Factors Affecting the Compliance of National Health Insurance Participants Segment of Non-Wage Recipients in Paying  the Contributions

Franky Vinansius Marpaung; Mappeaty Nyorong; Tengku Moriza

doi:10.37899/journallamedihealtico.v3i3.656

Franky Vinansius Marpaung Master Student in Public Health, Helvetia Institute of Health Medan, Indonesia
Mappeaty Nyorong Lecturer at the Faculty of Public Health, Helvetia Institute of Health, Medan, Indonesia
Tengku Moriza Lecturer at the Faculty of Public Health, Helvetia Institute of Health, Medan, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v3i3.656

Keywords: BPJS Health, Compliance, Premiums

Abstract

This study's objective is to investigate the variables influencing the compliance of the National Health Insurance (JKN) Participant Segment of Non-Wage Recipients (PBPU) in Paying JKN Contributions in the BPJS Health Work Area, North Tapanuli Regency. This sort of research is quantitative and employs a cross-sectional study design. This study's population consists of all Non-Wage Recipient Workers (PBPU) in Siborong-borong District, North Tapanuli Regency, a total of 12,323 persons, with a sample size of 99 calculated using a purposive sampling technique. The study used univariate, bivariate, and multivariate techniques. The findings of the chi-square test indicated that education (p = 0.066> 0.05), occupation (p = 0.008 0.05), knowledge (p = 0.003 0.05), income (p = 0.000 0.05), and distance (p= 0.0010.05) were significantly correlated with each other. The logistic regression test reveals that income, with an Exp (B) value of 4,778, has the greatest impact on compliance with making JKN payments. This research concludes that employment, knowledge, income, and distance have a link with JKN contribution compliance, however education has no association with JKN contribution compliance. The community need socialization in order to raise public understanding and awareness of their monthly obligation to make JKN payments.

References

Cleverley, W. O., & Cleverley, J. O. (2017). Essentials of health care finance. Jones & Bartlett Learning.

Hasan, N., & Batara, A. S. (2020). Faktor yang Berhubungan dengan Kepatuhan Membayar Iuran BPJS pada Peserta Mandiri di Wilayah Kerja Puskesmas Tamamaung Kota Makassar Tahun 2020. Window of Public Health Journal, 1(4), 382-393.

Levy, H., & Meltzer, D. (2008). The impact of health insurance on health. Annu. Rev. Public Health, 29, 399-409. https://doi.org/10.1146/annurev.publhealth.28.021406.144042

Li, X., & Zhang, W. (2013). The impacts of health insurance on health care utilization among the older people in China. Social science & medicine, 85, 59-65. https://doi.org/10.1016/j.socscimed.2013.02.037

Ludvigsson, J. F., Svedberg, P., Olén, O., Bruze, G., & Neovius, M. (2019). The longitudinal integrated database for health insurance and labour market studies (LISA) and its use in medical research. European journal of epidemiology, 34(4), 423-437. https://doi.org/10.1007/s10654-019-00511-8

Robinson, E. J., Haigh, S. N., & Nurmsoo, E. (2008). Children's working understanding of knowledge sources: Confidence in knowledge gained from testimony. Cognitive Development, 23(1), 105-118. https://doi.org/10.1016/j.cogdev.2007.05.001

Schonfeld, I. S., & Mazzola, J. J. (2015). A qualitative study of stress in individuals self-employed in solo businesses. Journal of occupational health psychology, 20(4), 501. https://doi.org/10.1037/a0038804

Sunjaya, D. K., Herawati, D. M. D., Sihaloho, E. D., Hardiawan, D., Relaksana, R., & Siregar, A. Y. M. (2022). Factors Affecting Payment Compliance of the Indonesia National Health Insurance Participants. Risk Management and Healthcare Policy, 15, 277. https://doi.org/10.2147/RMHP.S347823

Thabrany, H., Gani, A., Pujianto, M. L., & Mahlil, B. B. (2003, March). Social health insurance in Indonesia: current status and the plan for national health insurance. In Social Health Insurance Workshop, WHO SEARO, New Delhi, 13Á15 March.