Perceived Benefits and Perceived Barriers Toward Satisfaction of JKN-KIS Kidney Failure Patients with a Systems Approach

Yeni Riza

Abstract


Indonesia entered the era of National Health Insurance (JKN) in January 1, 2014. Due to the limited availability of hemodialysis services and the fact that the majority of patients with chronic kidney failure are unable to afford them, there is a difference before the JKN when patients with chronic kidney failure attempt to find alternative treatments prior to beginning hemodialysis. This study analyzes perceived benefits and perceived barriers to satisfaction of JKN-KIS kidney failure patients with a systems approach. The design of this study is a mixed method, a quantitative combination using CSI followed by a chi-square test and qualitative with a systematic approach that focuses on collecting and analyzing to obtain comprehensive data for the period January-August 2021. Based on the CSI method, it was found that the satisfaction rate was 80.1%, which means very satisfied. Chi-square analysis shows that perceived benefit is significantly associated with satisfaction (p-value<0.05), with adjusted OR=9,000 (95%CI: 3,573-22,673), as well as perceived barrier with adjusted OR=8,800 (95%CI: 1,575-49,162). Changes in behavior in respondents are influenced by a belief in perceived benefits and obstacles. These changes will be supported by the discovery of threat perception, severity and high severity, as well as the successful socialization received by respondents.


Keywords


BPJS Health, Health Service, Kidney Failure, Perceived, Satisfaction

Full Text:

PDF

References


. Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2014. 2014.

. Tandah MR, Diana K, Ambianti N. analisis biaya pengobatan penyakit ginjal kronik rawat inap dengan hemodialisis di rumah sakit umum daerah undata palu. 2019;15(2):1–7.

. BPJS Kesehatan. Data Kepesertaan BPJS Kesehatan Tahun 2021. 2021.

. Tania F, Hasbullah Thabrany dan. Biaya dan Outcome Hemodialisis di Rumah Sakit Kelas B dan C. Jurnal Ekonomi Kesehatan Indonesia. 2016;1(1):54–64.

. Naud J, Michaud J, Beauchemin S, Hebert M joseee, Roger M, Lefrancos S, et al. Effects of Chronic Renal Failure on Kidney Drug Transporters and Cytochrome P450 in Rats. Drug Metab Dispos. 2011;39(8):1363–9.

. Laouari D, Burtin M, Phelep A, Bienaime F, Noel LH, Lee DC, et al. A transcriptional network underlies susceptibility to kidney disease progression. EMBO Mol Med. 2012;4(8):825–39.

. Santoso D, Sawiji, Oktantri H, Septiwi C. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN FATIGUE PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RSUD DR. SOEDIRMAN KEBUMEN. Jurnal Ilmiah Kesehatan Keperawatan. 2022;18(1):60–70.

. Pohan I. Jaminan Mutu Layanan Kesehatan, Dasar Pengertian dan Penerapn. Jakarta: Buku Kedokteran EGC; 2012.

. Nutbeam D, Harris E. Theory in a nutshell: a guide to health promotion. 2002.

. Riskesdas. Riset Kesehatan Dasar Tahun 2018. 2018.

. PJS Health. National Participation Data. 2019.

. Hsieh CY, Su CC, Shao SC, Sung SF, Lin SJ, Yang YHK, et al. Taiwan’s national health insurance research database: Past and future. Vol. 11, Clinical Epidemiology. Dove Medical Press Ltd; 2019. p. 349–58.

. Gu Q, Burt VL, Dillon CF, Yoon S. Trends in antihypertensive medication use and blood pressure control among united states adults with hypertension: The national health and nutrition examination survey, 2001 to 2010. Circulation. 2012 Oct 23;126(17):2105–14.

. Akande T, Salaudeen A, Babatunde O, Professor A. The effects of national health insurance scheme on utilization of health services at Unilorin Teaching Hospital staff clinic, Ilorin, Nigeria [Internet]. Vol. 5, HEALTH SCIENCE JOURNAL ® VOLUME. 2011. Available from: www.hsj.gr

. Lambon-Quayefio M, Owoo NS. Determinants and the impact of the National Health Insurance on neonatal mortality in Ghana. Health Econ Rev. 2017 Sep 29;7(1).

. Cheng TM. Taiwan’s New National Health Insurance Program: Genesis And Experience So Far. Health Aff. 2003;22(3):61–7.

. Hadley J, Ayanian JZ, Butler S, Davis K, Kronick R. Sicker and poorer - The consequences of being uninsured: A review of the research on the relationship between health insurance, medical care use, health, work, and income. Vol. 60, Medical Care Research and Review. 2003.

. Wulandari MF. HUBUNGAN STATUS GIZI DENGAN KUALITAS HIDUP PADA PASIEN HEMODIALISIS DI RS PKU MUHAMMADIYAH UNIT II YOGYAKARTA. [Yogyakarta]: SEKOLAH TINGGI ILMU KESEHATAN ‘AISYIYAH; 2015.

. Sohn M, Jung M. Effects of public and private health insurance on medical service utilization in the National Health Insurance System: National panel study in the Republic of Korea. BMC Health Serv Res. 2016 Sep 21;16(1).

. Helmizar. EVALUASI KEBIJAKAN JAMINAN PERSALINAN (JAMPERSAL) DALAM PENURUNAN ANGKA KEMATIAN IBU DAN BAYI DI INDONESIA. Jurnal Kesehatan Masyarakat. 2014;9(2):197–205.

