scholarly journals The Relationship of Ability to Pay and Ownership of Health Insurance towards Willingness to Pay Laboratory Services at Persahabatan Hospital, East Jakarta

Author(s):  
Siska Putri Utami ◽  
◽  
Yanti Harjono Hadiwiardjo ◽  
Kristina Simanjuntak ◽  
◽  
...  

ABSTRACT Background: Limited cost of health services, especially in laboratory tests for diagnoses, causes doctors to consider patient’s willingness to pay so the costs are spent more efficiently. Some factors which supposedly affect the willingness to pay are ability to pay and health insurance ownership. This study aims to know the relationship between ability to pay and health insurance ownership with the willingness to pay for laboratory services in outpatients at RSUP Persahabatan. Method: This research was an analytical observational research with cross-sectional design. Samples consisted of 70 outpatients at RSUP Persahabatan laboratory collected by consecutive sampling. The dependent variable is willingness to pay and the independent variable are the ability to pay and insurance ownership measured using a questionnaire. The data was analyzed by Chi-square. Results: Chi-square test results showed relationship between the ability to pay and the willingness to pay for laboratory health services (OR= 13.14; 95% CI= 2.76 to 62.49; p< 0.001). There was no relationship between health insurance ownership and the willingness to pay for laboratory health services (OR= 2.82; 95% CI= 0.85 to 9.33; p= 0.083). Conclusion: High ability to pay will lead to high willingness to pay, since their need for food has been met and they will shift to the need for health. The health insurance ownership does not affect the willingness of patients in paying laboratory service. Keywords: Ability to Pay, Health Insurance, Hospital, Laboratory Services, Willingness to Pay. Correspondence: Siska Putri Utami. Medicine Study Program, Medicine Study Program, Faculty of Medicine, UPN “Veteran” Jakart. Jl. RS. Fatmawati Raya, Pd. Labu, Cilandak district, Depok, West Java, 12450. Email: [email protected]. Phone: (021) 7656971 DOI: https://doi.org/10.26911/the7thicph.04.18

2021 ◽  
Vol 3 (2) ◽  
pp. 48-58
Author(s):  
Ajeng Febrianti Rahayu ◽  
Bagas Aidi ◽  
Meirna Mega Rizki ◽  
Ayik Mirayanti Mandagi

ABSTRACTFirst year student are one of the groups that are prone to depression. This is because the first year student is in a transition period or in a new condition that initially senior high school student becomes a college student. In addition, busy schedules, new learning environments and homesickness can trigger depression in college students. This study used a cross sectional study design. Respondents in this study were new students of the Study Program Outside the Main Campus (PSDKU) of Airlangga University in Banyuwangi, class 2019 with a total of 110 students. Depression levels were obtained from the Beck Depression Inventory (BDI-II) questionnaire. Meanwhile, the adaptability was obtained from the Communicative Adaptability Scale (CAS) questionnaire and the place of residence was obtained from questions about where to live during college. A total of 53 out of 110 students (49,1%) experienced low depression and students who experienced high depression were 57 out of 110 students (50,9%). The results of the chi square test regarding the relationship between residence and the level of depression of new students, obtained data p= 0.008 (p <0.05). Chi-square test results regarding the relationship between adaptation ability and depression level of new students, obtained data p = 0.001 (p <0.05). There is a relationship between residence and adaptability with the degree of depression of new students. Higher education institutions are expected to pay more attention to the psychological conditions of students and new students are expected to maintain good coping management in facing the new environment.Keywords: depression level, adaptability, place to live, new students ABSTRAKMahasiswa baru adalah salah satu kelompok yang rentan mengalami depresi. Hal ini dikarenakan mahasiswa baru berada pada masa transisi atau suatu kondisi baru yang awalnya siswa SMA menjadi mahasiswa. Selain itu, jadwal yang padat, lingkungan belajar yang baru dan homesickness dapat memicu depresi pada mahasiswa. Penelitian ini menggunakan desain penelitian crosssectional. Responden pada penelitian ini yaitu mahasiswa baru Program Studi Diluar Kampus Utama (PSDKU) Universitas Airlangga di Banyuwangi angkatan 2019 dengan jumlah 110 mahasiswa. Tingkat Depresi didapatkan dari kuisioner Beck Depression Inventory (BDI-II). Sedangkan kemampuan adaptasi didapatkan dari kuisioner Communicative Adaptability Scale (CAS) dan tempat tinggal didapatkan dari pertanyaan mengenai tempat tinggal selama kuliah. Sebanyak 49,1% (53 dari 110 mahasiswa) mengalami depresi ringan dan mahasiswa yang mengalami depresi berat sebanyak 50,9 (57 dari 110 mahasiswa). Hasil uji chisquare mengenai hubungan tempat tinggal dengan tingkat depresi mahasiswa baru, diperoleh data p=0,008 (p<0,05). Hasil uji chisquare mengenai hubungan kemampuan adaptasi dengan tingkat depresi mahasiswa baru, diperoleh data p=0,001(p<0,05). Terdapat hubungan antara tempat tinggal dan kemampuan adaptasi dengan tingkat depresi mahasiswa baru. Institusi perguruan tinggi diharapkan lebih memperhatikan kondisi psikologis mahasiswa dan mahasiswa baru diharapkan tetap mempertahankan manajemen koping yang baik dalam menghadapi lingkungan baru.Kata Kunci: tingkat depresi, kemampuan adaptasi, tempat tinggal, mahasiswa baru


