Abstract
Indonesia has started reforms in the health system over the past five years, aiming to increase access of all people to health services. At present, there is public concern about quality health services, where the success of hospitals in meeting patient expectations is a major determinant in increasing patient satisfaction and trust. Patient satisfaction is an important measure for the process of evaluating the quality of services to patients in hospitals. However, the evaluation of patient satisfaction based on their payment methods is still very limited. The purpose of this study was to measure differences in hospital service satisfaction based on payment methods in Central Sulawesi. 
 
 This an analytical observational study with a cross-sectional approach. Samples were taken using purposive sampling technique from 10 hospitals in Center Sulawesi. The samples were 107 respondents for each hospital or 1,070 respondents overall. 
 
 The highest overall level of patient satisfaction on all elements was experienced by respondents who paid using NHIS (77.50%) while the lowest was felt by respondents who paid with KIS (70.74%). The Kruskal Wallis test results for all elements indicated that there were significant differences in satisfaction levels based on the payment methods in all elements with p-value = 0.000, (p-value <0.05). The results of this study indicated that there were significant differences in satisfaction levels based on the payment methods in all elements of service.
Highlights
The World Health Organization (WHO) framework has recommended that, in the health sector, all member countries of the United Nations around the world have to organize the Universal Health Coverage (UHC)
Most respondents had the latest education equivalent to high school, which was as many as 403 people (37.3%), while the respondents who had attended post-graduate programs had the least number of only 13 people (1.2%)
The results of a study in Bangladesh found that the overall level of satisfaction with health services by means of an insurance scheme payment was satisfactory with an average satisfaction score of 4.17 ± 0.04 of 5.00, but this satisfaction rate could still be improved
Summary
The World Health Organization (WHO) framework has recommended that, in the health sector, all member countries of the United Nations around the world have to organize the Universal Health Coverage (UHC). The UHC achievement target is valid until 2030 as part of sustainable health development goals This framework has three main dimensions: coverage of the health care system, financial risk protection, and population. The health services department aims to monitor the progress of services such as promotive, preventive, curative, rehabilitative, and palliative health services (Chan, 2014; WHO, 2017). All of these are dynamic, synergies, and continuous processes in the midst of the enormous changes taking place in the health system today. The success in dealing with these challenges depends on the efforts of key stakeholders, service providers, insurance members, and health policy makers (Alhassan et al, 2016)
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