. FA Ujunwa, O Onwujekwe, JM Chinawa. Health services utilization and costs of the insured and uninsured under the formal sector social health insurance scheme in Enugu metropolis South East Nigeria. Niger J Clin Pract [Internet]. 2014;17(3):331–5. Available from: www.njcponline.com

. Suh HS, Kang HY, Kim J, Shin E. Effect of health insurance type on health care utilization in patients with hypertension: A national health insurance database study in Korea. BMC Health Serv Res. 2014;14(1).

. Gyakuni Firsty Niko, Djazuly Chalidyanto. Implementasi Kebijakan Jaminan Kesehatan Nasional pada Bidan Praktik DiWilayah Puskesmas Bangkalan. Jurnal Administrasi Kesehatan Indonesia. 2014;2(4):281–92.

. Hsu WC, Hsu YP. Patterns of outpatient care utilization by seniors under the National Health Insurance in Taiwan. Journal of the Formosan Medical Association. 2016 May 1;115(5):325–34.

. Guindon GE. The impact of health insurance on health services utilization and health outcomes in Vietnam. Health Econ Policy Law. 2014 Oct 1;9(4):359–82.

. Lee DW, Jang J, Choi DW, Jang SI, Park EC. The effect of shifting medical coverage from National Health Insurance to Medical Aid type I and type II on health care utilization and out-of-pocket spending in South Korea. BMC Health Serv Res. 2020 Dec 1;20(1).

. Robyn PJ, Hill A, Liu Y, Souares A, Savadogo G, Sié A, et al. Econometric Analysis to Evaluate the Effect of Community-Based Health Insurance on Reducing Informal Self-Care in Burkina Faso. Health Policy Plan. 2012;27(2):156–165.

. Liu LF, Tian WH, Yao HP. Utilization of health care services by elderly people with National Health Insurance in Taiwan: The heterogeneous health profile approach. Health Policy (New York). 2012 Dec;108(2–3):246–55.

. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 812 Tahun 2010. 812 2010.

. Anggraini, D. (2022). Aspek klinis dan pemeriksaan laboratorium penyakit ginjal kronik. An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal), 9(2), 236-239.

. Gauthfa A, Kurniadi Sunjaya D. Dampak Implementasi Jaminan Kesehatan Nasional terhadap Ketersediaan Obat di Apotek Rujukan Wilayah Cibeunying Kotamadya Bandung Tahun 2015. Jurnal Sistem Kesehatan. 2016;1(4):159–64.

. Anggraini, D., & Adelin, P. (2023). Langkah Awal Mengenal Penyakit Ginjal Kronis pada Lansia di Kota Padang. Jurnal Pengabdian Masyarakat Kesehatan (JURABDIKES), 1(1), 01-04.

. Anggraini, D., & Adelin, P. (2023). Correlation between Anthropometric Measurement and Kidney Function in the Elderly to Detection of Chronic Kidney Disease. Indonesian Journal of Clinical Pathology and Medical Laboratory, 29(3), 245-249.

. Kuswinarti, Sunjaya D. Analisis Ketersediaan Obat Pada Era Jaminan Kesehatan Nasional di Apotek Wilayah Bojonegara Kotamadya Bandung. Jurnal Sistem Kesehatan. 2016;1(4).

. Margono H, Wardani MK. Kepuasan Pasien Terhadap Pelayanan Rumah Sakit. Jurnal Manajemen Kewirausahaan. 2018;15(1):9–22.

. Sundah DIE, Langi C, Maramis DRS, Dan Tawalujan L. Developing entrepreneurial competencies for successful business model canvas. In: Journal of Physics: Conference Series. Institute of Physics Publishing; 2018.

. Malayu Sp H. Manajemen Sumber Daya Manusia, Edisi Revisi. Jakarta: PT. Bumi Aksara; 2014.

. Endarwati N. Manajemen Program Jaminan Kesehatan Masyarakat (JAMKESMAS) Kabupaten Magelang Tahun 2010. [Surakarta]: Universitas Sebelas Maret; 2012.

. Setianingsih, Fitriana Noor Khayati. KEPUASAN PASIEN PENGGUNA BPJS KESEHATAN DI RUMAH SAKIT X. Motorik. 2016;11(23).

. Gamelia E, Wijayanti SPM. Persepsi, Peluang Aksi, dan Infomasi serta Perilaku Pencegahan Malaria. Jurnal Kesehatan Masyarakat Nasional. 2013;7(8):349–53.

. Martha E, Lestari H, Zulfa RS, Sopamena Y. National health insurance scheme: Internal and external barriers in the use of reproductive health services among women. Kesmas. 2021 May 1;16(2):91–9.

. Tiaraningrum R. Studi Deskriptif Motivasi Dan Personal Reference Peserta Jkn Mandiri Pada Wilayah Tertinggi Di Kelurahan Mojosongo Kota Surakarta. [Surakarta]: Universitas Muhammadiyah Surakarta; 2014.

. Hasan AR, Bachtiar A, Candi C. The Potential of Private Health Insurance Ownership Based on the 2018-2020 National Socioeconomic Survey Data. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2022 Nov 30;17(4):287.

. Sarafino EP. Health Psychology: Biopsychosocial Interactions. Fifth Edition. USA: John Wiley & Sons; 2006.




DOI: https://doi.org/10.33854/heme.v6i3.1498

DOI (PDF): https://doi.org/10.33854/heme.v6i3.1498.g552

Refbacks

  • There are currently no refbacks.


Creative Commons License   Health and Medical Journal This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.