scholarly journals ANALISIS KEPUASAN JAMINAN KESEHATAN NASIONAL PADA PENGGUNA BPJS KESEHATAN DI KOTA SEMARANG

2017 ◽  
Vol 6 (1) ◽  
pp. 53
Author(s):  
Ita Listiyana ◽  
Eunike Raffy Rustiana
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Health Care Insurance ◽  
Cross Sectional ◽  
Significant Difference ◽  
Form Of Government ◽  
The Government

National health insurance (NHI) as a part of national social security system (NSIS) is a form of government commitment to the implementation of health insurance among people in Indonesia entirely. State-owned enterprises (SOEs) assigned specifically by the government to provide health care insurance was the BPJS for Health (social security provider for health). The aim of this study was to analyze the satisfaction of national health insurance among BPJS for Health participants in Semarang City based on education, tuition classes, and place of service. This study was analytical survey with cross sectional approach. Sample of Non PBI (Contribution Assistance Recipients) BPJS for Health were 269 respondents, with purposive proportional sampling technique. There was a significant difference regarding the satisfaction of health insurance based on education level (basic, secondary, and high) and place of service (public hospital and private hospital). There was no significant difference on satisfaction of health insurance based on tuition classes (class I, II, and III). BPJS for Health participants who did not satisfied with the national health insurance were 64.7%. The most important complaint was the process of obtaining an inpatient room.

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 Can Government Hospital Survive in The Era of National Health Insurance?

2019 ◽  
Vol 16 (2) ◽  
pp. 50
Author(s):  
Ida Ayu Diah Tirta Kosala ◽  
Agus Fredy Maradona
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Business Strategy ◽  
Core Competencies ◽  
Sampling Technique ◽  
Business Strategies ◽  
Sustainable Competitive Advantage ◽  
Excellent Service ◽  
The Government

ABSTRACT                 Based on the Minister of Health Regulation Number 28 of 2014 concerning the National Health Insurance Program Implementation Program which is needed to fulfill the basic needs of every person who has to pay contributions or contributions that are approved by the government. Health is a basic human need to be able to live a decent and productive life, for this reason it is necessary to carry out quality-controlled health care and costs, through the National Health Insurance (JKN) program organized by the Social Security Organizing Agency (BPJS). Hospitals are needed to implement business strategies with display-based resources in order to be able to compete in a tiered, competency-based referral system.         This research was conducted at the Tabanan Regency BRSUD with the aim of finding out the business strategy and efforts made by government hospitals in improving excellent service in the JKN era. This study uses qualitative research with a case study approach. Data collection by interview and documentation study. The sampling technique with purposive sampling, Credibility Test (internal validity) using source triangulation techniques.        From the results of the study it can be concluded that the applied business strategy is to improve core competencies (core competency) and hospital capabilities, innovating in all forms of service support and efforts to support excellent service are improving quality, efficiency and financial supply chain to achieve sustainable competitive advantage.

scholarly journals Extent of Healthcare Provider Adherence to National Health Insurance Scheme (NHIS) Operational Guidelines: The Nigeria Experience

2019 ◽  
Vol 9 (3) ◽  
pp. 239
Author(s):  
Ikechukwu Vincent Obi ◽  
Ijeoma Lewechi Okoronkwo ◽  
Emmanuel Chukwunonye Azuike ◽  
Kamtoochukwu Maduneme Obi ◽  
Ifunanya Rosemary Obi
Keyword(s):  
Health Insurance ◽  
Healthcare Provider ◽  
National Health Insurance ◽  
National Health ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Provision Of Services ◽  
Provider Adherence

The main objective of the National health insurance programme is to improve the health status of the populace in Nigerians. The healthcare provider provision of services in the programme has become a source of worry to government and other stakeholders. This study therefore sets out to examine the extent of healthcare provider adherence to NHIS operational guidelines. Design/Methodology: This is a cross-sectional survey using a questionnaire method. Sample size was calculated (demand side) using G-power 3.1 software and (supply side) Cochran formular and the calculated sample sizes were 1435 and 46 respectively. Multistage sampling technique was applied. Variables were analyzed using descriptive and T- test statistics with SPSS version 25. Result: Out of the 1435 enrollees 80% disagreed that providers provide laboratory services. Also, 91% of them disagreed that providers provide prescribed drugs. In contrast, both the enrollee (67%) and providers (69%) agreed that providers are polite while providing services. The Test value was set at 75%. The calculated T value for operational guideline for enrollees was 70.81 (p<0.05) on the opinion of the enrollees on extent of provider provision of services. The calculated T-value for operational guideline for providers was 2.40 (p<0.05) on the opinion of providers on the provision of services. Conclusion: The evidence from this study have identified areas in the service provision to be addressed by policy makers and in contrast showed that both the enrollees and providers agreed overall that the healthcare providers adhere to NHIS operational guideline.

