Abstract
The National Social Security System aims to guarantee the health of all Indonesian people in stages. This study aims to examine the factors that influence the effectiveness of regional health insurance services in the North Buton Regency. The research data collection techniques used three approaches, namely observation, interviews, and documentation which were then analyzed using a qualitative approach. The results of the study indicate that the facilities and infrastructure as support for health insurance services are not adequate, the internet network is not optimal, and the apparatus resources are not adequate. In general, this study can conclude that the effectiveness of regional health insurance services in the North Buton Regency is not adequate
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