scholarly journals The Regional and Referral Compliance of Online Healthcare Systems by Indonesia National Health Insurance Agency and Health-Seeking Behavior in Indonesia

Heliyon ◽  
2021 ◽  
pp. e08068
Author(s):  
Putu Wuri Handayani ◽  
Teguh Dartanto ◽  
Faizal Rahmanto Moeis ◽  
Ave Adriana Pinem ◽  
Fatimah Azzahro ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Healthcare Systems ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
Insurance Agency ◽  
Referral Compliance

scholarly journals Hubungan Faktor Pemungkin dengan Perilaku Pencarian Pengobatan Anak Jalanan di Kota Bekasi Tahun 2017

2018 ◽  
Vol 46 (2) ◽  
pp. 119-128
Author(s):  
Luna Amalia
Keyword(s):  
Health Insurance ◽  
Street Children ◽  
Good Health ◽  
P Value ◽  
Health Seeking ◽  
Self Medication ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Seeking Behavior

Abstract Street children have a high risk of health problems. This study aims to determine the enabling factors (shelter membership, availability of health insurance, accessibility of health care and social support) associated with the health seeking behavior of street children in Bekasi City. The study design was crosssectional with the sample size of 130 respondents. Analysis results showed that the most of the respondents (82,7%) had poor health seeking behavior. The results of bivariate analyzed showed that the availability of health insurance was significantly associated with health seeking behavior of the street children (p value = 0,054). Street children who had health insurance had an opportunity for good health seeking behavior 2,7 times higher than those who did not have health insurance. It was suggested that data collection of health seeking behavior and the safety of self medication was important as to determine the health needs of street children. Keywords : health seeking behavior, street children Abstrak Anak jalanan memiliki risiko tinggi gangguan kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan faktor pemungkin (kepesertaan rumah singgah, ketersediaan jaminan kesehatan, aksesibilitas pelayanan kesehatan dan dukungan sosial) dengan perilaku pencarian pengobatan anak jalanan di Kota Bekasi. Desain penelitian menggunakan cross sectional dengan jumlah sampel 130 responden. Hasil penelitian menunjukkan bahwa sebagian besar responden (82,7%) melakukan perilaku pencarian pengobatan yang kurang baik. Hasil analisis bivariat menunjukkan bahwa ketersediaan jaminan kesehatan berhubungan signifikan dengan perilaku pencarian pengobatan anak jalanan (p value = 0,054). Anak jalanan yang memiliki jaminan kesehatan, memiliki peluang untuk pencarian pengobatan yang baik sebesar 2,7 kali lebih tinggi dibandingkan anak jalanan yang tidak memiliki jaminan kesehatan. Disarankan pentingnya pendataan anak jalanan dan swamedikasi yang tepat dan aman bagi anak jalanan. Kata kunci : Perilaku, pencarian pengobatan, anak jalanan

scholarly journals Financial Burden and Health-seeking Behaviors Related to Chronic Diseases Under the National Health Insurance Scheme in Bolikhamxay Province, Lao PDR: A Cross-sectional Study

2021 ◽  
Author(s):  
TOMOO ITO ◽  
Sengchanh Kounnavong ◽  
Chiaki Miyoshi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Expenditure ◽  
Financial Burden ◽  
Lao Pdr ◽  
Health Seeking ◽  
Chronic Patients ◽  
National Health Insurance System ◽  
Cross Sectional

Abstract BackgroundFinancial protection is a key dimension of universal health coverage. In 2016, Lao PDR implemented a National Health Insurance system covering the entire population of certain provinces. This cross-sectional study investigated the health-seeking behavior and financial burden of households, including those with chronic patients, post coverage. MethodThe study was conducted in Bolikhamxay province from January 15 to February 13, 2019. In total, 487 households, selected via stratified random sampling, were surveyed, and questionnaire-based interviews were conducted. Health care service utilization and financial burden were examined.ResultsA total of 370 households had at least one member with some type of self-reported health problem within the last 3 months prior to the interview, while 170 had at least one member with a chronic condition. More than 75% of the households accessed a health facility when a member experienced health problems. The prevalence of catastrophic health expenditure (health expenditure/income between 20% and 40%) was 25.1% (threshold of 20%) and 16.2% (threshold of 40%). Through logistic regression, we found that the major factors determining financial catastrophes owing to health problems were household members with chronic illness, hospitalization, household poverty status, family size (both 20% and 40% thresholds), visiting a private facility (20% threshold), and distance from the province to the referral hospital (40% threshold).ConclusionsThe National Health Insurance system has positively impacted households’ access to health facilities. However, catastrophic health expenditure remains high, especially among chronic patients. Facilities under the National Health Insurance should be strengthened to provide more services, including care for chronic conditions.

