as well as participants’ ability and willingness to pay contributions (p=0.001). However, the increase in fees did not significantly affect patient perceptions of facility availability (p=0.817).
Conclusion: The fee increase is strongly associated with patient satisfaction, ability to pay, and willingness to pay.
Instrument & Methods: This cross-sectional quantitative study employed an analytic observational approach. Data were collected from 1,368 independent healthcare and Social Security Agency health participants registered in several hospitals in Kendari City in 2023. Data were collected using a questionnaire distributed to national health insurance Mandiri participants visiting hospitals in Kendari City.
Findings: The increase in contributions significantly influenced patient satisfaction, as well as participants’ ability and willingness to pay contributions (p=0.001). However, the increase in fees did not significantly affect patient perceptions of facility availability (p=0.817).
Conclusion: The fee increase is strongly associated with patient satisfaction, ability to pay, and willingness to pay.
Keywords: Health Insurance [MeSH], Health Facilities [MeSH], Payment for Health Services [MeSH], Health Policy [MeSH]
Article Type: Descriptive & Survey |
Subject:
Social Health
Received: 2024/11/13 | Accepted: 2024/12/17 | Published: 2025/01/20
Received: 2024/11/13 | Accepted: 2024/12/17 | Published: 2025/01/20
References
1. Comfort AB, Peterson LA, Hatt LE. Effect of health insurance on the use and provision of maternal health services and maternal and neonatal health outcomes: A systematic review. J Health Popul Nutr. 2013;31(4 Suppl 2):S81-105. [Link]
2. Dror DM, Hossain SAS, Majumdar A, Pérez Koehlmoos TL, John D, Panda PK. What factors affect voluntary uptake of community-based health insurance schemes in low-and middle-income countries? A systematic review and meta-analysis. PLoS One. 2016;11(8):e0160479. [Link] [DOI:10.1371/journal.pone.0160479]
3. Anderson JG. Demographic factors affecting health services utilization: A causal model. Med Care. 1973;11(2):104-20. [Link] [DOI:10.1097/00005650-197303000-00003]
4. Nainggolan V, Sitabuana TH. Health insurance for the Indonesian people according to health law. SIBATIK J. 2022;1(6):907-16. [Indonesian] [Link] [DOI:10.54443/sibatik.v1i6.109]
5. Listiani R, Pebriyanti A, Fawwaz M, Istanti ND. Analysis of the implementation of national health insurance program policies: A systematic review. JURNAL KESEHATAN TAMBUSAI. 2022;3(4):645-52. [Indonesian] [Link]
6. Nasution IS, Said NB, Salsabila M, Maulidia A, Aulia ZS, Ramadhani S. Analysis of the implementation of national health insurance program policies: A systematic review. VITAMIN: JURNAL ILMU KESEHATAN UMUM. 2024;2(3):195-206. [Indonesian] [Link] [DOI:10.61132/vitamin.v2i3.509]
7. Kemenkes Republik Indonesia. National Health Insurance Program (JKN) [Internet]. Jakarta: Kemenkes Republik Indonesia; 2024 [cited 2024, January, 1]. Available from: https://www.badankebijakan.kemkes.go.id/program-jaminan-kesehatan-nasional-jkn/. [Indonesian] [Link]
8. Arista R, Idris H. The relationship of hospital cost, service quality and patient satisfaction. JURNAL ILMU KESEHATAN MASYARAKAT. 2019;10(2):132-8. [Link] [DOI:10.26553/jikm.2019.10.2.132-138]
9. Santos-Jaén JM, Valls Martínez MDC, Palacios-Manzano M, Grasso MS. Analysis of patient satisfaction through the effect of healthcare spending on waiting times for consultations and operations. Healthcare. 2022;10(7):1229. [Link] [DOI:10.3390/healthcare10071229]
10. Noerjoedianto D, Solida A, Mekarisce AA. Analysis of contribution assistance recipients' utilization of national health insurance participants. J Appl Nurs Health. 2022;4(2):215-23. [Link] [DOI:10.55018/janh.v4i2.104]
