The Influence of Motivation, Knowledge, and Ability to Pay on Compliance in Paying Premiums for Self-Participants in the National Health Insurance Program in West Lombok Regency

Saimi Saimi, Abdul Khaliq, I Nengah Dwi Jendra Atmaja

Abstract


Compliance among participants in the self-funded health insurance scheme to pay premiums is crucial to facilitate access to healthcare services. Lack of knowledge, motivation, and the ability to pay are factors contributing to payment arrears. The aim of this research is to identify the factors influencing the compliance of self-funded health insurance participants in paying premiums in West Lombok Regency in 2022. This study is a quantitative research using a cross-sectional design. The population in this study consisted of 50,630 individuals. The research sample included 397 people selected using the Multistage cluster random sampling technique. Data analysis involved univariate and bivariate analysis, with chi-square and logistic regression tests. The research results indicate a correlation between the level of knowledge (0.03), motivation (0.000), and the ability to pay (0.000) with the compliance of self-funded health insurance participants in paying premiums. Meanwhile, the most dominant influencing factor is motivation (p=0.000; OR=32.410). Social Security Administering Agency - Health (BPJS - Kesehatan) is expected to enhance information and socialization efforts among participants regarding the national health insurance program so that the public is motivated to be more compliant in premium payments, and to provide flexible payment options for participants with irregular incomes in the form of installment payments.

Keywords


Motivation, Knowledge, Ability to pay, Compliance in paying, National health insurance

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References


Ananda, D. (2022). Analisis faktor-faktor yang mempengaruhi kepatuhan peserta Non-PBI dalam pembayaran iuran BPJS di Indonesia : Literature review. 1(6), 452–459. https://jurnal.arkainstitute.co.id/index.php/nautical/article/view/378

Apriani, M. (2021). Analisis Kemauan Membayar Iuran Dalam Kepesertaan Jaminan Kesehatan Nasional Pada Petani di Kabupaten Banyuasin". Thesis, (Universitas Sriwijaya) 2021.

Apriani, M., Zulkarnain, M., & Idris, H. (2021). Analisis Kemauan Membayar Iuran Dalam Kepesertaan Jaminan Kesehatan Nasional Pada Petani Di Kabupaten Banyuasin. PREPOTIF Jurnal Kesehatan Masyarakat, 5(2), 484–495.

BPJS Kesehatan. (2011). Undang-undang BPJS No.24 tentang BPJS (Issue July).

BPJS Kesehatan. (2022a). Portal BPJS Kesehatan. Website BPJS Kesehatan. https://faskes.bpjs-kesehatan.go.id/aplicares/#/app/peta

BPJS Kesehatan, M. (2022b). Laporan_Program_JKN_KIS_di_Provinsi_NTB_Periode_September_2022.pdf.

Chaerunnisa. (2017). "Kepatuhan Membayar Dan Mutu Pelayanan Kesehatan Pasien BPJS Mandiri Di RSUD Haji Kota Makassar, Thesis, (Universitas Hasanuddin) 2017.

Dalinjong, P. A., & Laar, A. S. (2012). The national health insurance scheme: Perceptions and experiences of health care providers and clients in two districts of Ghana. Health Economics Review, 2(1), 1–13. https://doi.org/10.1186/2191-1991-2-13

Dwi, G., Program, R., Sarjana, S., Akuntansi, T., Publik, S., & Bersama, H. (2022). Pengaruh Tingkat Pengetahuan Kewajiban Peserta Jaminan Kesehatan Nasional Terhadap Kemauan Membayar Iuran Kabupaten Tegal. Jurnal Akuntansi Publik, 2(1).