scholarly journals Perception and Motivation of National Health Insurance Program Participation in Bogor

2017 ◽  
Vol 2 (1) ◽  
pp. 39
Author(s):  
Fika Hardini Lestari ◽  
Mohamad Djemdjem Djamaludin
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Program Participation ◽  
National Health Insurance Program ◽  
Cross Sectional ◽  
Insurance Program ◽  
Health Insurance Program

<p>The objective of the study was to analyze the perceptions and motivation of National Health Insurance Program (NHIP) in Bogor. This research design was cross sectional study with 140 respondents by non probability sampling method with convienience &amp; accidental sampling technique. Data were collected by questionnaires filled out directly by the participants. The perception of NHIP participants were in the moderate category and the perception of the respondents which was not the participants of NHIP was in the bad category. Motivation of NHIP was in middle category while the respondents were not a NHIP and the motivation was categorized low. The test results showed that the age, perception and motivation had a significant positive relationship. The results showed that the perception and motivation had a very significantly positive effect on the participation of National Health Insurance Program.</p>

scholarly journals Hubungan Pengetahuan Dengan Motivasi Menggunakan Jaminan Kesehatan Nasional (JKN) Di Puskesmas Panarung

2020 ◽  
Vol 6 (1) ◽  
pp. 138-142
Author(s):  
Rizka Ovany ◽  
Hermanto Hermanto ◽  
Titus Suprianto
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Social Health Insurance ◽  
Sampling Technique ◽  
Correlation Study ◽  
P Value ◽  
Strong Motivation ◽  
Insurance Mechanism ◽  
The Government

The National Health Insurance (JKN) is carried out with a social health insurance mechanism that is mandatory to meet the basic health needs of the community that pays contributions or is paid by the Government. This is not well understood by many families so there are still families who have not used national health insurance on the grounds that they rarely get sick and do not use it when they seek treatment. This study aims to see the relationship of knowledge with motivation in using JKN. This type of correlation study with a purposive sampling technique, data collection using questionnaires in the form of closed statements as many as 11 items about national health insurance knowledge (JKN), and as many as 15 items of questions. Motivational measurements were given to 35 respondents. The statistical test uses the Rho Spearmen Test (Rank). From 35 respondents, there were 22 respondents (62.9%) lacking knowledge with 16 respondents (45.7%) moderate motivation and 6 respondents (17.1%) strong motivation while 9 respondents had sufficient knowledge level (9 respondents) 25.7%) with the strong motivation of 6 respondents (17.1%) and a moderate motivation of 3 respondents (8.6%) while respondents who have a good level of knowledge amounted to 4 respondents (11.4%) with the strong motivation of 4 respondents (11.4%) and moderate motivation (0%). With the analysis test resultsusing the Rho Spearmen (Rank obtained P-Value 0.002 (0.002 <0.05).

scholarly journals ANALISIS KEPUASAN PASIEN PESERTA JAMINAN KESEHATAN NASIONAL DI APOTEK KIMIA FARMA 396 TUMINTING KOTA MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 302
Author(s):  
Preisdy Aprilia Mumu ◽  
Widya A Lolo ◽  
Imam Jayanto
Keyword(s):  
Patient Satisfaction ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Probability Sampling ◽  
Purposive Sampling ◽  
Level Of Satisfaction ◽  
Close Relationship ◽  
Patient Will

