Pengaruh Pendapatan, Pengetahuan Dan Kerentanan Penyakit Terhadap Willingness To Pay (WTP) Premi Jaminan Kesehatan Pada Pekerja Sektor Informal

  • Anom Dwi Prakoso Universitas Medika Suherman

Abstract

 

Background:

The Indonesian Government's target of Universal Coverage or 100% Health Insurance participation by 2019 failed to be achieved, even until the end of October 2020. The failure of universal coverage resulted in BPJS Health's finances getting worse after experiencing a deficit. Informal sector workers are the most dominant sector that has not participated in the Health Insurance scheme, totaling 30,487,891 workers. Low income, uncertainty each month, and the increase in contributions resulted in a decrease in Willingness to pay Health Insurance contributions.

Research purposes:

The purpose of this study is to analyze the effect of income, knowledge, and disease susceptibility to the willingness to pay (WTP) of health insurance contributions to informal sector workers.

Method:

This cross-sectional research was conducted in Kudus Regency, Central Java in January-February 2020. Sampling used purposive sampling with a total of 200 informal sector workers who had not yet participated in BPJS Kesehatan. The dependent variable is a willingness to pay. The independent variables are income, knowledge, and disease susceptibility. Data collection using a questionnaire and data analysis with logistic regression.

Result:

Willingness To Pay health insurance contributions for informal sector workers increased in income ≥Rp 2,218,451 (b = 2.02; 95% CI = 1.01-3.55; p = 0.044), high knowledge (b = 4.64; 95% CI = 2.36-8.31; p <0.001), high disease susceptibility (b = 3.01; 95% CI = 0.26-5.75; p = 0.031).

Conclusion:

Income, knowledge, and disease vulnerability have a significant effect on the willingness to pay for health insurance contributions for informal sector workers.

 

Keywords: Universal Health Coverage; Willingness To Pay; Health Insurance; informal sector workers.