Hasan, N., & Andi Surahman Batara. (2021). 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, 01(04), 382–393. https://doi.org/10.33096/woph.v1i4.233

Istamayu, A. A., Solida, A., & Wardiah, R. (2022). Determinan Kemauan Membayar (Willingness To Pay) Iuran Jaminan Kesehatan Nasional Pada Peserta Mandiri Di Kota Jambi Tahun 2021. AKSELERASI: Jurnal Ilmiah Nasional, 4(2), 10–21. https://doi.org/10.54783/jin.v4i2.546

Kumi-Kyereme, A., Amu, H., & Darteh, E. K. M. (2017). Barriers and motivations for health insurance subscription in Cape Coast, Ghana: A qualitative study. Archives of Public Health, 75(1), 1–10. https://doi.org/10.1186/s13690-017-0192-x

Mills, A., Ally, M., Goudge, J., Gyapong, J., & Mtei, G. (2012). Progress towards universal coverage: The health systems of Ghana, South Africa and Tanzania. Health Policy and Planning, 27(SUPPL.1), 4–12. https://doi.org/10.1093/heapol/czs002

Mulupi, S., Kirigia, D., & Chuma, J. (2013). Community perceptions of health insurance and their preferred design features: Implications for the design of universal health coverage reforms in Kenya. BMC Health Services Research, 13(1). https://doi.org/10.1186/1472-6963-13-474

Muttaqien, M., Setiyaningsih, H., Aristianti, V., Selby Coleman, H. L., Hidayat, M. S., Dhanalvin, E., Siregar, D. R., Mukti, A. G., & Kok, M. O. (2021a). Why did informal sector workers stop paying for health insurance in Indonesia? Exploring enrollees’ ability and willingness to pay. PLoS ONE, 16(6 June), 1–19. https://doi.org/10.1371/journal.pone.0252708

Muttaqien, M., Setiyaningsih, H., Aristianti, V., Selby Coleman, H. L., Hidayat, M. S., Dhanalvin, E., Siregar, D. R., Mukti, A. G., & Kok, M. O. (2021b). Why did informal sector workers stop paying for health insurance in Indonesia? Exploring enrollees’ ability and willingness to pay. PLoS ONE, 16(6). https://doi.org/10.1371/JOURNAL.PONE.0252708

Naha, S. K., Sirait, R. W., & Kenjam, Y. (2022). Factors Related to Compliance in Paying Contribution Among National Health Insurance Mandiri Members in Oesapa Village, Kupang City. Media Kesehatan Masyarakat, 4(3), 378–386.

Nurhasana, R., Hidayat, B., Pujiyanto, Ratih, S. P., Hartono, R. K., & Dartanto, T. (2022). The sustainability of premium payment of national health insurance’s self-enrolled members in Jakarta Greater Area. Journal of Public Health Research, 11(1), 2392. https://doi.org/10.4081/JPHR.2021.2392

Perpres. (2018). Peraturan presiden No. 82 Tentang Jaminan Kesehatan Nasional.

Russell, S. (1996). Ability to pay for health care: Concepts and evidence. Health Policy and Planning, 11(3), 219–237. https://doi.org/10.1093/heapol/11.3.219

SJSN. (2004). UU RI No.40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional. In Jdih BPK RI (pp. 1–45).

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

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

Ulum, D., Fatimah, F. S., & Sumarni, S. (2021). Studi Fenomenologi: Loyalitas Keikutsertaan Peserta PBPU BPJS Kesehatan di Kabupaten Bantul 2020. Indonesian Journal of Hospital Administration, 3(2), 68–73. https://ejournal.almaata.ac.id/index.php/IJHAA/article/view/2039

Uno, H. (2008). Teori Motivasi dan Pengukurannya. Bumi Aksara.

Van Der Wielen, N., Falkingham, J., & Channon, A. A. (2018). Determinants of National Health Insurance enrolment in Ghana across the life course: Are the results consistent between surveys? International Journal for Equity in Health, 17(1), 1–14. https://doi.org/10.1186/s12939-018-0760-x

Wulandari, D. A., Salim, N. A., & Lesmana, T. C. (2022). Kepatuhan Pekerja Sektor Informal Dalam Pembayaran Premi Jaminan Kesehatan Nasional (JKN) Provinsi Di Yogyakarta. Prosiding Forum Ilmiah Tahunan (FIT) IAKMI.




DOI: https://doi.org/10.33394/j-ps.v11i4.9131

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