Impact of the National Health Insurance Program (JKN) on Access to Public Health Services: A Comprehensive Analysis
DOI:
https://doi.org/10.35335/jiph.v12i3.7Keywords:
National Health Insurance Program (JKN), Healthcare Access, Enrollment Duration, Access Barriers, Healthcare SatisfactionAbstract
The National Health Insurance Program (Jaminan Kesehatan Nasional or JKN) has been a cornerstone of Indonesia's healthcare system, aiming to provide equitable access to public health services for its population. This research examines the impact of JKN on access to public health services in Indonesia, with a focus on enrollment duration, access barriers, satisfaction levels, and implications for policy and practice. A diverse sample of 800 JKN beneficiaries from various regions in Indonesia participated in this study. Demographic analysis revealed a broad representation of age, gender, education, and income levels among respondents. Data collection included structured surveys, interviews, and focus group discussions to capture comprehensive insights into the experiences of JKN beneficiaries. The research findings suggest that the duration of JKN enrollment significantly influences healthcare utilization. Beneficiaries enrolled for more than 2 years exhibited higher utilization rates, underscoring the importance of sustained enrollment. Access barriers, particularly long wait times and geographical distance to healthcare facilities, were identified as significant challenges. These barriers must be addressed to enhance healthcare accessibility. Satisfaction levels with healthcare services covered by JKN were generally high, but continuous quality improvement efforts are vital to sustain and elevate service quality. Policymakers can leverage these findings to promote long-term enrollment, address access barriers, and maintain equitable access to healthcare services. Healthcare providers can benefit from insights on improving appointment systems and ensuring quality care. The population at large can anticipate improved healthcare access as policy interventions seek to enhance the JKN program's effectiveness. In conclusion, this research contributes to the ongoing discourse on healthcare access in Indonesia, offering practical insights that can inform policy decisions and improve healthcare delivery. It underscores the importance of sustained JKN enrollment, the need to address access barriers, and the continuous pursuit of high-quality healthcare services for all Indonesians
References
ARIYANTI, R. (2016). TINJAUAN TENTANG PRAKTIK JAMINAN KESEHATAN NASIONAL (JKN) OLEH BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN DALAM PERSPEKTIF ISLAM. Universitas Gadjah Mada.
Brooke, V. A., Revell, G., & Wehman, P. (2009). Quality indicators for competitive employment outcomes: What special education teachers need to know in transition planning. Teaching Exceptional Children, 41(4), 58–66.
Calnen, G. (2007). Paid maternity leave and its impact on breastfeeding in the United States: an historic, economic, political, and social perspective. Breastfeeding Medicine, 2(1), 34–44.
Cohen, B. (2006). Urbanization in developing countries: Current trends, future projections, and key challenges for sustainability. Technology in Society, 28(1–2), 63–80.
Council, N. R. (2012). Improving access to oral health care for vulnerable and underserved populations. National Academies Press.
Davidson, R., Kitzinger, J., & Hunt, K. (2006). The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities. Social Science & Medicine, 62(9), 2171–2182.
Davies, S. G., & Najmah. (2020). Im/moral healthcare: HIV and universal health coverage in Indonesia. Sexual and Reproductive Health Matters, 28(2), 1785377.
Haemmerli, M., Powell-Jackson, T., Goodman, C., Thabrany, H., & Wiseman, V. (2021). Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities. International Journal for Equity in Health, 20(1), 1–12.
Hanson, K., Ranson, M. K., Oliveira‐Cruz, V., & Mills, A. (2003). Expanding access to priority health interventions: a framework for understanding the constraints to scaling‐up. Journal of International Development: The Journal of the Development Studies Association, 15(1), 1–14.
Indrianingrum, I., & Puspitasari, I. (2021). Evaluasi Proses Sistem Rujukan Badan Penyelenggara Jaminan Kesehatan Sosial (Bpjs) Kesehatan Di Fasilitas Kesehatan Tingkat Pertama (Fktp) Kabupaten Jepara. Jurnal Ilmu Keperawatan Dan Kebidanan, 12(1), 78–80.
