Abstract
Every member of the National Health Insurance has the right to get the benefits package according to medical indications and service standards, not at their request. Nevertheless, by many scholars, it is considered ambiguous in reviewing the increasing utilization of caesarean section procedures because of the absence of guideline-defined indications of caesarean sections in Indonesia, which leads to the question of whether it is guideline-defined indications, doctor-defined indications, or maternal request. This study fills this research gap by identifying predisposing, enabling and need factors on the actual behaviour of caesarean section based on the Health-Seeking Behaviour model. Data for the study were obtained through a purposive sample of 564 postpartum women in three provinces. We used logistic regression models to examine factors influencing the caesarean section among NHIS' members. This study highlights self-rated health, religion, non-employee (BP), and moderate-socioeconomic (C status) influence the increasing caesarean section among mothers in the context of the NHI scheme. The most important finding from this study is that individuals in self-rated health with good conditions were also more likely to choose a caesarean section. Implications for consumers education and suggestions for future research are discussed. Keywords: education, enabling factors, Health-Seeking Behaviour, need factors, predisposing factors, self-rated health. DOI: 10.7176/EJBM/13-20-02 Publication date: October 31 st 2021
Highlights
As for self-rated health, most respondents stated that their health was good (80%), but some respondents had been sick in the last week but could still do activities/work or fair condition (17.4%)
This study found that the socioeconomic group C was significantly more likely to have a caesarean section method
Our study finds that good self-rated health is associated with caesarean section, unlike many previously published studies reported
Summary
In Indonesia, research on the factors that cause high caesarean sections using secondary data has been widely carried out, such as Riskesdas (Suryati 2012, Shombing et al 2017, Ashar 2019), and NHI claim (Andikashwari 2018). Because it only used secondary data, the analysis was limited to the variables available in the www.iiste.org secondary data, so other factors have not been described in previous studies, especially those related to consumer behaviour. Based on the description above, it is necessary to analyze the factors that influence the behaviour of the caesarean section method of NHIS’ members from primary data and provide managerial implications that NHIS must carry out in the context of sustainability of the NHI program
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