2021 ◽  
Vol 1 (11) ◽  
pp. e0000057
Author(s):  
Oladimeji Akeem Bolarinwa ◽  
Soter Ameh ◽  
Caleb Ochimana ◽  
Abayomi Olabayo Oluwasanu ◽  
Okello Samson ◽  
...  

Willingness and ability to pay for insurance that would cover primary healthcare services has not been evaluated consistently in different African communities. We conducted a cross-sectional community health survey and examined willingness and ability to pay in 3676 adults in seven communities in four countries: Nigeria, Tanzania, Uganda and Kenya. We used an open-ended contingency valuation method to estimate willingness to pay and examined ability to pay indirectly by calculating the ratio of healthcare expenditure to total household income. Slightly more than three quarters (78.8%) of participants were willing to pay for a health insurance scheme, and just a little above half (54.7%) were willing to pay for all household members. Across sites, median amount willing to pay was $2 per person per month. A little above half (57.6%) of households in Nigeria were able to pay the premium. The main predictors of likelihood of being unwilling to pay for the health insurance scheme were increasing age [aOR 0.99 (95% CI 0.98, 1.00)], being female [0.68 (0.51, 0.92], single [0.32 (0.21, 0.49)], unemployment [0.54 (0.34, 0.85)], being enrolled in another health insurance scheme [0.45 (0.28, 0.74)] and spending more on healthcare [1.00 (0.99, 1.00)]. But being widow [2.31 (1.30, 4.10)] and those with primary and secondary education [2.23 (1.54, 3.22)] had increased likelihood of being willing to pay for health insurance scheme. Retired respondents [adjusted mean difference $-3.79 (-7.56, -0.02)], those with primary or secondary education [$-3.05 (-5.42, -0.68)] and those with high healthcare expenditure [$0.02 (0.00, 0.04)] predicted amount willing to pay for health insurance scheme. The willingness to pay for health insurance scheme is high among the seven communities studied in East and West Africa with socio-demography, economic and healthcare cost as main predictive factors.


