Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security
Purpose: The Indonesian healthcare system has been reformed in tune with economic and political changes. The reform was pursued by encouraging growing reliance on individual contributions. Consolidating citizens' support has become increasingly important for the long-term sustainability of the...
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| Format: | Conference or Workshop Item |
| Language: | English |
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Emerald Publishing
2022
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| Online Access: | https://repository.ugm.ac.id/284304/1/10-1108_IJSSP-09-2021-0246.pdf |
| _version_ | 1797037830724124672 |
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| author | Yuda, Tauchid Komara |
| author_facet | Yuda, Tauchid Komara |
| author_sort | Yuda, Tauchid Komara |
| collection | UGM |
| description | Purpose: The Indonesian healthcare system has been reformed in tune with economic and political changes. The reform was pursued by encouraging growing reliance on individual contributions. Consolidating citizens' support has become increasingly important for the long-term sustainability of the programme. This study explores individual views and experiences in negotiating solutions for health security under the situation where pre-industrial modes of informal network remain intact, while private healthcare continues to be in demand by population segments targeted by the system. Design/methodology/approach: Individual attitudes toward the current healthcare system were explored using online interviews (NÂ =Â 75) in the cities of Jakarta and Yogyakarta, Indonesia. The qualitative exploratory approach resorted to personal views on the importance of the state, family and market in health risk management. Perceptions on who should be responsible for healthcare, and the political legitimacy of the welfare-state approach to healthcare were also observed. A thematic coding strategy was used for the data analysis. Findings: Those interviewed value and support the formal system (either state and market), yet place reliance on informal support (family and relatives). Intertwining views of religious teaching, filial piety, moral obligation were the most common reasons for individuals to support such dual welfare systems. The findings reflect the common attitudes toward welfare in the context of changing realities of individualised society at the early stage. Originality/value: This article represents a valuable contribution at the empirical level because it provides an assessment of individuals' attitudes toward Indonesia's recent health arrangements. Such individuals are those belonging to the targeted population of the contributory system. This study also offers an alternative framework for understanding the nature of the healthcare regime generated from the perspectives of individuals. |
| first_indexed | 2024-03-14T00:09:58Z |
| format | Conference or Workshop Item |
| id | oai:generic.eprints.org:284304 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-14T00:09:58Z |
| publishDate | 2022 |
| publisher | Emerald Publishing |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2843042023-12-11T06:41:37Z https://repository.ugm.ac.id/284304/ Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security Yuda, Tauchid Komara Applied Sociology Program Evaluation and Social Impact Assessment Social Sciences Sociology Purpose: The Indonesian healthcare system has been reformed in tune with economic and political changes. The reform was pursued by encouraging growing reliance on individual contributions. Consolidating citizens' support has become increasingly important for the long-term sustainability of the programme. This study explores individual views and experiences in negotiating solutions for health security under the situation where pre-industrial modes of informal network remain intact, while private healthcare continues to be in demand by population segments targeted by the system. Design/methodology/approach: Individual attitudes toward the current healthcare system were explored using online interviews (NÂ =Â 75) in the cities of Jakarta and Yogyakarta, Indonesia. The qualitative exploratory approach resorted to personal views on the importance of the state, family and market in health risk management. Perceptions on who should be responsible for healthcare, and the political legitimacy of the welfare-state approach to healthcare were also observed. A thematic coding strategy was used for the data analysis. Findings: Those interviewed value and support the formal system (either state and market), yet place reliance on informal support (family and relatives). Intertwining views of religious teaching, filial piety, moral obligation were the most common reasons for individuals to support such dual welfare systems. The findings reflect the common attitudes toward welfare in the context of changing realities of individualised society at the early stage. Originality/value: This article represents a valuable contribution at the empirical level because it provides an assessment of individuals' attitudes toward Indonesia's recent health arrangements. Such individuals are those belonging to the targeted population of the contributory system. This study also offers an alternative framework for understanding the nature of the healthcare regime generated from the perspectives of individuals. Emerald Publishing 2022 Conference or Workshop Item PeerReviewed application/pdf en https://repository.ugm.ac.id/284304/1/10-1108_IJSSP-09-2021-0246.pdf Yuda, Tauchid Komara (2022) Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security. In: Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85121324744&doi=10.1108%2fIJSSP-09-2021-0246&partnerID=40&md5=ce51c59ce71ccf83fa6f934b1c8f1e0b |
| spellingShingle | Applied Sociology Program Evaluation and Social Impact Assessment Social Sciences Sociology Yuda, Tauchid Komara Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security |
| title | Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security |
| title_full | Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security |
| title_fullStr | Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security |
| title_full_unstemmed | Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security |
| title_short | Who should care? Exploring the views and experiences of individuals in negotiating solutions for health security |
| title_sort | who should care exploring the views and experiences of individuals in negotiating solutions for health security |
| topic | Applied Sociology Program Evaluation and Social Impact Assessment Social Sciences Sociology |
| url | https://repository.ugm.ac.id/284304/1/10-1108_IJSSP-09-2021-0246.pdf |
| work_keys_str_mv | AT yudatauchidkomara whoshouldcareexploringtheviewsandexperiencesofindividualsinnegotiatingsolutionsforhealthsecurity |