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Impact of ability and willingness to pay for health insurance in Indonesia

Abstract

Link of Video Abstract: https://youtu.be/w1aBTIalQSY

One way the community is financially protected from unforeseen health risks is through health insurance. The ability and willingness to pay for health insurance has been linked to improvements in public health, including better access to healthcare services, better public health, and financial protection from health risks, according to earlier research. Since 2014, Indonesia has had a government health insurance scheme under the National Health Insurance (JKN) program with the goal of enhancing community welfare and health access. However, despite the benefits provided by the JKN program, many people are still not registered and have not received benefits from the program. Recent studies have shown that high health insurance costs remain the main obstacle for people with low income to buy health insurance. The aim of this study was to identify the ability and willingness to pay for social insurance premiums in the framework of the National Health Insurance System. Utilizing the terms "impact of ability," "willingness," and "health insurance," the database search includes Google Scholar, ScienceDirect, and PubMed. The last step is to choose the articles that meet the criteria, which include being published between 2011 and 2022 and having the complete text accessible. The criteria for including 13 articles were met.  According to the review's findings, the majority of publications link knowledge, income, how people view health care, and family support to health insurance payment compliance. Additionally, there are barriers and constraints affecting participation in National Health Insurance (NHI), such as registration procedures, benefits received, premiums, and private insurance ownership. There are several factors that affect compliance with health insurance payment, including knowledge, income, perception of health services, and family support.