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References

REFERENSI

Aryani, M. A., & Muqorrobin, M. (2013). Determinan Willingness To Pay(Wtp) Iuran Peserta Bpjs Kesehatan. Jurnal Ekonomi Dan Studi Pembangunan, 14(April), 44–57. Retrieved From Https://Media.Neliti.Com/Media/Publications/77951-Id-Determinan-Willingness-To-Pay-Wtp-Iuran.Pdf
Badan Pusat Statistik. (2020). Keadaan Ketenagakerjaan Indonesia Februari 2020. Jakarta. Retrieved From Https://Www.Bps.Go.Id/Pressrelease/Download.Html?Nrbvfeve=Mty3mg%3d%3d&Sdfs=Ldjfdifsdjkfahi&Twoadfnoarfeauf=Mjaymc0xms0ymsaxmjowntownq%3d%3d
Badan Pusat Statistik Kabupaten Kudus. (2018). Kudus Dalam Angka 2018. Retrieved From Https://Kuduskab.Bps.Go.Id/Publication/2018/08/16/7812ae46f6b77cf56e22b1f5/Kabupaten-Kudus-Dalam-Angka-2018.Html
Badan Pusat Statistik Provinsi Jawa Tengah. (2020). Keadaan Ketenagakerjaan Provinsi Jawa Tengah Februari 2020. Semarang. Retrieved From Https://Jateng.Bps.Go.Id/Pressrelease/Download.Html?Nrbvfeve=Mtiwna%3d%3d&Sdfs=Ldjfdifsdjkfahi&Twoadfnoarfeauf=Mjaymc0xms0ymsaxmto0njoznq%3d%3d
Biggeri, M., Nannini, M., & Putoto, G. (2018). Assessing The Feasibility Of Community Health Insurance In Uganda: A Mixed-Methods Exploratory Analysis. Social Science & Medicine, 03(200), 145–155. Https://Doi.Org/10.1016/J.Socscimed.2018.01.027
Bpjs Kesehatan Kantor Cabang Kudus. (2019). Data Cakupan Kepesertaan Jaminan Kesehatan Di Kabupaten Kudus Per Oktober 2019. Kudus.
Dedy, I. P., Hardy, K., Luh, N., Ari, G., & Yudha, N. (2019). Kemauan Dan Kemampuan Membayar ( Ability - Willingness To Pay ) Dalam Kepesertaan Jaminan Kesehatan Nasional Pada Sektor Informal Pedagang Pasar Tradisional Di Kota Denpasar 2017 J . Kes-Terpadu – Oktober 2018, 2(2), 96–100.
Dewan Jaminan Sosial Nasional. (2020). Cakupan Kepesertaan 2020. Retrieved From Http://Sismonev.Djsn.Go.Id/Kepesertaan/
He, A. J. (2017). Introducing Voluntary Private Health Insurance In A Mixed Medical Economy : Are Hong Kong Citizens Willing To Subscribe ? Bmc Health Services Research, 17(1), 603. Https://Doi.Org/10.1186/S12913-017-2559-7
Hogan, D. R., Stevens, G. A., Hosseinpoor, A. R., & Boerma, T. (2018). Articles Monitoring Universal Health Coverage Within The Sustainable Development Goals : Development And Baseline Data For An Index Of Essential Health Services. The Lancet Global Health, 6(2), E152–E168. Https://Doi.Org/10.1016/S2214-109x(17)30472-2
Kado, A., Merga, B. T., Adem, H. A., Dessie, Y., & Geda, B. (2020). Willingness To Pay For Community-Based Health Insurance Scheme And Associated Factors Among Rural Communities In Gemmachis District, Eastern Ethiopia. Clinicoeconomics And Outcomes Research, 23(12), 609–618. Https://Doi.Org/10.2147/Ceor.S266497
Marzuki, D. S., Muh. Yusri Abadi, D., Arifin, M. A., Rahmadani, S., & Fajrin, M. Al. (2017). Analisis Kemampuan Membayar Dan Kemauan Membayar Peserta Pbpu Jkn Di Kecamatan Tamalate Kota Makassar, 102–113.
Minyihun, A., Gebregziabher, M. G., & Gelaw, Y. A. (2019). Willingness To Pay For Community ‑ Based Health Insurance And Associated Factors Among Rural Households Of Bugna District , Northeast Ethiopia. Bmc Research Notes, 12(1), 1–7. Https://Doi.Org/10.1186/S13104-019-4091-9
Myint, C. Y. (2019). Health Insurance In Myanmar : Knowledge , Perceptions , And Preferences Of Social Security Scheme Members And General Adult Population. The International Journal Of Health Planning And Management, 34(01), 346–369. Https://Doi.Org/10.1002/Hpm.2643
Pemerintah Indonesia. Undang-Undang Dasar Negara Republik Indonesia Tahun 1945. (1945). Retrieved From Http://Jdih.Pom.Go.Id/Uud1945.Pdf
Pemerintah Indonesia. Undang-Undang Republik Indonesia Nomor 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional (2004). Retrieved From Http://Www.Jkn.Kemkes.Go.Id/Attachment/Unduhan/Uu No. 40 Tahun 2004 Tentang Sjsn.Pdf
Thi, N., Nga, T., Fitzgerald, G., & Dunne, M. P. (2018). Family-Based Social Health Insurance For Informal Workers In Vietnam : Willingness To Pay And Its Determinants. Asia Pacific Journal Of Public Health, 30(6), 512–520. Https://Doi.Org/10.1177/1010539518799785
Wang, Y. (2019). Status Of Public – Private Partnership Recognition And Willingness To Pay For Private Health Care In China. The International Journal Of Health Planning And Management, 34(02), 1–12. Https://Doi.Org/10.1002/Hpm.2757
Published
2021-06-30
How to Cite
Dwi Prakoso, A. (2021). Pengaruh Pendapatan, Pengetahuan Dan Kerentanan Penyakit Terhadap Willingness To Pay (WTP) Premi Jaminan Kesehatan Pada Pekerja Sektor Informal. KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat, 7(1), 48-59. https://doi.org/10.24903/kujkm.v7i1.1094
Section
Articles