MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA

Background: The government regulates National Health Insurance (NHI), making it mandatory for everyone. However, at this time, only some, including workers, are NHI members. Moreover, the government regulates who pays these workers' premiums. Aims: The study aimed to analyze the disparities o...

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Main Authors: Ratna Dwi Wulandari, Agung Dwi Laksono, Tumaji Tumaji, Maria Holly Herawati, Noer Endah Pracoyo, Ina Kusrini
Format: Article
Language:English
Published: Universitas Airlangga 2024-12-01
Series:Jurnal Administrasi Kesehatan Indonesia
Subjects:
Online Access:https://e-journal.unair.ac.id/JAKI/article/view/52097
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author Ratna Dwi Wulandari
Agung Dwi Laksono
Tumaji Tumaji
Maria Holly Herawati
Noer Endah Pracoyo
Ina Kusrini
author_facet Ratna Dwi Wulandari
Agung Dwi Laksono
Tumaji Tumaji
Maria Holly Herawati
Noer Endah Pracoyo
Ina Kusrini
author_sort Ratna Dwi Wulandari
collection DOAJ
description Background: The government regulates National Health Insurance (NHI), making it mandatory for everyone. However, at this time, only some, including workers, are NHI members. Moreover, the government regulates who pays these workers' premiums. Aims: The study aimed to analyze the disparities of occupation type in NHI membership among workers in Indonesia. Methods: We involved 22,275 workers in the analysis. The analyzed variables included NHI's membership, occupation type, residence type, age group, gender, education level, marital status, and wealth status. The study employed binary logistic regression in the final step. Results: The results showed that government employees were 11.864 times more likely to be a member of NHI than the informal sector (95%CI 11.811-11.917). The private sector was 1.646 times more likely than the informal sector to be an NHI member (95%CI 1.643-1.648). Meanwhile, entrepreneurs were 0.828 times less likely to be NHI members than the informal sector (95%CI 0.827-0.829). The study found six control variables related to NHI membership: residence, age, gender, education, marital, and wealth status. Conclusion: The study concluded that NHI membership disparities existed based on occupation type. Accordingly, government employees, the private sector, the informal sector, and entrepreneurs are the most likely to become NHI members. Keywords: health insurance, health policy, national health insurance, occupation type.
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institution Kabale University
issn 2303-3592
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language English
publishDate 2024-12-01
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series Jurnal Administrasi Kesehatan Indonesia
spelling doaj-art-bbdac1389e5245fa880e1617f99b65fc2025-02-03T04:18:51ZengUniversitas AirlanggaJurnal Administrasi Kesehatan Indonesia2303-35922540-93012024-12-0112228029110.20473/jaki.v12i2.2024.280-29150257MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIARatna Dwi Wulandari0https://orcid.org/0000-0003-4365-5747Agung Dwi Laksono1Tumaji Tumaji2Maria Holly Herawati3Noer Endah Pracoyo4Ina Kusrini5Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia and The Airlangga Centre for Health Policy, Surabaya, IndonesiaNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaBackground: The government regulates National Health Insurance (NHI), making it mandatory for everyone. However, at this time, only some, including workers, are NHI members. Moreover, the government regulates who pays these workers' premiums. Aims: The study aimed to analyze the disparities of occupation type in NHI membership among workers in Indonesia. Methods: We involved 22,275 workers in the analysis. The analyzed variables included NHI's membership, occupation type, residence type, age group, gender, education level, marital status, and wealth status. The study employed binary logistic regression in the final step. Results: The results showed that government employees were 11.864 times more likely to be a member of NHI than the informal sector (95%CI 11.811-11.917). The private sector was 1.646 times more likely than the informal sector to be an NHI member (95%CI 1.643-1.648). Meanwhile, entrepreneurs were 0.828 times less likely to be NHI members than the informal sector (95%CI 0.827-0.829). The study found six control variables related to NHI membership: residence, age, gender, education, marital, and wealth status. Conclusion: The study concluded that NHI membership disparities existed based on occupation type. Accordingly, government employees, the private sector, the informal sector, and entrepreneurs are the most likely to become NHI members. Keywords: health insurance, health policy, national health insurance, occupation type.https://e-journal.unair.ac.id/JAKI/article/view/52097health insuranceoccupation typenational health insurancehealth policy
spellingShingle Ratna Dwi Wulandari
Agung Dwi Laksono
Tumaji Tumaji
Maria Holly Herawati
Noer Endah Pracoyo
Ina Kusrini
MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA
Jurnal Administrasi Kesehatan Indonesia
health insurance
occupation type
national health insurance
health policy
title MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA
title_full MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA
title_fullStr MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA
title_full_unstemmed MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA
title_short MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA
title_sort membership in national health insurance among workers in indonesia
topic health insurance
occupation type
national health insurance
health policy
url https://e-journal.unair.ac.id/JAKI/article/view/52097
work_keys_str_mv AT ratnadwiwulandari membershipinnationalhealthinsuranceamongworkersinindonesia
AT agungdwilaksono membershipinnationalhealthinsuranceamongworkersinindonesia
AT tumajitumaji membershipinnationalhealthinsuranceamongworkersinindonesia
AT mariahollyherawati membershipinnationalhealthinsuranceamongworkersinindonesia
AT noerendahpracoyo membershipinnationalhealthinsuranceamongworkersinindonesia
AT inakusrini membershipinnationalhealthinsuranceamongworkersinindonesia