scholarly journals Determinan Keputusan Pekerja Mandiri menjadi Peserta Jaminan Kesehatan Nasional

2020 ◽  
Vol 14 (1) ◽  
pp. 21
Author(s):  
Jumatra Laila ◽  
Asmaripa Ainy ◽  
Dian Safriantini
Keyword(s):  
Health Insurance ◽  
Family Support ◽  
National Health Insurance ◽  
National Health ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
P Value ◽  
Cluster Sampling ◽  
Cross Sectional

Background: National health insurance is mandatory for all Indonesians. In Ogan Ilir Regency, the lowest percentage (24,14%) of its participants in December 2016 was found in Indralaya Utara Sub-district, and self-employed participants in this sub-district were only 6,99%. This study aimed to analyze the determinants of the self-employed’s decision to become national health insurance participants in Indralaya Utara Sub-district. Method: This was a cross-sectional study. The population was self-employed in Indralaya Utara Sub-district. The sample was 108 respondents who were selected using cluster sampling and consecutive sampling techniques. Data analysis was conducted by univariate and bivariate with chi-square statistical test. Results: The results illustrated that 18,52% of respondents decided to become national health insurance participants. Variables with p-value<0,005 were: knowledge about national health insurance (p-value=0,011), trust (p-value=0.000), perception about national health insurance (p-value=0,000), attitude (p-value=0,000), income (p-value=0,002), family support (p-value=0,005). Variables with p-value≥0,005 were: education (p-value=0,234), perception about health facilities (p-value=0,162), distance to health facilities (p-value=0,355), health workers support (p-value=0,112). Conclusion:  In conclusion, percentage of self-employed who decided become national health insurance participants was still small. Associated factors to the decision of self-employed as participants were: knowledge about national health insurance, trust, perception about national health insurance, attitude, income and family support. It is suggested that the Social Security Administrative Body for Health should routinely conduct socialization on national health insurance to improve the percentage of its participation for self-employed and the benefits of national health insurance could be felt by the entire community.

scholarly journals THE CHILDBIRTH UTILIZATION IN HEALTH FACILITIES IN THE WORKING AREA OF SUNGAI LOKAN PHC TANJUNG JABUNG TIMUR REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati
Keyword(s):  
Health Center ◽  
Family Support ◽  
Health Workers ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Service Access ◽  
Cross Sectional ◽  
Family Culture ◽  
Work Area

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services

scholarly journals The superior service based on the highest number of visits and income of Hajj Hospital Surabaya in The National Health Insurance era

2020 ◽  
Author(s):  
Rachmad Cahyadi ◽  
Stefanus Supriyanto ◽  
Ratna Dwi Wulandari
Keyword(s):  
Internal Medicine ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
General Surgery ◽  
Cross Sectional Study ◽  
Medical Rehabilitation ◽  
Cross Sectional ◽  
Study Approach ◽  
Number Of Visits

Background: A hospitals’ superior service is expected to be of higher value than other available provisions, which consequently differentiates the facility from others, as the branding easily attracts the community attention. The purpose of this study, therefore, is to identify the most needed and profitable health services from existing hospitals. Design and methods: This was a descriptive research performed with a cross sectional study approach. The variables studied include the number of visits, and revenue based on National Health Insurance (JKN). Results: Findings show that the polyclinics were the highest number of visits between 2016 and 2017 include Cardiac, Internal Medicine, Medical Rehabilitation, Nerve, General Surgery, and also Dental & Mouth. Conversely, those with the most significant income include Heart, Polyclinics, Dental & Mouth, as well as General Surgery Polyclinics. Moreover, the Medical Rehabilitation and Internal Medicine outpatient installations demonstrated negative INA income, while the already running featured Services in high demand were Heart, Nerve, Dental & Oral, and also General Surgery polyclinics. Conclusions: In can be concluded that not all polyclinics with high traffic generate positive income, hence it is necessary to monitor and analyze National Health Insurance (JKN) monthly income.

scholarly journals Physician Palliative Education Associated With High Use of Hospice Care Service

2021 ◽  
pp. 104990912110141
Author(s):  
Mei-Hsing Chuang ◽  
Fang-Niarn Lee ◽  
Yih-Tsong Shiau ◽  
Hsiu-Yi Shen ◽  
Chih-Ching Lee ◽  
...  
Keyword(s):  
Renal Failure ◽  
Health Insurance ◽  
End Of Life ◽  
National Health Insurance ◽  
National Health ◽  
Hospice Care ◽  
Care Service ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services