ABSTRACT  The quality of health services has a close relationship with patient satisfaction, because if reality exceeds expectations the patient will use the health service. Patient satisfaction is the expectations that arise after comparing between  reality and expectations. This study aims to determine the level of patient satisfaction of National Health Insurance participants in Kimia Farma Pharmacy 396 Tuminting, Manado City. This type of research is a descriptive study, using non-probability sampling method with purposive sampling technique. This research was conducted by distributing questionnaire sheets to the level of patient satisfaction to 290 respondents who met the inclusion criteria. The results obtained by an average overall patient satisfaction of (-0.51), it can be concluded that the level of satisfaction in the negative range which means the patient is not satisfied with the services provided.Keywords : National Health Insurance, level of satisfaction, expectations, reality. ABSTRAK  Kualitas pelayanan kesehatan memiliki hubungan yang erat dengan kepuasan pasien, karena jika kenyataan melebihi harapan maka pasien akan menggunakan pelayanan kesehatan tersebut. Kepuasan pasien akan muncul setelah membandingkan antara kenyataan dan harapan. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien peserta Jaminan Kesehatan Nasional di Apotek Kimia Farma 396 Tuminting Kota Manado. Jenis penelitian ini merupakan penelitian deskriptif, menggunakan metode non probability sampling dengan teknik purposive sampling. Penelitian ini dilakukan dengan membagikan lembar kuesioner tingkat kepuasan pasien kepada 290 responden yang memenuhi kriteria inklusi. Hasil penelitian yang diperoleh rata-rata secara keseluruhan kepuasan pasien sebesar (-0,51), dapat disimpulkan bahwa tingkat kepuasan berada pada rentang negatif yang artinya pasien tidak puas dengan pelayanan yang diberikan. Kata kunci : Jaminan Kesehatan Nasional (JKN), tingkat kepuasan, harapan, kenyataan.

scholarly journals Kepercayaan Publik (Public Trust) Terhadap E-Government : Studi Kasus Penggunaan E-Mobile BPJS Kesehatan Di Kota Makassar

2020 ◽  
Vol 9 (1) ◽  
pp. 80
Author(s):  
Sitti Mirsa Sirajuddin ◽  
A . Atrianingsi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Mobile Applications ◽  
Mobile Application ◽  
Public Trust ◽  
The Public ◽  
The Government ◽  
Quantitative Descriptive ◽  
High Level

The general objective of the study was to analyze the level of public trust (citizen trust) of e-government based health insurance services, namely the e-mobile National Health Insurance (JKN) BPJS in Makassar City.The design of this research is a quantitative descriptive type. The population in this study were people who used the National Health Insurance (JKN) e-mobile application with 167 respondents. Data collection was carried out using a questionnaire instrument. Data analysis uses multiple linear regression.The results showed that first there was a high level of public trust in JKN e-mobile applications. This means that the application gives satisfaction to the community and is considered beneficial for them. Secondly, the level of public trust is high in the government, where the public considers the government to be serious in providing health insurance services.Tujuan umum penelitian adalah untuk menganalisis tingkat kepercayaan publik (citizen trust) terhadap pelayanan jaminan kesehatan berbasis e-government yaitu e-mobile Jaminan Kesehatan Nasional (JKN) BPJS Kesehatan di Kota Makassar. Desain penelitian ini adalah kuantitatif tipe deskriptif. Populasi dalam penelitian ini adalah masyarakat yang menggunakan aplikasi e-mobile Jaminan Kesehatan Nasional (JKN) dengan jumlah responden sebanyak 383 orang. Pengumpulan data dilakukan dengan menggunakan instrument kuesioner. Analisis data menggunakan regresi linear berganda. Hasil penelitian menunjukkan bahwa, pertama terdapat tingkat kepercayaan tinggi masyarakat terhadap aplikasi e-mobile JKN. Hal ini berarti aplikasi memberi kepuasan kepada masyarakat dan dianggap bermanfaat bagi mereka. Kedua tingkat kepercayaan publik tinggi terhadap pemerintah tinggi, dimana masyarakat menilai pemerintah serius dalam memberikan pelayanan jaminan kesehatan.

scholarly journals Revealing the Legal Protection of Patients Social Security Administration Agency of Health in Sanglah and Balimed Hospitals Denpasar

2020 ◽  
Vol 7 (2) ◽  
pp. 102-110
Author(s):  
RA Tuty Kuswardhani ◽  
I Nyoman Budiana
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
National Health Insurance ◽  
National Health ◽  
Legal Protection ◽  
The Elderly ◽  
National Formulary ◽  
Social Security Administration ◽  
Curative Therapy ◽  
The Social