Jilcott, S., Ammerman, A., Sommers, J., & Glasgow, R. E. (2007). Applying the RE-AIM framework to assess the public health impact of policy change. Annals of Behavioral Medicine, 34(2), 105–114.
Kartika, D. M. (2015). Does Indonesian National Health Insurance serve a potential for improving health equity in favour of workers in informal economy?
Kinasih, O. P. (2015). Peran Public Relations BPJS Kesehatan Kantor Cabang Utama Yogyakarta dalam Sosialisasi Jaminan Kesehatan NAsional. Universitas Gadjah Mada.
LEAD, A. (2021). Adopting a Single-Payer Health System.
Legido-Quigley, H. (2020). Leh Hoon Chuah F, Howard N. 2020. Southeast Asian health system challenges and responses to the “Andaman Sea refugee crisis”: a qualitative study of health-sector perspectives from Indonesia, Malaysia, Myanmar, and Thailand. PLoS Medicine, 17, e1003143.
Madyaningrum, E., Chuang, Y.-C., & Chuang, K.-Y. (2018). Factors associated with the use of outpatient services among the elderly in Indonesia. BMC Health Services Research, 18, 1–9.
Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P., & Prawira, J. (2017). The Republic of Indonesia health system review. Health Systems in Transition, 7(1).
Mason, A. (2001). Population change and economic development in East Asia: Challenges met, opportunities seized. Stanford University Press.
Oliver, A., Mossialos, E., & Robinson, R. (2004). Health technology assessment and its influence on health-care priority setting. International Journal of Technology Assessment in Health Care, 20(1), 1–10.
Organization, W. H., & Canada, P. H. A. of. (2005). Preventing chronic diseases: a vital investment. World Health Organization.
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R., & Hafizur Rahman, M. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences, 1136(1), 161–171.
Priester, M. A., Browne, T., Iachini, A., Clone, S., DeHart, D., & Seay, K. D. (2016). Treatment access barriers and disparities among individuals with co-occurring mental health and substance use disorders: an integrative literature review. Journal of Substance Abuse Treatment, 61, 47–59.
Punchak, M., Mukhopadhyay, S., Sachdev, S., Hung, Y.-C., Peeters, S., Rattani, A., Dewan, M., Johnson, W. D., & Park, K. B. (2018). Neurosurgical care: availability and access in low-income and middle-income countries. World Neurosurgery, 112, e240–e254.
Sekhri, N., & Savedoff, W. (2006). Regulating private health insurance to serve the public interest: policy issues for developing countries. The International Journal of Health Planning and Management, 21(4), 357–392.
Tavares, A. I. (2022). Health Insurance. BoD–Books on Demand.
Viello, F., Val, E., & Zenner, D. (2020). Migrant Health in the Nexus of Universal Health Coverage and Global Health Security. Switzerland, The Palgrave Encyclopedia of Global Security Studies, Springer Nature AG, 1–2.
Wenang, S., Schaefers, J., Afdal, A., Gufron, A., Geyer, S., Dewanto, I., & Haier, J. (2021). Availability and accessibility of primary care for the Remote, Rural, and Poor Population of Indonesia. Frontiers in Public Health, 9, 721886.
Wiseman, V., Thabrany, H., Asante, A., Haemmerli, M., Kosen, S., Gilson, L., Mills, A., Hayen, A., Tangcharoensathien, V., & Patcharanarumol, W. (2018). An evaluation of health systems equity in Indonesia: study protocol. International Journal for Equity in Health, 17(1), 1–9.
Schnalzenberger, Mario. "Causal effect of income on health: Investigating two closely related policy reforms in Austria." The Journal of the Economics of Ageing 7 (2016): 6-16.
Coovadia, Hoosen, et al. "The health and health system of South Africa: historical roots of current public health challenges." The lancet 374.9692 (2009): 817-834.
Pobi, Rulan, Nur Mohamad Kasim, and Fence M. Wantu. "Overview of the Monopoly Rights of the Social Security Administering Body (BPJS) from the Perspective of Citizens' Health Protection." Indonesian Journal of Contemporary Multidisciplinary Re-search 2.3 (2023): 369-380.
Barker, Joshua, and Gerry Van Klinken. "Reflections on the state in Indonesia." State of authority: The state in society in Indonesia (2009): 17-45.