scholarly journals Financial Burden and Health-seeking Behaviors Related to Chronic Diseases Under the National Health Insurance Scheme in Bolikhamxay Province, Lao PDR: a Cross-sectional Study

2021 ◽  
Author(s):  
Tomoo Ito ◽  
Chiaki Miyoshi ◽  
Sengchanh Kounnavong
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Expenditure ◽  
Financial Burden ◽  
Lao Pdr ◽  
Health Seeking ◽  
Chronic Patients ◽  
National Health Insurance System ◽  
Cross Sectional

Abstract Background: Financial protection is a key dimension of universal health coverage. In 2016, Lao PDR implemented the National Health Insurance system covering the entire population of certain provinces. This cross-sectional study investigated households’ health-seeking behavior and their financial burden with chronic patients, post coverage. Method: The study was conducted in Bolikhamxay province from January 15 to February 13, 2019. In total, 487 households, selected via stratified random sampling, were surveyed, and questionnaire-based interviews conducted. Health care service utilization and financial burden were examined.Results: Totally, 370 households had at least one member with some type of self-reported health problem within the last 3 months prior to the interview, while 170 had at least one member with a chronic condition. More than 75% of the households accessed a health facility when a member experienced health problems. We observed that the prevalence of catastrophic health expenditure (health expenditure/income between 20% and 40%) was 25.1% (threshold of 20%) and 16.2% (threshold of 40%). Through logistic regression, we found that the major factors determining financial catastrophes owing to health problems were household members with chronic illness, hospitalization, household poverty status, family size (both 20% and 40% thresholds), visiting a private facility (20% threshold), and distance from provincial top referral hospital (40% threshold).Conclusions: The National Health Insurance system has positively impacted households’ access to health facilities. However, catastrophic health expenditure remains high, especially among chronic patients. Facilities under National Health Insurance should be strengthened to provide more services, including care for chronic conditions.

scholarly journals Gambaran Perilaku Pencarian Pengobatan Penyakit Tuberkulosis (TB) pada Masyarakat di Wilayah Kerja Puskesmas Uitao Kecamatan Semau Kabupaten Kupang

2020 ◽  
Vol 2 (3) ◽  
pp. 8-16
Author(s):  
Mayang Bukan ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen
Keyword(s):  
National Health ◽  
National Health System ◽  
Health Facilities ◽  
Treatment Seeking ◽  
Access To Health Services ◽  
Health Seeking ◽  
Self Medication ◽  
Health Seeking Behavior ◽  
Tb Treatment ◽  
Seeking Behavior

Treatment-seeking behavior can be seen as a reflection of the implementation of the national health system and access to health services. In the context of treatment-seeking behavior in Indonesia, the use of national health facilities. Health seeking behavior or health seeking behavior, most Indonesians will try to treat themselves first by using medicines bought at kiosks without a doctor's prescription or using traditional ingredients in the surrounding environment and even asking a traditional healer for help. If they are not successful then they go to a medical health service place, this is because Indonesia has sources of treatment covering three interconnected sectors, namely self-medication (self-medication), medical treatment and traditional medicine. However, treatment is not only conventional in nature, there are alternative treatments that are popular with the community, especially in countries rich in culture and beliefs such as Indonesia. type of research used in this research is descriptive research with a quantitative approach. This study uses a descriptive approach with the aim of describing the object of research or research results. the sampling technique using total sampling. a sample size of 209 respondents. The results showed that treatment-seeking behavior at health facilities was 41.2%, while other treatments were 58.8%. poor knowledge about TB 54.4% compared to respondents with good knowledge about TB 45.6%. positive attitude towards TB treatment was 38.2% smaller than negative attitude 61.8%. Good belief in TB treatment-seeking behavior was 36.8% smaller than bad belief about TB treatment 63.2%.

scholarly journals The Impacts of the Hierarchical Medical System on National Health Insurance on the Resident’s Health Seeking Behavior in Taiwan: A Case Study on the Policy to Reduce Hospital Visits

2019 ◽  
Vol 16 (17) ◽  
pp. 3167 ◽  
Author(s):  
Yu-Hua Yan ◽  
Chih-Ming Kung ◽  
Horng-Ming Yeh
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Medical System ◽  
Medical Attention ◽  
Healthcare Seeking ◽  
Outpatient Visits ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior ◽  
Hierarchical Medical System

