Abstract
The Social Security Organizing Agency (BPJS) which was established in 2014, implements the National Health Insurance Program (JKN). While JKN positively affects national health and increases the financial flow of private hospitals, there is a significant financial deficit, which can be covered by the involvement of informal private-sector workers, whose loyalty to the hospital is mainly influenced by hospital’s environment, communication with staff, and service quality. Previous studies indicate that in Indonesia loyalty to the public hospitals can have no relationships with service quality, to test this assumption, a sample of 126 subjects was recruited at the Balowerti City Health Center, Kediri City. All participants of the study received premium assistance beneficiaries (PBI) of BPJS insurance, which is fully subsidized by the government. Despite this, the main part of the sample evaluated their perception of the Balowerti City Health Center and the quality of its service as average or poor. Ordinal regression confirmed the existence of the influence of service quality and perception of the hospital on the behavioral intention of patients. Refers to perception of low service quality is the main reason for insufficient involvement if JKN. According to the previous studies, a lack of time for communication with the patient, long time of waiting, and a lack of information of BPJS are main reasons of patient dissatisfaction and low enrollment in JKN.
Highlights
IntroductionBadan Penyelenggara Jaminan Sosial (BPJS) (The Social Security Organizing Agency) is an institution that provides financial assistance to vulnerable population categories (National Team for the Acceleration of Poverty Reduction, 2015)
1.1 National Health Insurance Program in IndonesiaBadan Penyelenggara Jaminan Sosial (BPJS) (The Social Security Organizing Agency) is an institution that provides financial assistance to vulnerable population categories (National Team for the Acceleration of Poverty Reduction, 2015)
Previous studies indicate that in Indonesia loyalty to the public hospitals can have no relationships with service quality, to test this assumption, a sample of 126 subjects was recruited at the Balowerti City Health Center, Kediri City
Summary
Badan Penyelenggara Jaminan Sosial (BPJS) (The Social Security Organizing Agency) is an institution that provides financial assistance to vulnerable population categories (National Team for the Acceleration of Poverty Reduction, 2015). Since 2014, the government implements Jaminan Kesehatan Nasional (JKN) (the National Health Insurance Program) to provide all citizens of Indonesia with access to medical services (National Team for the Acceleration of Poverty Reduction, 2015). Before introducing JKN, public health was promoted by four previous programs: Jamkesmas (Public Health Insurance), Jamkesda (Regional Health Insurance), Askes (Health Insurance for Civil Servants and the Military), and Jamsostek (Health Care Social Security Programme for Employees) (National Team for the Acceleration of Poverty Reduction, 2015). All social categories were covered, insurance providers offered different access to healthcare facilities that contradicts Indonesian law (National Team for the Acceleration of Poverty Reduction, 2015). JKN has low financial sustainability and requires more customers to reduce the current financial shortage
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.
