scholarly journals ANALISIS PENDAPATAN KELUARGA, BIAYA PERSALINAN, AKSES INFORMASI, DAN KEPESERTAAN JAMINAN KESEHATAN NASIONAL, DENGAN PEMILIHAN TEMPAT PERSALINAN DI KELURAHAN MUARA RAPAK KOTA BALIKPAPAN

2019 ◽  
Vol 2 (5) ◽  
pp. 375
Author(s):  
Yona Palin ◽  
Handry Darussalam ◽  
Eli Rahmawati
Keyword(s):  
Health Insurance ◽  
Data Analysis ◽  
National Health Insurance ◽  
National Health ◽  
Family Income ◽  
Access To Information ◽  
Place Of Birth ◽  
Chi Square ◽  
Cross Sectional ◽  
Birth Attendants

Abstract Until the end of 2015, Indonesia had the opportunity to fail to achieve the MDG targets. The MDG target for the Maternal Mortality Rate in 2015 was 102 per 100,000 births. This optimism was reconsidered after seeing the results of 2012 which experienced a significant increase of 359 per 100,000 births. Births in Muara Rapak Village area in 2016 were 598 live births and 2 born deads. A total of 597 births were helped in health facilities and 3 births were assisted by Traditional Birth Attendants / at home. The purpose of this study was to analyze the relationship of family income, birth costs, access to information, participation in National Health Insurance, with the selection of places of birth in Muara Rapak Village, Balikpapan Town. This study used a cross sectional design. The data collection technique was accidental sampling with a sample of 92 mothers who brought infants to visit the Muara Rapak Health Center, from October to November 2018. Data analysis techniques used bivariate data analysis with Chi Square test, p_value> α (0.05) concluded there was no relationship between variables. There were 79.3% of respondents choosing the place of birth at the hospital, 10.9% of respondents choosing the place of birth the maternity clinic, 6.5% choosing the place of birth at the Independent Practice Midwife, and 3.3% of respondents choosing the place of birth by Traditional Birth Attendants / at home. The results of statistical tests, for family income variables the value of p = 0.967, for birth of costs the value of p = 0.496, for access to information the value of p = 0.867, which means the value of p> 0.05, and for participation in National Health Insurance the value of p = 0.001 < 0.05. There is no relationship between family income, birth of costs, access to information, with the choice of place of birth. But between the participation of the National Health Insurance and the choice of place of birth, there is a relationship. Keywords: Income, costs, access to information, NHI, place of birth Abstract Hingga akhir tahun 2015, Indonesia berpeluang gagal mencapai sasaran–sasaran MDGs.Target MDG’s untuk Angka Kematian Ibu tahun 2015 adalah sebesar 102 per 100.000 Kelahiran Hidup. Optimisme tersebut menjadi pertimbangan kembali setelah melihat hasil tahun 2012 yang mengalami kenaikan signifikan yaitu sebesar 359 per 100.000 Kelahiran Hidup. Kelahiran di wilayah Kelurahan Muara Rapak pada tahun 2016 sebanyak 598 lahir hidup dan 2 lahir mati. Sebanyak 597 kelahiran ditolong di fasilitas kesehatan dan 3 kelahiran ditolong oleh dukun beranak / di rumah. Tujuan penelitian ini adalah untuk menganalisis hubungan pendapatan keluarga, biaya persalinan, akses informasi, kepesertaan Jaminan Kesehatan Nasional, dengan pemilihan tempat persalinan di Kelurahan Muara Rapak Kota Balikpapan. Penelitian ini menggunakan rancangan cross sectional. Teknik pengumpulan data adalah accidental sampling dengan jumlah sampel 92 ibu yang membawa bayi berkunjung ke Puskesmas Muara Rapak, mulai Oktober sampai dengan Nopember 2018. Teknik analisa data menggunakan analisis data bivariat dengan uji Chi Square, p_value > α (0,05) disimpulkan tidak ada hubungan antar variabel. Terdapat 79.3% responden memilih tempat persalinan di rumah sakit, 10.9% responden memilih tempat persalinan di klinik bersalin, 6.5% memilih tempat bersalin di Bidan Praktek Mandiri, dan 3.3% responden memilih tempat persalinan di dukun beranak/di rumah. Hasil uji statistik, untuk variabel pendapatan keluarga nilai p=0.967, untuk biaya persalinan nilai p=0.496, untuk akses informasi nilai p=0.867, yang berarti nilai p > 0.05, dan untuk kepesertaan Jaminan Kesehatan Nasional nilai p=0.001 < 0.05. Kesimpulan Tidak ada hubungan antara pendapatan keluarga, biaya persalinan, akses informasi, dengan pemilihan tempat persalinan. Namun antara kepesertaan Jaminanan Kesehatan Nasional dengan pemilihan tempat persalinan, terdapat hubungan.   Keywords: Pendapatan, biaya persalinan, akses informasi, JKN,  tempat persalinan