Background: Taiwan’s National Health Insurance provides coverage for palliative and hospice care. The following 10 types of diseases have been added to the National Health Insurance reimbursement regulation: end-stage cancer, motor neuron disease, organic psychosis, brain degeneration, heart failure, chronic airway obstruction diseases, other lung diseases, chronic liver disease and cirrhosis, acute renal failure, and chronic renal failure. Objective: This study aimed to determine the association between physicians’ palliative education and use of hospice care in hospitalized patients at the end of life. Design and Setting: A cross-sectional study in a Taipei community hospital. Participants: Patients who died between 2014 and 2019 were identified. The deceased had at least 1 of the 10 diseases covered by health insurance were included. Hospice care services included hospice ward care and hospice shared care. This study included 2,661 individuals. In total, 972 (36.5%) patients used hospice care services. Results: After adjusting for age, gender, and comorbidities, physicians’ palliative education was found to significantly associated with the use of hospice care (OR: 14.38, 95% CI: 10.90-18.98). Conclusions: Physicians’ palliative education was found to be an independent factor associated with higher use of hospice care. The findings suggest increasing palliative and hospice education among physicians so that they can ensure that their patients have high-quality end-of-life medical care in an aging society.

scholarly journals Factors Influencing Nonrenewal of Health Insurance Membership in Ejisu-Juaben Municipality of Ashanti Region, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Kwawukume Mawumenyo Aku ◽  
Kofi Akohene Mensah ◽  
Peter Twum ◽  
Peter Agyei-Baffour ◽  
Daniel Opoku ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Statistical Significance ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Systemic Factors ◽  
The Government

Background. In the quest to prevent households from making catastrophic expenditures at the point of seeking healthcare, the government of Ghana introduced the National Health Insurance in 2003. However, people are reluctant to renew their membership. This study was, therefore, conducted to identify factors influencing the nonrenewal of National Health Insurance membership in the Ejisu-Juaben Municipality. Methods. A cross-sectional study was conducted among 427 respondents in the Ejisu-Juaben Municipality to ascertain factors influencing the nonrenewal of health insurance membership status. Data were entered and analyzed using Stata version 14. Univariate and multivariate analyses were performed to determine sociodemographic factors, household factors, and systemic factors influencing the nonrenewal of health insurance status. Statistical significance for all testing was set as p ≤ 0.05 . Results. Sociodemographic factors such as gender (AOR = 0.531; CI = 0.287–0.985) and educational level (AOR = 5.268; CI = 1.130–24.551)) were associated with the nonrenewal of health insurance membership. Income levels in Ghana Cedis were 500–1000 (AOR = 0.216; CI = 0.075–0.617) and 1001–2000 (AOR = 0.085; CI = 0.019–0.383). Systemic decision on factors such as clients’ satisfaction (AOR = 0.149; CI = 0.035–0.640), making copayment (AOR = 0.152; CI = 0,068–0.344), acquiring all prescribed drugs (AOR = 4.191; CI = 2.027–8.668), and awareness of mobile renewal (AOR = 3.139; CI = 1.462–6.739) was associated with nonrenewal of membership. Conclusions. The nonrenewal of health insurance membership was influenced by sociodemographic, household, and systemic factors. Therefore, the Municipal Health Directorate and the National Health Insurance Authority have to work on these factors to reach the target of 100% active coverage in the municipality.

scholarly journals Analysis of Exclusive Breastfeeding Factors for Infants in Gogagoman Village

2021 ◽  
Vol 4 (1) ◽  
pp. 1-11
Author(s):  
Strahmawati Hamzah
Keyword(s):  
Family Support ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
P Value ◽  
Maternal Knowledge ◽  
Formula Milk ◽  
Cross Sectional

WHO stated that 53% of cases were recorded as acute pneumonia, 55% of cases were recorded as deaths due to diarrhea, this was because the mother did not exclusively breastfeed. In Indonesia, the coverage rate of breastfeeding is still quite low, only 54,3%. The purpose of this study was to analyze the factors associated with exclusive breastfeeding in Gogagoman Village. This type of research is an analytic observational with a cross sectional study approach. The number of samples in this study were 122 mothers with simple random sampling technique, data were collected using a questionnaire through interviews and analyzed using the chi square test (α = 0,05). The results showed that there was a relationship between maternal knowledge p-value = 0.012, there was a relationship with maternal attitudes p-value = 0,000, there was a relationship with family support p-value = 0,005, there was a relationship between support for health workers, p-value = 0,000, and there was a relationship between promotion of formula milk p-value = 0,000 with exclusive breastfeeding for babies. In conclusion, the factors related to exclusive breastfeeding for babies in Gogagoman Village are knowledge, attitudes, family support, support for health workers and promotion of formula milk.

