Abstract
National health insurance (NHI) as a universal health insurance program that applies to all Indonesian people without exception, with the implementing agency being the Social Security Administering Agency (SSA) which was established based on Law Number 24 of 2011 and declared to have started operating on January 1, 2014 and is expected to reach universal health coverage on January 1, 2019. The Covid-19 pandemic since 2020 has had a wide impact on society, one of which is the economic sector and the health service sector. The purpose of the study was to determine the effect of perceptions on compliance with paying SSA contributions independently in the work area of the Langgikima Health Center, North Konawe Regency. The type of research used is survey research with a Cross Sectional Study approach. This research was carried out in the working area of the Langgikima Public Health Center, North Konawe Regency, Southeast Sulawesi Province. The sample of this study was all independent NHI participants, namely 51 participants. Data Collection Using Questionnaires and Observations. Data analysis was carried out in univariate and bivariate ways. Presentation of data in the form of a frequency distribution table accompanied by an explanation. The results showed that there was no effect of perception on compliance with paying NHI contributions for independent NHI participants at Langgikima Health Center, with a p-value = 0.274. The conclusion of the research is that there is no effect of perception on compliance with paying NHI contributions for independent NHI participants. The suggestions for this research are that it is hoped that the SSA needs to carry out socialization, education and information to independent NHI participants in order to better understand the NHI program such as the benefits of using the NHI program, procedures for paying NHI contributions, changing membership classes, paying NHI dues, and sanctions for arrears NHI.
Highlights
National Health Insurance is a new program in Indonesia in order to improve the health quality of its people
The distribution of respondents according to the level of compliance of independent participants in paying National health insurance (NHI) premiums is grouped into two categories, namely compliant and non-compliant, as presented in table 2
The results of the chi square test obtained p value = 0.274 (p> 0.05) meaning Ho is accepted. This shows that there is no effect of perception on compliance with paying NHI contributions for independent NHI participants in the work area of the Langgikima Health Center, Langgikima District, North Konawe Regency, Southeast Sulawesi Province in 2021
Summary
National Health Insurance is a new program in Indonesia in order to improve the health quality of its people. SSA is a legal entity established under the SSA Law to administer social security programs. Law Number 24 of 2011 concerning the Social Security Administering Body. In Law Number 24 of 2011 it is explained that the health social security administering body or known as SSA-health is a legal entity formed to administer social security programs and organize health care insurance for all Indonesian people [1]. Every Indonesian citizen must have awareness that NHI is made for every citizen where participation is mandatory with the principle of mutual cooperation. The principle of gotong royong can be realized in the form of a mutual cooperation
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