The Impact of Health Insurance Programs on Out-of-Pocket Expenditures in Indonesia: An Increase or a Decrease?

Aji, Budi; Allegri, Manuela De; Souares, Aurélia; Sauerborn, Rainer

doi:10.3390/ijerph10072995

Cited by 64 publications

(59 citation statements)

References 29 publications

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“…This shows insurance schemes are effective in reducing the financial burden of OOPE and the result was in line with many other studies. 14,17,27,28,29 The results do suggest that the socially disadvantaged groups benefited from the government-funded insurance schemes in terms of coverage and level of spending. However, it was also stated that poor and backward community people, in spite of their high health care needs, spent less on it due to their inability or inaccessibility to meet these health expenses.…”

Section: Discussionmentioning

confidence: 84%

How effective health insurance schemes are in tackling economic burden of healthcare in India

Mahapatro¹,

Singh

2018

Clinical Epidemiology and Global Health

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Section: Discussionmentioning

confidence: 84%

How effective health insurance schemes are in tackling economic burden of healthcare in India

Mahapatro¹,

Singh

2018

Clinical Epidemiology and Global Health

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“…[10][11][12] Kepemilikan asuransi kesehatan dapat menurunkan risiko terjadinya pengeluaran katastrofik pada PSP. 23,24 Menghapus stigma yang melekat pada 'jaminan kesehatan' merupakan upaya yang penting dilakukan untuk meningkatkan cakupan JKN tidak hanya pada kelompok PSP, tetapi juga pada masyarakat umum.…”

Section: Kecukupan Jaminan Kesehatan Nasionalunclassified

Akses Jaminan Kesehatan Nasional pada Pekerja Seks Perempuan

Nopiyani

Indrayathi

Listyowati

et al. 2015

Kesmas: National Public Health Journal

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AbstrakPekerja seks perempuan (PSP) merupakan kelompok yang termarjinalkan secara sosial dan memiliki kerentanan yang tinggi terhadap masalah kesehatan. Upaya perluasan Jaminan Kesehatan Nasional (JKN) pada PSP masih terbatas sehingga penting dilakukan untuk mendukung pencapaian universal health coverage. Penelitian ini bertujuan untuk memperoleh gambaran mengenai akses JKN pada PSP di Denpasar. Penelitian ini merupakan studi kualitatif. Data dikumpulkan melalui wawancara mendalam terhadap 15 orang PSP dan empat orang mucikari di Denpasar pada Agustus hingga Oktober 2014. Hasil wawancara diolah dengan analisis tematik. Kerangka analisis yang digunakan adalah The Health Access Livelihood Framework. Kepemilikan JKN pada PSP di Denpasar masih rendah, meskipun sebagian PSP memiliki kemauan untuk menjadi peserta JKN dan memiliki kemampuan membayar iuran JKN. Faktor penghambat akses JKN pada PSP adalah rendahnya pengetahuan mengenai prosedur pendaftaran dan portabilitas JKN, kekhawatiran keberlanjutan pembayaran iuran, persepsi buruk mengenai kualitas layanan yang akan diterima jika menggunakan JKN, ketidaklengkapan administrasi kependudukan serta kebijakan yang mengharuskan peserta bukan penerima bantuan iuran (Non-PBI) Mandiri untuk mendaftarkan seluruh anggota keluarga. Akses JKN pada PSP terhambat oleh faktor-faktor individual, layanan dan kebijakan yang perlu diatasi untuk meningkatkan cakupan JKN pada PSP. Kata kunci: Akses, jaminan kesehatan nasional, pekerja seks perempuan AbstractFemale sex workers (FSW) is marginalized social group having a high vulnerability of health problems. Effort to expand national health insurance on FSW is still limited, so it is necessarily performed in order to support the achievement of universal health coverage. This study aimed to obtain the depiction of the insurance access among FSW in Denpasar. This study was qualitative. Data was collected through in-depth interview of 15 FSW and four pimps in Denpasar on August -October 2014. The interview result was analyzed using thematic analysis. The analysis framework used was The Health Access Livelihood Framework. The insurance ownership among FSW in Denpasar was low, even though some FSW were willing to be participants and afford to pay the premium. Factors inhibiting the insurance access were the lack of knowledge regarding registration procedures and portability, fear of premium payment sustainability, negative perceptions regarding quality of services that would be received if using the insurance, incomplete population administration and policy requiring participants of independent non-premium support receiver to register all of their family members. The insurance access among FSW was hindered by individual, service and policy factors that need to be conquered to increase the insurance coverage among FSW.

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“…During the last two decades, Indonesia implements a health payment restructuration by developing a social-health insurance. 6 The existence of this health insurance can provide a financial protection for the patients so they can get their treatment regularly.…”

Section: Introductionmentioning

confidence: 99%

Demographic Profile of Knee Osteoarthritis Patients in a Teaching Hospital West Java, 2013

Nugrahaputra¹,

Prabowo²,

Sadeli³

2015

amj

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Background: Osteoarthritis is the most common degenerative musculoskeletal diseases occur worldwide. It usually affects the weight-bearing joint such as knee and vertebra. Osteoarthritis is influenced by various risk factors. The aim of the study was to identify the demographic profile of knee osteoarthritis patients. Methods: A retrospective descriptive study was performed to 247 medical records of knee osteoarthritis patients who attended to Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung in 2013. The inclusion criteria were medical records that consisted of age, sex and occupation of the patients, and payment methods. Exclusion criteria were incomplete of the necessary data mentioned in the inclusion criteria. The study was conducted from August until November 2014. The collected data were analyzed and presented using frequency distribution. Results: From all the patients, 40.9% was 60-69 years old, 77.7% were women and 82.6% were retired patients. Most of the patients had a social health insurance. Conclusions: Majority of patients is 60-69 years old women, retired and has the financial protection.[AMJ.2015;2(4):597-600]

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The Impact of Health Insurance Programs on Out-of-Pocket Expenditures in Indonesia: An Increase or a Decrease?

Cited by 64 publications

References 29 publications

How effective health insurance schemes are in tackling economic burden of healthcare in India

How effective health insurance schemes are in tackling economic burden of healthcare in India

Akses Jaminan Kesehatan Nasional pada Pekerja Seks Perempuan

Demographic Profile of Knee Osteoarthritis Patients in a Teaching Hospital West Java, 2013

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