scholarly journals ANALISIS PENDAPATAN KELUARGA, BIAYA PERSALINAN, AKSES INFORMASI, DAN KEPESERTAAN JAMINAN KESEHATAN NASIONAL, DENGAN PEMILIHAN TEMPAT PERSALINAN DI KELURAHAN MUARA RAPAK KOTA BALIKPAPAN

2019 ◽  
Vol 4 (1) ◽  
pp. 375
Author(s):  
Yona Palin ◽  
Handry Darussalam ◽  
Eli Rahmawati
Keyword(s):  
Health Insurance ◽  
Data Analysis ◽  
National Health Insurance ◽  
National Health ◽  
Family Income ◽  
Access To Information ◽  
Place Of Birth ◽  
Chi Square ◽  
Cross Sectional ◽  
Birth Attendants

Abstract Until the end of 2015, Indonesia had the opportunity to fail to achieve the MDG targets. The MDG target for the Maternal Mortality Rate in 2015 was 102 per 100,000 births. This optimism was reconsidered after seeing the results of 2012 which experienced a significant increase of 359 per 100,000 births. Births in Muara Rapak Village area in 2016 were 598 live births and 2 born deads. A total of 597 births were helped in health facilities and 3 births were assisted by Traditional Birth Attendants / at home. The purpose of this study was to analyze the relationship of family income, birth costs, access to information, participation in National Health Insurance, with the selection of places of birth in Muara Rapak Village, Balikpapan Town. This study used a cross sectional design. The data collection technique was accidental sampling with a sample of 92 mothers who brought infants to visit the Muara Rapak Health Center, from October to November 2018. Data analysis techniques used bivariate data analysis with Chi Square test, p_value> α (0.05) concluded there was no relationship between variables. There were 79.3% of respondents choosing the place of birth at the hospital, 10.9% of respondents choosing the place of birth the maternity clinic, 6.5% choosing the place of birth at the Independent Practice Midwife, and 3.3% of respondents choosing the place of birth by Traditional Birth Attendants / at home. The results of statistical tests, for family income variables the value of p = 0.967, for birth of costs the value of p = 0.496, for access to information the value of p = 0.867, which means the value of p> 0.05, and for participation in National Health Insurance the value of p = 0.001 < 0.05. There is no relationship between family income, birth of costs, access to information, with the choice of place of birth. But between the participation of the National Health Insurance and the choice of place of birth, there is a relationship. Keywords: Income, costs, access to information, NHI, place of birth Abstract Hingga akhir tahun 2015, Indonesia berpeluang gagal mencapai sasaran–sasaran MDGs.Target MDG’s untuk Angka Kematian Ibu tahun 2015 adalah sebesar 102 per 100.000 Kelahiran Hidup. Optimisme tersebut menjadi pertimbangan kembali setelah melihat hasil tahun 2012 yang mengalami kenaikan signifikan yaitu sebesar 359 per 100.000 Kelahiran Hidup. Kelahiran di wilayah Kelurahan Muara Rapak pada tahun 2016 sebanyak 598 lahir hidup dan 2 lahir mati. Sebanyak 597 kelahiran ditolong di fasilitas kesehatan dan 3 kelahiran ditolong oleh dukun beranak / di rumah. Tujuan penelitian ini adalah untuk menganalisis hubungan pendapatan keluarga, biaya persalinan, akses informasi, kepesertaan Jaminan Kesehatan Nasional, dengan pemilihan tempat persalinan di Kelurahan Muara Rapak Kota Balikpapan. Penelitian ini menggunakan rancangan cross sectional. Teknik pengumpulan data adalah accidental sampling dengan jumlah sampel 92 ibu yang membawa bayi berkunjung ke Puskesmas Muara Rapak, mulai Oktober sampai dengan Nopember 2018. Teknik analisa data menggunakan analisis data bivariat dengan uji Chi Square, p_value > α (0,05) disimpulkan tidak ada hubungan antar variabel. Terdapat 79.3% responden memilih tempat persalinan di rumah sakit, 10.9% responden memilih tempat persalinan di klinik bersalin, 6.5% memilih tempat bersalin di Bidan Praktek Mandiri, dan 3.3% responden memilih tempat persalinan di dukun beranak/di rumah. Hasil uji statistik, untuk variabel pendapatan keluarga nilai p=0.967, untuk biaya persalinan nilai p=0.496, untuk akses informasi nilai p=0.867, yang berarti nilai p > 0.05, dan untuk kepesertaan Jaminan Kesehatan Nasional nilai p=0.001 < 0.05. Kesimpulan Tidak ada hubungan antara pendapatan keluarga, biaya persalinan, akses informasi, dengan pemilihan tempat persalinan. Namun antara kepesertaan Jaminanan Kesehatan Nasional dengan pemilihan tempat persalinan, terdapat hubungan.   Keywords: Pendapatan, biaya persalinan, akses informasi, JKN,  tempat persalinan