Social Security Administration Agency of Health has a National National Health Insurance formulary, but in reality patients do not get drugs according to the National Health Insurance National Formulary. Therefore, the aims of this study are to determine the legal protection of patients of the Social Security Administration Agency of Health for the elderly in curative therapy in hospitals according to the national formulary of National Health Insurance at Sanglah Hospital and Balimed Hospital, and to know the responsibilities undertaken by the Social Security Administration Agency of Health in fulfilling its obligations for patients the Agency for the Implementation of the Social Health Insurance of the elderly in curative therapy in accordance with the national formulary of the National Health Insurance. This study uses a participatory observational (empirical-observational) empirical legal research method. Sampling with purposive sampling and data collection techniques using triangulation techniques. In principle, legal protection must refer to legal certainty, fairness and benefits for the population participating in the Social Security Administration Agency of Health for the elderly so that it is not impressed that Balimed Hospital and Sanglah General Hospital and the Social Security Administration Agency of Health make a service to consumers who are not good. The legal responsibility that should be obtained by the participants of the Social Security Administration Agency of Health for the elderly in Balimed Hospital and Sanglah Hospital Denpasar which is currently not maximally received by patients participating in the Social Security Administration Agency of Health for the elderly at Balimed Hospital and Sanglah Hospital.

scholarly journals Prices of medicines for the management of pain, diabetes and cardiovascular diseases in private pharmacies and the national health insurance in Tanzania

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Rashid Bakari Kirua ◽  
Mary Justin Temu ◽  
Amani Thomas Mori
Keyword(s):  
Health Insurance ◽  
Cardiovascular Diseases ◽  
National Health Insurance ◽  
National Health ◽  
Essential Medicines ◽  
High Price ◽  
Sign Test ◽  
Insurance Fund ◽  
Reference Prices ◽  
Significant Difference

Abstract Background High price is a major challenge limiting access to essential medicines especially among the poorest families in developing countries. The study aims to compare the prices of medicines used in the management of pain, diabetes, and cardiovascular diseases in private pharmacies and the National Health Insurance Fund (NHIF) in Tanzania. Pharmacy prices were also compared with the prices of medicines surveyed nationally by WHO/HAI in 2012. Method This cross-sectional study was conducted in Dar es Salaam, Morogoro, Dodoma, and Kilimanjaro regions from February to April 2015. Data were collected from 33 private pharmacies, NHIF and, the HAI database. The study used the WHO/HAI methodology. The analysis was done using non-parametric Kruskal-Wallis and post-hoc pair-wise comparison Dunn test, while a possible change in prices between our survey and 2012 WHO/HAI national survey data was tested using a Sign test in Stata version 16.1. Results Twenty-eight essential medicines, of which 9 are used for management of pain, 7 for diabetes, and 12 for cardiovascular diseases were analyzed. There was a significant difference in the mean pharmacy prices of some medicines between the regions and between the pharmacies and NHIF reference prices. NHIF reference prices were higher than the pharmacy prices for 16 of the 28 medicines. There was a significant increase in the prices of 5 out of the 8 medicines that were also nationally surveyed by the WHO/HAI in 2012. Conclusion The study found that medicine prices in private pharmacies vary a lot between the study regions, which raises equity concerns. Also, there was a significant difference between the pharmacy and the NHIF reimbursement prices, which may expose patients to fraudulent co-payments or hinder timely access to prescribed medicines. Therefore, effective price control policies and regulations for medicines are warranted in Tanzania.

scholarly journals Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Gilbert Ti-enkawol Nachinab ◽  
Charles Ampong Adjei ◽  
Florence Assibi Ziba ◽  
Richard Asamoah ◽  
Priscilla Adumoah Attafuah
Keyword(s):  
Health Insurance ◽  
Antenatal Care ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Northern Ghana ◽  
Face To Face ◽  
Care Services ◽  
System Factor ◽  
The Individual

Background. Global evidence has shown significant contribution of Antenatal care (ANC) in the detection and treatment of pregnancy related complications. Over the years, many areas in Ghana have recorded high uptake of ANC. However, this is not the case for Binduri district in Northern Ghana where only 37.4% of pregnant women utilised the services of ANC during their period of pregnancy compared to a national figure of 87%. We therefore sought to explore the determinants of ANC uptake among women who failed to utilise ANC services during their period of pregnancy in Binduri District in Northern Ghana. Methodology. The study was an exploratory descriptive study using purposive sampling technique. A total of 15 women who met the inclusion criteria for the study were recruited for a face-to-face interview. The data were analysed using the procedure of inductive thematic analysis. Results. The study findings showed that several factors hindered the use of ANC among our participants. The individual factors that were responsible for nonutilisation of ANC included financial constraints hindering registration with the national health insurance scheme, excuses of being busy, perception that pregnancy was not sickness and concentration on work. Perceived poor attitude of nurses was the only health system factor that contributed to non utilisation of ANC services. Conclusion. There is the need for establishment of registration centres of the national health insurance in all communities to make the scheme more accessible. There should also be intensive public education on importance of attending ANC.

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