Equity in Utilization of Inpatient forNational Health Insurance (JKN) Program in Indonesia

Authors

  • Ahmad Nizar Shihab The doctoral program, Medical Faculty, Hasanuddin University, Makassar
  • A. Armyn Nurdin Faculty of Medicine, Hasanuddin University, Makassar
  • Abd. Kadir Abd. Kadir Faculty of Medicine, Hasanuddin University, Makassar
  • Hasbullah Thabrany Faculty of Medicine, Hasanuddin University, Makassar
  • Idrus Paturusi Faculty of Medicine, Hasanuddin University, Makassar

Keywords:

JKN, UHC, equity, inpatient utilization.

Abstract

Background: Indonesia is targeting to achieve Universal Health Coverage (UHC) in 2019. Currently, the National Health Insurance program (JKN) has been running since it was first started at January 1, 2014 and includes as many as 171 million participants from 254 million targeted population of Indonesia as efforts in achieving UHC. Objective: The aim of this study was to evaluate the effect of JKN against the equity in the utilization of inpatient care in thegovernment hospital (RS) and private hospitals before the implementation of JKN in 2013 and one year after JKN implemented in 2015 into 4 main groups: health insurance, geographic (rural and urban), income per capita, and education groups. Methods: This study used mixed method data collection techniques by using quantitative data obtained from secondary data of the National Socioeconomic Survey (Susenas) 2013 and 2015, and BPJS (Social Security Agency) of Health 2014-2015. The qualitative data obtained from the study of literature (desk review). Data analysis was performed by considering the percentage, delta, ratio, and odds ratio of utilization of inpatient care in government and private hospitals. Results: Based on the analysis of the fourgroups studied, showed that the JKN program improve equity and increase public access to the utilization of inpatient both at the Government and Private Hospital especially for the JKN participants, ruralpopulation, lowest income groups and less educated group.

Health insurance membershipp group: more patients using health services use health insurance both in government and at private hospitals, but the number of JKN card owner is the highest in government hospital. Conversely, those with private insurance use more health services in private hospitals. Geographic groups (rural and urban): JKN increase greater equity for rural people than urban communities. The increase in the highest access especially in utilization of health services in private hospitals.

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Published

2017-01-25

How to Cite

Shihab, A. N., Nurdin, A. A., Abd. Kadir, A. K., Thabrany, H., & Paturusi, I. (2017). Equity in Utilization of Inpatient forNational Health Insurance (JKN) Program in Indonesia. International Journal of Sciences: Basic and Applied Research (IJSBAR), 31(2), 58–74. Retrieved from https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/6845

Issue

Vol. 31 No. 2 (2017)

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Articles

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