2018 ◽  
Vol 12 (2) ◽  
pp. 123
Author(s):  
Wida Ratna Yunita ◽  
Triska Susila Nindya

Breakfast habits, nutritional and fl uid adequacy is very important for students learning concentration. The purpose of this research was to analyze the relationship between breakfast habits, nutritional and fl uid adequacy with thelearning concentration in students. This was an observational research with cross sectional design, conducted in SDN Sukomanunggal IV Surabaya with 60 respondents. Characteristics of respondents, breakfast habit, food intake, fl uidintake and learning concentration test were collected. The breakfast habit was measured by questionnaire. The nutrition and fluid intake were measured using recall 3×24 hours and the concentration was measured by using bender gestalttest. The data was analyzed by chi square test and logistic regression. Respondents have an adequate of carbohydrate (63.3%), protein (60.0%), fat (61.7%) and vitamin C (58.3%). Meanwhile inadequate of energy (51.7%), iron (53.3%) and fluid (56.7%). There are signifi cant correlation between breakfast habit, energy, carbohydrate, protein, Fe, vitamin C and fl uid adequacy level with learning concentration. There was no signifi cant correlation between fat adequacy level with learning concentration. Therefore parents need to provide the breakfast regularly.


2020 ◽  
Vol 8 (2) ◽  
pp. 1011-1018
Author(s):  
Lilis Banowati ◽  
Jongga Adiyaksa

Anemia merupakan masalah kesehatan masyarakat global di negara berkembang maupun negara maju dengan konsekuensi yang besar bagi kesehatan manusia serta pembangunan nasional dan ekonomi. Anemia pada remaja akibat  kurang gizi dapat berdampak buruk pada kesehatan, pertumbuhan, dan sistem imun. Penyebab utama anemia gizi ialah konsumsi zat besi yang tidak cukup, absorbsi zat besi yang rendah, dan pola makan yang sebagian besar terdiri dari nasi dan menu yang kurang beraneka ragam. Kebiasaan makan pagi termasuk dalam salah satu dari 13 pesan dasar gizi seimbang. Bagi mahasiswa/remaja, makan pagi dapat meningkatkan konsentrasi belajar dan memudahkan menyerap pelajaran yang akan meningkatkan prestasi belajar. Makan pagi juga sangat berperan terhadap pemenuhan gizi seimbang pada anak. Tujuan penelitian ini untuk mengetahui hubungan antara kebiasaan makan pagi dengan kejadian anemia pada mahasiswa program studi D III Gizi Cirebon Poltekkes Kemenkes Tasikmalaya.Penelitian ini merupakan penelitian observational dengan menggunakan desain cross-sectional. Populasi pada penelitian ini adalah mahasiswa Prodi D III Gizi Cirebon Poltekkes Kemenkes Tasikmalaya dengan jumlah 122 orang. Teknik pengambilan sampel menggunakan  teknik  random  sampling  yaitu   sejumlah  35 orang.Hasil penelitian  menunjukkan  bahwa dari 35 mahasiswa, 29 mahasiswa memiliki kebiasaan makan pagi 29 mahasiswa (83%) yang tidak anemia, jarang sarapan pagi yaitu 1 mahasiswa (2,8%) dan yang tidak pernah sarapan yaitu 5 mahasiswa. Nilai pValue dari uji Chi square yaitu 0,125 (P<0,05). Sehingga hasilnya yaitu ada hubungan kebiasaan sarapan pagi dengan kejadian anemia pada mahasiswaKata kunci: kebiasaan makan pagi, anemia, mahasiswa ABSTRACTAnemia is a global public health problem in both developing and developed countries with great consequences for human health as well as national and economic development. Anemia in adolescents due to malnutrition can adversely affect health, growth, and the immune system. The main causes of nutritional anemia are insufficient intake of iron, low iron absorption, and a diet consisting mostly of rice and a less varied menu. Breakfast habits are included in one of 13 basic messages of balanced nutrition. For students, breakfast can increase the concentration of learning and make it easier to absorb lessons that will improve learning achievement. Breakfast also greatly contribute to the fulfillment of balanced nutrition in children. The purpose of this study to determine the relationship between morning eating habits with the incidence of anemia in the students of study program D III Gizi Cirebon Poltekkes Kemenkes Tasikmalaya.This research is an observational research using cross-sectional design. The population in this study is a student of Study Program D III Gizi Cirebon Poltekkes Kemenkes Tasikmalaya with the number of 122 people. Sampling technique using random sampling technique that is a number of 35 people.The result of the research shows that from 35 students, 29 students have breakfast habit of 29 students (83%) who are not anemic, rarely breakfast that is 1 student (2.8%) and who never breakfast is 5 students. The pValue value of Chi square test is 0,125 (P <0,05). So the result is a relationship between breakfast habits with the incidence of anemia in studentsKeywords: breakfast habits, anemia, students