scholarly journals The bypassing of healthcare facilities among National Health Insurance Scheme enrollees in Ibadan, Nigeria

2020 ◽  
Author(s):  
Adetola O Oladimeji ◽  
David A Adewole ◽  
Folashayo Adeniji
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Scheme ◽  
Health Facilities ◽  
Health Insurance Scheme ◽  
Insurance Scheme ◽  
Cross Sectional Survey ◽  
Additional Time ◽  
Cross Sectional

Abstract Background Bypassing occurs when patients knowingly visit a health facility other than the one they live nearest to. In Ibadan, southwest Nigeria, the majority of enrollees in the National Health Insurance Scheme (NHIS) receive medical care in just 12% of the available NHIS-accredited facilities. Given that enrollees access healthcare services at highly subsidized rates under the scheme, this study aimed to determine the factors responsible for the observed distribution of enrollees across these health facilities. Methods The study was a descriptive cross-sectional survey conducted among NHIS enrollees receiving care at outpatient departments of five randomly selected accredited health facilities in Ibadan. A total of 311 NHIS enrollees were consecutively recruited and a semistructured, pretested, interviewer-administered questionnaire was used to elicit information from respondents. Descriptive and inferential statistics were used to present results at 5% level of significance. Distance traveled by patients from their residence to the facilities was measured using Google maps. Results The mean age of respondents was 37.1±16.1 y. There were 167 (53.7%) males and 224 (72.3%) were married. The bypassing rate was 174 (55.3%). More than a third of enrollees, 127 (41.0%), reported that their hospital choice was made based on physician referral, 130 (41.8%) based on personal choice, 26 (8.4%) based upon the recommendation of the Health Management Organization (HMO), while 27 (8.7%) were influenced by friends/family/colleagues. Bypassing was positively associated with educational status (X2 = 13.147, p=0.004). Respondents who bypassed expended additional time and money traveling to the farther away hospitals, 35.1 (±34.66) min and 389.51 (±545.21) naira per visit, respectively. Conclusion The level of bypassing among enrollees was fairly high. Enrollees should be properly guided regarding the need to access healthcare in facilities closer to them by their HMOs and physicians in the case of referrals. This will reduce bypassing and the cost of travel leading to better outcomes among enrollees.

scholarly journals DETERMINANTS OF BREASTFEEDING EXCLUSIVE IN THE WORKING AREA OF RUMBIA HEALTH CENTER, BOMBANA REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽  
2021 ◽  
pp. 1-19
Author(s):  
Asnidawati Asnidawati ◽  
Wa Ode Salma ◽  
Adius Kusnan
Keyword(s):  
Health Center ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
Health Organization

Background: Breast’s milk is an excellent food for the growth and development of infants. The United Nations Children's Funds (UNICEF) and the World Health Organization (WHO) recommend that children only be exclusively breastfed for six months and continued until two years. This study analyzes the effect of family support, health workers, and socio-culture on exclusive breastfeeding in the working area of the Rumbia Health Center, Rumbia District, Bombana Regency. Methods: This study involved 86 mothers who had babies aged 0-6 months who were registered and domiciled in the working area of the Rumbia Health Center spread over 4 Kelurahan and 1 Village, which were selected by purposive sampling using a cross-sectional design from February to April 2021. Data analysis using odds ratio (OR) and logistic regression at significance level < 0.05. Results: The largest age group in the range of 20-35 years, as many as 68 people (79.1%), undergraduate as many as 32 people (37.2%), and income above Rp. 2.552.014, - / month as many as 60 people (69.8%). The results showed an effect of family support on exclusive breastfeeding (p = 0.002<0.05). There is no influence of socio-cultural factors on exclusive breastfeeding (p = 0.282>0.05) and the results of multivariate analysis of the most dominant variables associated with exclusive breastfeeding in the working area of Rumbia Health Center District Rumbia Bombana Regency is supported by health workers with an OR = 9.199 (p-value = 0.039<0.05). Conclusions: This study concludes that the support of health workers plays a very important role in exclusive breastfeeding to infants aged six months, which can impact improving the health of toddlers. Keywords: Determinant, breastfeeding exclusive, toddler, mother

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