Study of The Willingness to Pay Contributions of Independent National Health Insurance (JKN) Participants in Jambi

Dwi Noerdjoedianto, Adila Solida, Arnild Augina Mekarisce

Abstract


Health is a long-term investment that is indispensable in supporting the success of Indonesian development. WHO has committed to developing a health system that can ensure everyone gets the health services they need without worrying about being constrained by costs, this health is known as Universal Health Coverage. One of the obligations of JKN participants was to pay monthly fees, Ability to pay and Willingness to pay greatly affected people's interest in paying monthly fees. As many as 83% of Indonesia's population had become participants of JKN, but the high number of JKN participants was not accompanied by the active participation of the participants in paying monthly fees. The number of visits to the Koni Primary Health Care had decreased over the past 3 years and based on the initial survey it was found that many JKN-KIS participants were in arrears to pay monthly fees. The purpose of this study was to determine the determinants of the willingness to pay dues (WTP) for independent JKN participants at the Koni Primary Health Care in Jambi City. This research was quantitative with a cross-sectional design. The samples were taken by purposive sampling technique with a total sample of 105 participants. The results showed that the variables associated with the willingness to pay contributions (WTP) were education level (p = 0.009), income level (p = 0.023) and ability to pay (ATP) (p = 0.038). Meanwhile, the unrelated variables were age (p = 0.110 and p = 1,000) and gender (p = 0.550). There was a relationship between education level and WTP. There was a relationship between the level of income and the willingness to pay, and there was a relationship between the ability to pay (ATP) and the willingness to pay for independent JKN participants. There was no relationship between age and willingness to pay, and there was no relationship between gender and willingness to pay independent JKN contributions.


Keywords


Willingness to pay (WTP), National Health Insurance Program (JKN), Community Health Centre.

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References


Adisasmito, Wiko. (2008) Rancangan Peraturan Daerah Tentang Penyelenggaraan Pelayanan Kesehatan. FKM UI, Jakarta.

Akmalia, N. (2015) Analisis Kemampuan Membayar (Ability to pay) dan Kemauan Membayar (Willingness to pay) Terhadap Premi BPJS Kesehatan Bagi Penderes Gula Kelapa di Kecamatan Cilongok Kabupaten Banyumas. Skripsi. Fakultas Ilmu-Ilmu Kesehatan Jurusan Ilmu Kesehatan Masyarakat Universitas Jenderal Soedirman, Purwokerto.

Aryani, M. A, & Muqorrobin, M. (2013) Determinan Willingness to Pay (WTP) Iuran Peserta BPJS Kesehatan. Jurnal Ekonomi dan Studi Pembangunan. Yogyakarta: Universitas Muhammadiyah Yogyakarta Volume 14, Nomor 1, April 2013, hlm.44-57.

Badan Penyelenggara Jaminan Sosial (BPJS), 2019. Jumlah Peserta. BPJS Kesehatan, Jakarta.

Binam, J.N. Nkama, A. Nkendah, R. (2002) Estimating the Willingness to Pay for Community Health Prepayment Schemes in Rural Area: A Case Study of the Use of Contingent Valuation Surveys in Centre Cameroon. Journal Institute of Agricultural Research for Development (IRAD), Yaounde

Entele, B.R. and Emodi, N.V. (2016) Health Insurance Technology in Ethiopia: Willingness To Pay and Its Implication for Health Care Financing, American Journal of Public Health Research, Vol. 4, no. 3, 98-106. Tersedia dari: pubs.sciepub.com/ajphr/4/3/4/index.htm

l

Intiasari, dkk. (2015) Potret Masyarakat Sektor Informal di Indonesia: Mengenal Determinan Probabilitas Keikutsertaan Jaminan Kesehatan Sebagai Upaya Perluasan Kepesertaan Pada Skema Non PBI Mandiri. Yogyakarta: Universitas Gajah Mada.

Kusumaningrum A, Azinar M. (2018) Kepesertaan Masyarakat Dalam Jaminan Kesehatan Nasional Secara Mandiri. Higeia Journal of Public Health Research Development;2(1):149–60.

Lopaying, D. (2004) Measuring Affordability and Willingness to Pay. AIT Center, Bangkok.

Noerjoedianto, D. (2015) Kajian Ability to Pay (ATP) Bagi Calon Peserta BPJS Kesehatan dalam Pemilihan Besaran Iuran di Provinsi Jambi Tahun 2015. Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi. Jambi.

Presiden Republik Indonesia. (2013) Peraturan Presiden RI No.12 Tahun 2013 tentang Jaminan Kesehatan. Jakarta.

Presiden Republik Indonesia. (2016) Peraturan Presiden RI No. 19 Tahun 2016 tentang Perubahan Kedua atas Peraturan Presiden No. 12 Tahun 2013 tentang Jaminan Kesehatan. Jakarta.

Robby, Fadila. (2017) Faktor-faktor yang mempengaruhi willingness to pay (WTP) iuran peserta BPJS kesehatan kelas II di Kabupaten Sleman Analisis Contingent Valuation Method (CVM), Skripsi. Fakultas Ekonomi dan Bisnis Universitas Muhammadiyah Yogyakarta. Yogyakarta.

Tumurung, M. (2019) Kebijakan Kesehatan Nasional. Edisi pertama. Sidoarjo: Indomedia Pustaka; 2019.

Wright E, Asfaw A, and Van Der GJ. (2009) Willingness to Pay for Health Insurance: An analysis of the Potential Market for New Low-cost Health Insurance Products in Namibia. Science and Medicine. Volume 69, 1351-1359. Tersedia dari: https://www.ncbi.nlm.nih.gov.

Suhardi., Shaluhiyah Z., Patriajati S. (2014) Analisis Faktor-Faktor yang Berpengaruh Terhadap Kemauan Masyarakat Menjadi Peserta

JPKM Mandiri di Wilayah Kota Salatiga. 2014. Magister Promosi Kesehatan Universitas Diponegoro, Semarang. Jurnal Promosi Kesehatan Indonesia Vol. 9/No 1/Januari 2014.

Thabrany, H. (2011) Asuransi Kesehatan Nasional. Fakultas Kesehatan Masyarakat Universitas Indonesia, Jakarta.

Yanrizal., Rifa‟I., dan Utami, S, P. (2015) Analisis Kemamuan dan Kemauan Membayar Iuran Terhadap Pencapaian UHC JKN di Kota Bengkulu. 2015. Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu, Bengkulu. P-ISSN 1979- 3833. E-ISSN 2442-6725. 10(1)3-10.

Yuliana, dkk. (2013) Hubungan Karakteristik Keluarga Dan Jenis Penyakit Terhadap Pemanfaatan Pelayanan Kesehatan. Program Studi Ilmu Keperawatan Universitas Riau.


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