2021 ◽  
Vol 7 (1) ◽  
pp. 35-42
Author(s):  
Nurehan Maulana ◽  
Leni Novianti ◽  
Sutriyati Sutriyati

Background: Satisfactory and quality service will form patients/customers loyalty, and satisfaction is very closely related to word of mouth. The next effect will continue on the process of forming an improved image of health care agencies. The standard of patient satisfaction in health services is set nationally by the Ministry of Health at a minimum for patient satisfaction, which is above 95%. The purpose of this study is to find out the relationship between the quality of service in aspects of staff attitude, service facilities, and rates/fees with patient satisfaction in polyclinic acupuncture and herbal LKTM Palembang. Methods: This research is quantitative and uses an analytic survey with a cross sectional design. The sample in this study were all patients of the Palembang Community Traditional Health Workshop (LKTM) in 2020 who visited during the study period, numbering 85 people. Result: Based on the results of the study, 62.4% expressed satisfaction with the services in Polyclinic Acupuncture and Herbs (LKTM). The dimension that needs to be improved is the Assurance dimension in the officer's capability section. Based on the result of Chi-Square statistical test, the level of patients satisfaction to the service attitude of the officer, with a p-value of 0.000. Recommendation: for LKTM Palembang, it is expected to improve the quality of existing health workers and always play an active role in health services, maintain existing facilities, and review the costs set.


2018 ◽  
Vol 10 (3) ◽  
pp. 252
Author(s):  
Shinta Anggraini

Surabaya is an endemic area of Dengue Hemorrhagic Fever (DHF) because every year there is always DHF case incidence. In 2013, there were 2.207 DHF incidences, 816 incidences in 2014, 640 incidences in 2015, and 938 incidences in 2016. This research aimed to analyze the relationship between existences of mosquito larvae with the DHF incidence in Kedurus sub-district, Karang Pilang district, Surabaya. This was observational research with cross sectional design. Unit analysis of this research is the houses, and there were 100 respondents’ house inspected in RW II which randomly selected. Data collected by observing mosquito larvae in water reservoir and recorded in observation sheet, while the data related to DHF incident obtained by interviewing respondents with questionnaires. Statistical analysis used in this research was chi-square test.Density figure in RW II, Kedurus sub-district, Surabaya area is categorized as average. Result showed that there is significant relationship between existence of mosquito larvae) with DHF incidents (p=0,000 in Kedurus sub-district. It is suggested that the community of RW II, Kedurus sub-district to do prevention activity and vector control to reduce the risk of DHF incidence. They also have to be more frequent to clean the water reservoir for daily use whether it’s inside or outside the house.


