Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia
The biggest challenge for the Indonesian government in implementing Universal Health Coverage (UHC) is the coverage of Jaminan Kesehatan Nasional (JKN) owners, which is targeted to reach a minimum of 95%. The study examines whether there are associations between the availability of health care servi...
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Format: | Article |
Language: | English |
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Elsevier
2021-12-01
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Series: | Health Policy Open |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2590229621000216 |
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author | Khoirunurrofik Khoirunurrofik Giani Raras |
author_facet | Khoirunurrofik Khoirunurrofik Giani Raras |
author_sort | Khoirunurrofik Khoirunurrofik |
collection | DOAJ |
description | The biggest challenge for the Indonesian government in implementing Universal Health Coverage (UHC) is the coverage of Jaminan Kesehatan Nasional (JKN) owners, which is targeted to reach a minimum of 95%. The study examines whether there are associations between the availability of health care services and the willingness to pay (WTP) for the premium health insurance of non-low-income independent workers. Using a pooled cross-sectional study of 1.054.779 people living above the poverty line based on the 2017–2020 National Economic Survey (SUSENAS) published by the Central Statistics Agency, we investigate the role of supply side factors of health services on individual decisions to own JKN deploying the logistic regression. The WTP for JKN participation will increase if additional supplies of health facilities, beds, and doctors in hospitals are provided. The finding of the study indicates that the availability of health services in the hospital represents service qualities and will influence someone to attain JKN. Additionally, the availability of Community Health Centres (CHCs) and doctors in CHCs will affect people’s behaviour and decision to purchase health insurance due to the existing primary health care facilities in every sub-district across Indonesia. This implies that the government is obliged to afford adequate health care facilities and providers both in urban and rural areas regardless of the level of WTP citizens. |
first_indexed | 2024-12-15T00:39:04Z |
format | Article |
id | doaj.art-ba4f95be677048c2bc98c1e5a460a521 |
institution | Directory Open Access Journal |
issn | 2590-2296 |
language | English |
last_indexed | 2024-12-15T00:39:04Z |
publishDate | 2021-12-01 |
publisher | Elsevier |
record_format | Article |
series | Health Policy Open |
spelling | doaj.art-ba4f95be677048c2bc98c1e5a460a5212022-12-21T22:41:42ZengElsevierHealth Policy Open2590-22962021-12-012100050Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in IndonesiaKhoirunurrofik Khoirunurrofik0Giani Raras1Department of Economics, Faculty of Economics and Business University of Indonesia, Depok 16424, Indonesia; Institute for Economic and Social Research (LPEM FEB UI), Jakarta Pusat 10430, Indonesia; Corresponding author at: Department of Economics, Faculty of Economics and Business Universitas Indonesia, Depok 16424, Indonesia.Department of Economics, Faculty of Economics and Business University of Indonesia, Depok 16424, IndonesiaThe biggest challenge for the Indonesian government in implementing Universal Health Coverage (UHC) is the coverage of Jaminan Kesehatan Nasional (JKN) owners, which is targeted to reach a minimum of 95%. The study examines whether there are associations between the availability of health care services and the willingness to pay (WTP) for the premium health insurance of non-low-income independent workers. Using a pooled cross-sectional study of 1.054.779 people living above the poverty line based on the 2017–2020 National Economic Survey (SUSENAS) published by the Central Statistics Agency, we investigate the role of supply side factors of health services on individual decisions to own JKN deploying the logistic regression. The WTP for JKN participation will increase if additional supplies of health facilities, beds, and doctors in hospitals are provided. The finding of the study indicates that the availability of health services in the hospital represents service qualities and will influence someone to attain JKN. Additionally, the availability of Community Health Centres (CHCs) and doctors in CHCs will affect people’s behaviour and decision to purchase health insurance due to the existing primary health care facilities in every sub-district across Indonesia. This implies that the government is obliged to afford adequate health care facilities and providers both in urban and rural areas regardless of the level of WTP citizens.http://www.sciencedirect.com/science/article/pii/S2590229621000216Universal health coverageHealth facilityHealth workerNational Health InsuranceIndonesia |
spellingShingle | Khoirunurrofik Khoirunurrofik Giani Raras Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia Health Policy Open Universal health coverage Health facility Health worker National Health Insurance Indonesia |
title | Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia |
title_full | Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia |
title_fullStr | Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia |
title_full_unstemmed | Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia |
title_short | Health services provision and decision to buy Jaminan Kesehatan Nasional (JKN) in Indonesia |
title_sort | health services provision and decision to buy jaminan kesehatan nasional jkn in indonesia |
topic | Universal health coverage Health facility Health worker National Health Insurance Indonesia |
url | http://www.sciencedirect.com/science/article/pii/S2590229621000216 |
work_keys_str_mv | AT khoirunurrofikkhoirunurrofik healthservicesprovisionanddecisiontobuyjaminankesehatannasionaljkninindonesia AT gianiraras healthservicesprovisionanddecisiontobuyjaminankesehatannasionaljkninindonesia |