11. Undang Undang RI. Law of the Republic of Indonesia Number 24 of 2011 concerning Social Security Administering Bodies. Jakarta: Undang Undang RI; 2011. [Indonesian] [Link]
12. BPJS. BPJS public health profile. Jakarta: BPJS; 2021. [Indonesian] [Link]
13. Kesehatan D. Profile of the Kendari City Health Service for 2021. Kendari: Dinas Kesehatan Kendari; 2022. [Indonesian] [Link]
14. Tan RTH, Abdul Rasid SZ, Wan Ismail WK, Tobechan J, Tan ETY, Yusof AN, et al. Willingness to pay for national health insurance: A contingent valuation study among patients visiting public hospitals in Melaka, Malaysia. Appl Health Econ Health Policy. 2022;20:255-67. [Link] [DOI:10.1007/s40258-021-00691-z]
15. Kotoh AM, Aryeetey GC, Van Der Geest S. Factors that influence enrolment and retention in Ghana' national health insurance scheme. Int J Heal policy Manag. 2017;7(5):443-54. [Link] [DOI:10.15171/ijhpm.2017.117]
16. Hasibuan R, Purnama TB, Susanti N. The increased of the national health insurance premium and primary health care utilization: Response of users in Medan. JURNAL KEBIJAKAN KESEHATAN INDONESIA. 2020;9(4):211-7. [Indonesian] [Link]
17. Wijayanti L, Nur Z, Laraswati D, Pimada L. The impact of the policy of increasing BPJS contributions on BPJS users. ISOQUANT. 2020;4(1):58-68. [Indonesian] [Link] [DOI:10.24269/iso.v4i1.318]
18. Rosdiana H, Nurmawaty D, Heryana A, Irfandi A. Factors related to compliance with paying BPJS health contributions by independent participants in the Kalideres sub-district community health center outpatient unit in 2023. JURNAL KESEHATAN DAN KEDOKTERAN. 2023;2(3):1-6. [Indonesian] [Link] [DOI:10.56127/jukeke.v2i2.899]
19. Chiwire P, Evers SM, Mahomed H, Hiligsmann M. Willingness to pay for primary health care at public facilities in the Western Cape Province, Cape Town, South Africa. J Med Econ. 2021;24(1):162-72. [Link] [DOI:10.1080/13696998.2021.1877147]
20. Nugroho S. Analysis of the influence of personal factors and the quality of health facilities services and the quality of insurance services on the intention to pay health insurance contributions with participant satisfaction as an intervening variable. Int J Soc Serv Res. 2023;3(9):2193-205. [Link] [DOI:10.46799/ijssr.v3i9.534]
21. Cronin JJ, Brady MK, Hult GTM. Assessing the effects of quality, value, and customer satisfaction on consumer behavioral intentions in service environments. J Retail. 2000;76(2):193-218. [Link] [DOI:10.1016/S0022-4359(00)00028-2]
22. Crow H, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: Implications for practice from a systematic review of the literature. Health Technol Assess. 2002;6(32):1-244. [Link] [DOI:10.3310/hta6320]
23. Tani K, Osetinsky B, Mtenga S, Fink G, Tediosi F. Patient's willingness to pay for improved community health insurance in Tanzania. Health Policy Open. 2024;7:100130. [Link] [DOI:10.1016/j.hpopen.2024.100130]
24. Sofaer S, Firminger K. Patient perceptions of the quality of health services. Annu Rev Public Health. 2005;26:513-59. [Link] [DOI:10.1146/annurev.publhealth.25.050503.153958]
25. Miti JJ, Perkio M, Metteri A, Atkins S. Factors associated with willingness to pay for health insurance and pension scheme among informal economy workers in low-and middle-income countries: A systematic review. Int J Soc Econ. 2021;48(1):17-37. [Link] [DOI:10.1108/IJSE-03-2020-0165]
26. Acharya A, Vellakkal S, Taylor F, Masset E, Satija A, Burke M, et al. Impact of national health insurance for the poor and the informal sector in low-and middle-income countries. London: The EPPI Centre; 2012. [Link] [DOI:10.1596/21431]
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