2017 ◽  
Vol 24 (2) ◽  
pp. 61-68
Author(s):  
Septi Andrianti

The Relationship  between  Patient  Satisfaction  with  Loyalty  in  Using Health  Services  in  Sawah  Lebar  Public  Health  Center  BengkuluABSTRAKPuskesmas merupakan salah satu dari sekian banyak sarana kesehatan yang dimanfaatkan masyarakat. Puskesmas merupakan fasilitas pelayanan kesehatan yang paling dekat dengan masyarakat dan berperan dalam menjalankan pelayanan dasar. Masalah dalam penelitian ini adalah menurunnya jumlah kunjungan pasien. Tujuan dari penelitian ini adalah hubungan antara kepuasan pasien dan loyalitas penggunaan kembali layanan kesehatan Jenis penelitian ini bersifat cross sectional. Populasi berjumlah 12.234 orang. Teknik sampling menggunakan simple random sampling dan didapatkan jumlah sampel sebesar 100 responden. Data yang digunakan dalam penelitian ini adalah data primer. Analisis data dalam penelitian ini menggunakan analisis data univariat dan bivariat dengan menggunakan uji statistik chi-square pada tingkat signifikansi 0,05. Hasil penelitian ini adalah mayoritas responden (62,0%) yang tidak puas, mayoritas responden (59,0%) bersikap loyal, dan ada yang hubungan yang signifikan antara kepuasan pasien dan loyalitas penggunaan kembali layanan. Penelitian ini bisa menjadi acuan untuk memperbaiki perawatan kesehatan yang lebih baik dan pelayanan kesehatan yang prima. Kata Kunci : jasa pelayanan kesehatan, kepuasan pasien, loyalitas. ABSTRACTPublic health center (PHC) is one of the many health facilities utilized by people. PHC is a health-care facility closest to the community and to have a role in running basic services. The problem in this research was the decline in the number of patient visits. The purpose of the study was the relationship of patient satisfaction and loyalty reuse of healthcare service This type of research was cross sectional. A population total was 12.234 people. Teknik sampling was simple random sampling and sampel total was 100 respondents. Data used in the study was primary data. Analysis of the data in this study used univariate and bivariate analysises. Data analysed with chi square statistic test at signifsticance level of 0.05. The results of this study were the majority of respondents (62.0%) who were not satisfied, majority of respondents (59.0%) were loyal, and that there was a significant relationship between patient satisfaction and loyalty reuse of services. This research can be a reference to improve health care better and excellent health care. Keywords : health services, loyalty,  patient satisfaction


2021 ◽  
pp. 426-435
Author(s):  
Indriani Syakhila Sudirman ◽  
Nurgahayu ◽  
Ulfa Sulaeman

Ability To Pay dan Willingness To Pay adalah dua faktor yang berperan dalam utilisasi pelayanan medis yang akan mempengaruhi pemerataan, pembiayaan kesehatan dan kepesertaan JKN yang masih menjadi masalah yang sangat penting karena cukup memberatkan. Berdasarkan survey pendahuluan bahwa adanya keterlambatan pembayaran iuran, hal tersebut berdampak pada ketidakpatuhan dalam membayar iuran. Ketidakpatuhan masyarakat dalam membayar iuran tidak terlepas dari kemampuan dan kemauan masyarakat untuk membayar iuran BPJS. Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan Cross Sectional, dengan jumlah responden sebanyak 100 Peserta BPJS Mandiri. Analisis data dilakukan dengan menggunakan rumus uji chi square (α = 0,05). Hasil penelitian ini menunjukkan bahwa hubungan antara ATP (Ability To Pay) dengan Kelas Rawat BPJS dengan nilai  (p = 0,786 > α=0,05) Tidak berhubungan. Sedangkan variabel WTP (Willingness To Pay) dengan Kelas Rawat BPJS dengan nilai  (p = 0,001 > α=0,05) berhubungan. Diharapkan pada peneliti selanjutnya sebaiknya meneliti faktor lain mengenai penentuan kelas iuran BPJS.


2016 ◽  
Vol 3 (2) ◽  
pp. 71
Author(s):  
Muhammad Agung Krisdianto ◽  
Mulyanti Mulyanti

<p>Final year students whose individual maladaptive coping mechanisms would be very easy to get depressed. Less of knowledge about how to prevent and treat depression may result in fatal impact that is suicide. This inductive quantitative research with cross sectional design was aimed to know the relationship between<br />mechanism koping with the level of depression in the last year student of the level of education ners study program college Alma Ata Yogyakarta. Samples were obtained by total sample technique which consisted of 47 respondents. Analysis test used Chi-Square test. The result of this research showed that there was a significant relationship between coping mechanisms at the level of depression (p&lt;0.05) however there was no signifi cant relationship between coping mechanisms with age, gender, and place of residence (p&gt;0.05).</p>


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