Objective: This study investigated the impacts of the hierarchical medical system under the national health insurance program on residents’ healthcare-seeking behavior in Taiwan. Background: Healthcare authorities in Taiwan initiated an allowance reduction for outpatient visits at regional hospitals and higher hierarchical hospitals in 2018. The ultimate goal is to implement a hierarchical medical system to provide residents accessible as well as consistent medical services. Methods: This research was conducted through a questionnaire survey, and data were collected between August and December 2018 from the records of subjects who had recently sought medical attention. A total of 1340 valid questionnaires were returned. Results: A principal finding was that there were significant differences in the knowledge of new policies by age, marital status, annual income, education level, and occupation (p < 0.001). Regarding the effects on healthcare-seeking behavior, there were significant differences from persons aged 40–49 years (p < 0.1), in junior high school (p < 0.05), not aware of the policy (p < 0.001), and awareness of both the hierarchical medical system and the policy to reduce outpatient visits to large hospitals (p < 0.001). Conclusion: The health administration authorities should devote more effort into promoting knowledge of the policy in order to better inform the public about the hierarchical medical system.

scholarly journals Health seeking behavior of Japanese retirees in Thailand:  a cross-sectional study

2021 ◽  
Author(s):  
Yumiko Miyashita ◽  
Chutima Akaleephan ◽  
Liviu Vedrasco
Keyword(s):  
Health Insurance ◽  
Medical Treatment ◽  
Chronic Diseases ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Cross Border ◽  
Medical Facilities ◽  
Seeking Behavior ◽  
Receive Treatment ◽  
To Receive

Abstract Background: Despite widespread cross-border migration of retirees, little is known about their healthcare seeking behavior in a destination country. This study explores factors related to the use of health services in Thailand by Japanese long-stay retirees.Methods: A survey of Japanese long-stay retirees aged 50 and older was conducted in cooperation with nine Japanese self-help clubs in Bangkok, Chiang Mai, Chiang Rai, and Phuket. The dependent variable was receiving medical treatment in Thailand in the previous 12 months. People who did not receive treatment in Thailand were divided into two groups; those who had treatment only in Japan and those who did not have treatment anywhere. Independent variables included i) predisposing factors: age, sex, years lived in Thailand, ii) enabling factors: marital status, adjusted annual household income, and iii) need factors: existence of chronic diseases and health related quality of life. Results: Of 226 eligible participants, 106 (47%) received medical treatment in Thailand, 41 (18%) received treatment only in Japan, and 79 (35%) did not receive treatment in any country in the previous 12 months. Multivariate analysis identified that Japanese retirees who stayed in Thailand for less than five years were less likely to receive treatment in Thailand. Retirees who had no chronic diseases and did not return to Japan tended to not receive treatment anywhere while those who were covered by Japan’s national health insurance and stayed in Thailand for shorter periods in the past 12 months were more likely to receive treatment only in Japan. Conclusion: The Thai government’s retirement tourism promotion policy should encourage sharing of transparent medical quality and pricing information by medical facilities to facilitate access among foreign retirees, especially of relative newcomers to reliable medical facilities and promote the trust in Thai medical services. As this study indicates medical cost and health insurance coverage is an important factor of one’s cross-border health seeking behavior, further studies are required to evaluate the impact of the 2017 and 2019 government policy on mandatory health insurance for retirees on their health seeking behaviors.

scholarly journals Examining the Health-Seeking Behaviours of Migrant Female Head Porters in the Kumasi Metropolis, Ghana

1970 ◽  
pp. 27-38
Author(s):  
Simon Boateng
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Psychological Health ◽  
Service Providers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Health Seeking ◽  
Insurance Scheme ◽  
Female Head

This study is a follow-up to an earlier publication which looked at migrant female head porters' enrolment in, renewal and utilisation of the National Health Insurance Scheme in the Kumasi Metropolis. Head porterage in the large urban markets in Ghana comes with several health issues. Research has shown that migrant female head porters are exposed to several physical, social and psychological health risks in their daily encounters with clients. This research, therefore, aims at examining the health-seeking behaviours of migrant female head porters in the Kumasi metropolis using the dimensions of availability, accessibility, affordability, accommodation and acceptability. The researcher used the cross-sectional survey in the context of quantitative approaches. A total of 378 respondents were sampled from the following markets (Asafo, Adum shopping centres, Bantama and Kejetia) in which the migrant female head porters operate through convenient snowball sampling technique. Charts, percentages and tables were used in the data analysis. The study uncovered that the most (67%) preferred healthcare provider among the female head porters was over-the-counter chemical seller. Meanwhile, these service providers pose a serious health risk as they constitute a major source of self-medication. Further discoveries showed that affordability was the primary constraint to quality health-care as 76% of the respondents bemoaned charges at healthcare facilities. The study recommends a comprehensive policy interventions to enhance mass enrolment of female head porters unto the National Health Insurance Scheme to reduce the cost of healthcare among head porters. Finally, to protect the interest of the female head porters, they should form a well-structured and coordinated association to give them a united front to pursue their collective interest and protect them from the challenges they face including the difficulties they face in accessing healthcare.

Sign in / Sign up

Export Citation Format

Share Document