scholarly journals Factors Of National Health Insurance, Factors Of Health Service And Factors Of Social Security Administrator Influence On The Satisfaction Of Independent BPJS Class One At Kertha Usada General Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 508-515
Author(s):  
Aditha Angga Pratama
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
National Health Insurance ◽  
National Health ◽  
Universal Coverage ◽  
Simple Random Sampling ◽  
Dominant Factor ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional

Since 2004 Indonesia has campaigned for universal coverage as one of the improvements in health status. But until now there are still many Health insurance organizer (BPJS) participants who feel unsatisfied with the services they get, especially when Health insurance organizer participants are self-employed in class I inpatient services. The goal of this study is to identify the most dominant factor that can affect the satisfaction of Health insurance organizer participants' services in Kertha Usadha. The cross sectional survey research was conducted on 104 class 1 independent Health insurance organizer participants by simple random sampling. The selected Health insurance organizer participants were interviewed while in a state of hospitalization that was adjusted to the inclusion criteria of this study. The instrument used a structured questionnaire, with several related variables: characteristics, National Health Insurance factors, Health insurance organizer and health services. Variables were analyzed using Chi Square and then Logistic Regression with software. The results of this study found that 54.8% of B Health insurance organizer participants were satisfied with the services provided. While the results of multivariate analysis found that the factors influencing the satisfaction of Health insurance organizer participants were the National Health Insurance Factors that were good to moderate services (AOR: 1.2, 95% CI 0.8-1.43), good to less services (AOR: 3.4, 95% CI 1.5-7.53) and health service factors (AOR: 9.6, 95% CI 2.37-39.3). Health insurance organizer participant satisfaction is still low so it needs improvement in everything. So that later with increased satisfaction can improve the degree of public health

scholarly journals DETERMINANT OF INDEPENDENT NATIONAL HEALTH INSURANCE OWNERSHIP IN INDONESIA

2019 ◽  
Vol 19 (2) ◽  
pp. 109-115
Author(s):  
Bela Sari ◽  
Haerawati Idris
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Junior High School ◽  
P Value ◽  
Health Coverage ◽  
Chi Square ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Chi Square Analysis

The increasing of Independent National Health Insurance (NHI) membership is one of the indicators to achieve Universal Health Coverage. One of the challenges in extending such coverage is reaching it out to the informal sector. This study was aimed to analyze the determinants of Independent NHI ownership in Indonesia. This study used cross-sectional design, and the data were derived from Indonesian Family Live Survey (IFLS) 2014. 6,888 individuals aged ≥40 years were the sample of this study. To analyze the data, chi-square analysis and logistic regression were used. Based on the analysis, the proportion of respondent with Independent NHI is 16.6%. The ownership of independent NHI is influenced by the following factors: age 40-55 (PR=1.72 95%CI 1.41-2.09, p-value <0.001), Sumatra Island (PR=7.67 95%CI 5.55-10.59 p-value<0.001), very rich (PR = 2.26 95%CI 1.85-2.75 p-value <0.001), history of chronic disease (PR=1.33 95%CI 1.15-1.53 p-value<0.001), junior high school (PR = 2.21 95%CI 1.92-2.55 p-value<0.001), and urban (PR=1.79 95%CI 1.57-2.04 p-value <0.001). Region is the most dominant variable related to NHI ownership (p-value <0.001; Exp B= 7.03; 95% CI: 5.06-9.77). Independent NHI membership has not been maximal, yet. To increase this participation, the Social Security Administrator should approach each region with low NHI membership through promotion, socialization, and education about registration and the benefits of independent NHI.