References

  1. Asante A, Price J, Hayen A, Jan S, Wiseman V. Equity in health care financing in low- and middle-income countries: a systematic review of evidence from studies using benefit and financing incidence analyses. PLoS One. 2016;11(4):152–68.
  2. Mathauer I, Theisling M, Mathivet B, Vilcu I. State budget transfers to health insurance funds: Extending universal health coverage in low- and middle-income countries of the WHO European Region. Int J Equity Health. 2016;15(1):1–20.
  3. Lagarde M, Haines A, Palmer N. The impact of conditional cash transfers on health outcomes and use of health services in low and middle income countries. Cochrane database Syst Rev. 2009;2009(4):137–45.
  4. Dror DM, Hossain SAS, Majumdar A, Pérez Koehlmoos TL, John D, Panda PK. What factors affect voluntary uptake of community-based health insurance schemes in low- and middle-income countries? a systematic review and meta-analysis. PLoS One. 2016;11(8):160–74. Available from: https://doi.org/10.1371/journal.pone.0160479
  5. Kutzin J. Health financing for universal coverage and health system performance: concepts and implications for policy. Bull World Health Organ. 2013;91(8):602–11.
  6. Papanicolas I, Smith PC. Health system performance comparison: an agenda for policy, information and research. Eur Obs Heal Syst Policies. 2013;1(1):1–417.
  7. OECD. Measuring Financial Protection and Access To Services in the Uhc Agenda [Internet]. France; 2014. Available from: Measuring Financial Protection and Access to Services in the UHC Agenda
  8. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJL. Household catastrophic health expenditure: a multicountry analysis. Lancet (London, England). 2003;362(9378):111–7.
  9. Donnell O. Explaining the incidence of catastrophic expenditures on health care: comparative evidence from Asia. Greece; 2007.
  10. Onwujekwe O, Velenyi E. Feasibility of Private Voluntary Health Insurance in Nigeria. In: Washington DC: The World Bank. 2010. p. 349–67.
  11. Wiseman V, Thabrany H, Asante A, Haemmerli M, Kosen S, Gilson L, et al. An evaluation of health systems equity in Indonesia: study protocol. Int J Equity Health. 2018;17(1):1–9.
  12. Fossati D. From periphery to centre: local government and the emergence of universal healthcare in Indonesia. Contemp Southeast Asia A J Int Strateg Aff. 2017;39(1):178–203.
  13. Agustina R, Dartanto T, Sitompul R, Susiloretni KA, Suparmi, Achadi EL, et al. Universal health coverage in Indonesia: concept, progress, and challenges. Lancet (London, England). 2019;393(10):75–102.
  14. Hasnida A, Kok MO, Pisani E. Challenges in maintaining medicine quality while aiming for universal health coverage: A qualitative analysis from Indonesia. BMJ Glob Heal. 2021;6(1):1–11.
  15. Sciortino R. Aiming for a gender-transformative UHC agenda in Indonesia. Gend Technol Dev. 2023;27(1):22–41.
  16. Carrin G, Waelkens M-P, Criel B. Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems. Trop Med Int Health. 2005;10(8):799–811.
  17. Peters DH, Garg A, Bloom G, Walker DG, Brieger WR, Rahman MH. Poverty and access to health care in developing countries. Ann N Y Acad Sci. 2008;11(1):161–71.
  18. Panning C, Lem M, Bateman S. Profiling a one-health model for priority populations. Can J Public Health. 2016;107(3):222–3.
  19. Ogundeji YK, Akomolafe B, Ohiri K, Butawa NN. Factors influencing willingness and ability to pay for social health insurance in Nigeria. PLoS One. 2019;14(8):22–31.
  20. Aizuddin AN, Aljunid S. Ability to pay for future national health financing scheme among Malaysian households. Ann Glob Heal. 2017;83(1):21–34.
  21. Ramadhan AA, Rahmadi AR, Djuhaeni H. Ability and willingness to pay premium in the framework of national health insurance system. Althea Med J. 2015;2(4):502–5.
  22. Hidayat A, Razak A, Indarty Moedjiono A. Determinants of ability and willingness to pay national health insurance contributions to traders at Losari Beach. J Posit Sch Psychol. 2022;2022(5):2961–70.
  23. Wang J, Lyu Y, Zhang H, Jing R, Lai X, Feng H, et al. Willingness to pay and financing preferences for COVID-19 vaccination in China. Vaccine. 2021;39(14):1968–76.
  24. Bolarinwa OA, Ameh S, Ochimana C, Oluwasanu AO, Samson O, Mohamed SF, et al. Willingness and ability to pay for healthcare insurance: A cross-sectional study of Seven Communities in East and West Africa (SevenCEWA). PLOS Glob Public Heal. 2021;1(11):1–13.
  25. Danyliv A, Pavlova M, Gryga I, Groot W. Willingness to pay for physician services at a primary contact in Ukraine: results of a contingent valuation study. BMC Health Serv Res. 2013;13(1):1–11.
  26. Nguyen LH, Hoang ATD. Willingness to pay for social health insurance in central Vietnam. Front Public Heal. 2017;5(1):1–7.
  27. Aizuddin A, Sulung S, Aljunid S. The Malaysian community’s acceptance and willingness to pay for a National Health Financing Scheme. Public Health. 2019;175(1):129–37.
  28. Utami SP, Hadiwiardjo YH, Simanjuntak K. The relationship of ability to pay and ownership of health insurance towards willingness to pay laboratory services at Persahabatan Hospital, East Jakarta. 2020. Available from: http://theicph.com/id_ID/2021/03/04/the-relationship-of-ability-to-pay-and-ownership-of-health-insurance-towards-willingness-to-pay-laboratory-services-at-persahabatan-hospital-east-jakarta-2/u36_yanti-harjono_hpm/
  29. Himmler S, van Exel J, Perry-Duxbury M, Brouwer W. Willingness to pay for an early warning system for infectious diseases. Eur J Heal Econ. 2020;21(5):763–73.
  30. Muttaqien M, Setiyaningsih H, Aristianti V, Coleman HLS, Hidayat MS, Dhanalvin E, et al. Why did informal sector workers stop paying for health insurance in Indonesia? exploring enrollees’ ability and willingness to pay. PLoS One. 2021;16(6):e0252708.
  31. Sunjaya DK, Herawati DMD, Sihaloho ED, Hardiawan D, Relaksana R, Siregar AYM. Factors affecting payment compliance of the Indonesia National Health Insurance Participants. Risk Manag Healthc Policy. 2022;15:277–88.
  32. Sunjaya D, Herawati D, Siregar A. Factors affecting independent participants of Indonesia’s National Health Insurance in paying premium compliance: a qualitative study. 2020.
  33. Bukola A. Willingness to pay for community based health care financing scheme: a comparative study among rural and urban households in Osun State, Nigeria. IOSR J Dent Med Sci. 2013;5(6):2279–861.
  34. Salehi A, Jannati A, Nosratnjad S, Heydari L. Factors influencing the inpatients satisfaction in public hospitals: a systematic review. Bali Med J. 2018;7(1):17–26.
  35. Yani M, Suhanda R, Iqbalawati I, Puspandari DA, Hafasnuddin, Candra A, et al. The evaluation of Acehnese people’s health insurance from the welfare perspectives. Bali Med J. 2023;12(1):793–8.
  36. Suhadi, Nani Hendryani, I Made Christian Binekada. The effect of the availability of paying places on the regularity of paying the National Health Insurance (NHI) contributions of independent NHI participants post the policy of increasing contributions in Muna district, southeast Sulawesi province. World J Biol Pharm Heal Sci. 2022;9(3):013–9.
  37. Royyan N, Noerjoedianto D, Solida A, Sari RE, Ibnu IN. Analysis of the ability to pay contributions for participants in the National Health Insurance (JKN) for Non-Wage Recipient Workers (PBPU) in Kota Baru and Jambi Selatan Subdistricts in 2021. Lux Mensana. 2022;1(3):113–26.
  38. Manning WG, Newhouse JP, Duan N, Keeler EB, Leibowitz A, Marquis MS. Health insurance and the demand for medical care: evidence from a randomized experiment. Am Econ Rev. 1987;77(3):251–77.
  39. Sihombing RG, Nurul TR. Dampak pembiayaan kesehatan terhadap ability to pay dan catastropic payment. J Adm Kesehat Indones. 2013;1(1):1–8.
  40. Gasim H. Optimalisasi pelayanan kesehatan terhadap masyarakat miskin di Provinsi Gorontalo. J Ilmu Adm. 2015;4(1):1–8.

How to Cite

Busyra, A., Ibrahim, R., Aizuddin, A. N., Hassan, N. H. ., & Irwan Saputra. (2023). Impact of ability and willingness to pay for health insurance in Indonesia. Bali Medical Journal, 12(2), 2245–2250. https://doi.org/10.15562/bmj.v12i2.4273

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