Van Minh, H., Pocock, N. S., Chaiyakunapruk, N., Chhorvann, C., Duc, H. A., Hanvoravongchai, P., ... & Sychareun, V. (2014). Progress toward universal health coverage in ASEAN. Global health action, 7(1), 25856.
Wiseman, Virginia, et al. "An evaluation of health systems equity in Indonesia: study protocol." International journal for equity in health 17.1 (2018): 1-9.
Yuda, Tauchid Komara. "The limits of healthcare reforms in Indonesia: Interrogating the Dutch colonial legacies’ influence within the logic and principles of welfare." International Journal of Social Welfare 31.2 (2022): 236-247.
Davies, Sharyn Graham, and Najmah. "Im/moral healthcare: HIV and universal health coverage in Indonesia." Sexual and Repro-ductive Health Matters 28.2 (2020): 1785377.
Madyaningrum, Ema, Ying-Chih Chuang, and Kun-Yang Chuang. "Factors associated with the use of outpatient services among the elderly in Indonesia." BMC health services research 18 (2018): 1-9.
Haemmerli, M., Powell-Jackson, T., Goodman, C., Thabrany, H., & Wiseman, V. (2021). Poor quality for the poor? A study of ine-qualities in service readiness and provider knowledge in Indonesian primary health care facilities. International Journal for Equity in Health, 20(1), 1-12.
Dewi, Arlina, and Ali Ghufron Mukti. "The strategy to achieve universal health coverage membership in Indonesia." Research Journal of Pharmacy and Technology 11.5 (2018): 1774-1777.
Limato, Ralalicia, et al. "Optimizing antibiotic use in Indonesia: A systematic review and evidence synthesis to inform opportunities for intervention." The Lancet Regional Health-Southeast Asia (2022).
Ekawati, Fitriana Murriya, and Mora Claramita. "Indonesian general practitioners’ experience of practicing in primary care under the implementation of universal health coverage scheme (JKN)." Journal of Primary Care & Community Health 12 (2021): 21501327211023707.
Nugraheni, Wahyu Pudji, Asri Hikmatuz Zahroh, and Risky Kusuma Hartono. "Best Practice of Hospital Management Strategy to Thrive in The National Health Insurance Era." Jurnal Administrasi Kesehatan Indonesia Volume 9.1 (2021).
Sutarto, Sutarto, Miswar Dedy, and Dewi Puspita Sari Ratna. "Ecological Study of Genesis of Spatial Analysis-Based Stunting.
DEGNBOL-MARTINUSSEN, John; ENGBERG-PEDERSEN, Poul. Aid: understanding international development cooperation. Zed Books, 2003.
Suryanto, Bondan Agus, Bambang Setiohadji, and Yoni Syukriani. "The impact of national health insurance program on household health expenditures and utilization of health services in Indonesia." Available at SSRN 2937140 (2017).
Mirtha, Listya Tresnanti, Angela Tulaar, and I. Dewa Putu Pramantara. "Towards healthy aging with physical activity and nutri-tion." Amerta Nutrition 4.15 (2021): 2020-15.
Lieberman, Samuel S., Joseph J. Capuno, and Hoang Van Minh. "Decentralizing health: lessons from Indonesia, the Philippines, and Vietnam." East Asia decentralizes: Making local government work (2005): 155-178.
Cashin, Cheryl, and Agnes Gatome-Munyua. "The strategic health purchasing progress tracking framework: a practical approach to describing, assessing, and improving strategic purchasing for universal health coverage." Health Systems & Reform 8.2 (2022): e2051794.
Abdullah, Andriyana. ANALISIS PENGARUH BRAND IMAGE DAN BRAND EQUITY TERHADAP PEMANFAATAN PELA-YANAN PADA INSTALASI RAWAT JALAN RUMAH SAKIT ISLAM FAISAL DAN RUMAH SAKIT STELLA MARIS KOTA MAKASSAR TAHUN 2021= Analysis of the Effect of Brand Image and Brand Equity on Service Utilization at the Outpatient Instal-lation of Faisal Islamic Hospital and Stella Maris Hospital Makassar City Year 2021. Diss. Universitas Hasanuddin, 2022.
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