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 Awareness of Health Care Practitioners About the National Health Insurance in Tshwane District, South Africa

2018 ◽  
Vol 11 (1) ◽  
pp. 93-103 ◽  
Author(s):  
L.H. Mabuza ◽  
G.A. Ogunbanjo ◽  
K.E. Hlabyago ◽  
M. Mogotsi
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
School Health ◽  
Health Coverage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Care Practitioners

Background: In 2012, the National Department of Health of South Africa launched the National Health Insurance (NHI) pilot program in 11 districts, towards universal health coverage for all South Africans. Health Care Practitioners (HCPs) are important role-players in its implementation. We decided to evaluate to what extent the HCPs were aware of the NHI program after three years of the pilot phase. Objective: To evaluate the awareness of HCPs about the NHI in the pilot Tshwane district of South Africa. Method: A cross-sectional survey was conducted among 1753 HCPs in Tshwane district. At 95% confidence level and 5% error margin, the sample size was 315 HCPs, but we over-sampled to 480. The study was conducted in 25 health facilities within the district. A pre-tested self-administered questionnaire was used. Results: A high proportion of HCPs were unaware of the objectives of the NHI program (p < 0.001); number of NHI pilot sites [(281; 59.4%) versus (145; 30.7%), p < 0.001]; rationale used to select pilot sites [(223; 46.9%) versus (193; 40.5%), p = 0.047]; role of the Integrated School Health Services (ISHP) [(250; 52.7%) versus (70; 14.8%), p < 0.001]; and specialists constituting the District Clinical Specialist Team (DCST) (p < 0.001). However, awareness regarding the Ward-Based Outreach Team (WBOT) leader was high [(236; 49.9%) versus (135; 28.5%), p < 0.001]. Conclusion: HCPs in Tshwane district demonstrated poor awareness of the NHI. This reveals that any awareness effort towards the NHI has not taken effect among the HCPs in this district.

scholarly journals Antibiotics prescription pattern and determinants of utilization in the national health insurance scheme at a Tertiary Hospital in Nigeria

2019 ◽  
Vol 19 (3) ◽  
pp. 2356-2364
Author(s):  
Roland Nnaemeka Okoro ◽  
Chijioke Nmeka ◽  
Patrick O Erah
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Scheme ◽  
Tertiary Hospital ◽  
Health Insurance Scheme ◽  
Insurance Scheme ◽  
Cross Sectional ◽  
Amoxicillin Clavulanate ◽  
One Year

Background: Subsidizing the cost of medicines through insurance schemes increases consumption of medicines and may contribute to irrational use of antibiotics. Objectives: To describe the systemic antibiotics prescriptions patterns and analyze the determinants of their utilization in the National Health insurance Scheme (NHIS).Methods: Established WHO guideline was followed to conduct this cross-sectional retrospective study at University of Nigeria Teaching Hospital, Nigeria. Data were collected from randomly sampled prescription sheets of one year duration. Logistic regression analysis was performed to determine the predictors of antibiotics prescriptions.Results: The results are based on 802 sampled out-patients NHIS prescriptions. Average number of medicines per encounter was 4.0 ± 1.8, whereas 46.9% of antibiotics were prescribed by generic name. Penicillins (most frequently amoxicillin/clavulanate), and nitroimidazole (most frequently metronidazole) were the most commonly prescribed antibiotics with percentage share of 43.3% and 22.2%. Being <5 years old, and taking more than 4 medicines (OR 2.20, 95% CI 1.37-3.55) were the factors associated with the highest risk of antibiotics exposure.Conclusion: There were poly-pharmacy, and non-adherence to generic antibiotic prescriptions. Penicillins (amoxicillin/clavulanate) were the most commonly prescribed antibiotic class. Being < 5 years old, and taking more than 4 medicines were significant predictors of antibiotics exposure.Keywords: Antibiotics; national health insurance scheme; Nigeria; poly-pharmacy; prescription.

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.

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