Mengapa pengusaha online belum memiliki asuransi BPJS kesehatan? studi kasus di Kota Yogyakarta

https://doi.org/10.22146/bkm.30381

Firman Firman(1*), Helfi Agustin(2)

(1) Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan
(2) Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan
(*) Corresponding Author

Abstract


Why don't online shop workers enroll in BPJS health insurance? a case study from the City of Yogyakarta

Purpose

This study aimed to explore why an informal sector group has not decided to become a part of BPJS health by identifying knowledge or health insurance literacy.

Method

This research was a qualitative study with a phenomenology approach. Determination of informants was used by snowball sampling technique. Data collection was conducted with in-depth interviews with 15 people from an online entrepreneurs group who live around the city of Yogyakarta. Data were identified with inductive thematic analysis related to health insurance literacy to determine any relationship pattern of re­search variables.

Results

The majority of informants have knowledge health insurance as a health care program used to seek treatment when sick. Specifically, informants have difficulties in understanding and explaining the basic terms about BPJS health insurance such as membership type, premium, benefits package, services procedure, the way of registration. The main determinant is caused by personal factors of informants themselves who are not seeking information about BPJS health because busy with works, still young, unmarried, and get ill rarely. Another factor is informants more often rely on getting insurance information from friends or family, while information from the Government and BPJS organization itself is very rare.

Conclusion

Low health insurance literacy is the main cause why informants decide not to be participants in BPJS health insurance. So it’s necessary to educate people about the BPJS health insurance both from the government, BPJS organization, and especially health providers in health facilities.


Keywords


health insurance literacy; informal sector

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References

  1. Dartanto, T., Rezki, J. F., Pramono, W., Siregar, C. H., & Bintara, H. Participation of In­formal Sector Workers in Indonesia's National Health Insurance System. Journal of Southeast Asian Economies (JSEAE), 2016;33(3), 317-342.
  2. Banerjee, A., Finkelstein, A., Hanna, R., Olken, B., Ornaghi, A. Enrolling Informal Sec­tor Worker In National Health Insurance In In­donesia;2014.
  3. Kim, J., Braun, B., & Williams, A. D. Un­derstanding Health Insurance Literacy: A Liter­ature Review. Family And Consumer Sciences Research Journal, 2013;42(1), 3-13.
  4. Sinaiko, A. D., & Hirth, R. A. Consumers, health insurance and dominated choices. Jour­nal of Health Economics, 2011;30(2), 450–457.
  5. Quincy, L. Measuring Health Insurance Literacy: A Call To Action. Yonkers: Consumers Union;2012.
  6. Bartholomae, S., Russell, M. B., Braun, B., & McCoy, T. Building health insurance lit­eracy: evidence from the Smart Choice Health Insurance™ program. Journal of Family and Economic Issues, 2016;37(2), 140-155.
  7. Paez, K. A., Mallery, C. J., Noel, H., Pugliese, C., McSorley, V. E., Lucado, J. L., & Ganachari, D. Development of the Health Insurance Literacy Measure (HILM): Conceptualizing and Measuring Consumer Ability to Choose and Use Private Health Insurance. Journal of Health Communication, 2014;19 (sup2), 225-239.
  8. Abi, Afrida., Utarini, A., & Guardian Yoki San­jaya, M. H. Tingkat Literasi Kesehatan Dan Kepesertaan Dalam Program Jaminan Kesehatan Nasional (JKN) Di Kabupaten Sleman Daerah Istimewa Yogyakarta (Doctoral Disser­tation, Universitas Gadjah Mada);2015.
  9. Mary C. Politi., Kimberly A. Kaphingst., Mattew Kreuter., Enbal Shacham., Melissa C. Lovel., & Timothy McBride. Knowledge of Health Insurance Terminology and Detail Among the Uninsured. Sage Publication;2014. DOI:10.1177/1077558712505327.
  10. McCormack, L., Bann, C., Uhrig, J., Berkman, N., & Rudd, R. Health insurance literacy of older adults. The Journal of Consumer Affairs, 2009;43, 223–248.
  11. Zsofia, A., Parragh, Z. A., & Okrent, D. Health Literacy And Health Insurance Literacy: Do Consumers Know What They Are Buy­ing. Alliance For Health Reform, Jan;2015.
  12. Creswell, J. W. Research Design: Quali­ta­tive, Quantitative, And Mixed Methods Ap­proaches. Sage Publications;2013.
  13. Kaiser Family Foundation. The Unin­sured: A Primer;2012.
  14. Banerjee, A., Duflo, E., & Hornbeck, R. Bun­dling Health Insurance and Microfinance in India: There Cannot be Adverse Selection if There is No Demand. The American Economic Review, 2014;104(5), 291–297.
  15. Hanoch, Y., & Rice, T. The Economics Of Choice: Lessons From The Us Health‐Care Mar­ket. Health Expectations, 2011;14(1), 105-112.
  16. Zarcadoolas, C., Pleasant, A., & Greer, D. S. Elaborating A Definition Of Health Literacy: A Commentary. Journal Of Health Communica­tion, 2003;8(S1), 119-120.
  17. Zarcadoolas, C., Pleasant, A., & Greer, D. S. Advancing Health Literacy: A Framework For Understanding And Action (Vol. 45). John Wiley & Sons;2009.
  18. Sørensen, K., Van Den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. Health Literacy And Public Health: A Sys­tematic Review And Integration Of Definitions And Models. Bmc Public Health, 2012;12(1), 80.
  19. Tennyson, S. Consumers’ insurance liter­acy. Terre Haute, IN: Networks Financial Institute at Indiana State University;2011.
  20. Walsh, M., Fitzgerald, M., Gurley-Calvez, T., & Pel­lillo, A. Active versus passive choice: Evi­dence from a public health care redesign. Journal of Public Policy & Marketing, 2011;30(2), 191–202.
  21. Farley Short, P., McCormack, L., Hibbard, J., Shaul, J., Harris-Kojetin, L., Fox, M., et al. Similar­ities and differences in choosing health plans. Medical Care, 2002;40(4), 289–302.
  22. Fitzgerald, M. P., Bias, T. K., & Gurley-Calvez, T. The Affordable Care Act and consumer well-being: Knowns and unknowns. Journal of Consumer Affairs, 2015; pp 1-27. doi: 10.1111/joca. 12059.
  23. Braun, B., Kim, J., & Anderson, E. A. Family health and financial literacy–forging the connec­tion. Journal of Family and Consumer Sciences, 2009;101(3), 51–55.
  24. Hibbard, J. H., Peters, E., Dixon, A., & Tusler, M. Consumer Competencies And The Use Of Comparative Quality Information It Isn't Just About Literacy. Medical Care Research And Re­view, 2007;64(4), 379-394.
  25. Kolstad, J. T., & Chernew, M. E. Quality and consumer decision making in the market for health insurance and health care services. Medi­cal Care Research and Review,2009;66, 28S-51S.



DOI: https://doi.org/10.22146/bkm.30381

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